Managed Care Director Jobs in Beverly Hills, CA

Lead the charge in driving operational excellence and strategic initiatives within key areas of oversight, vendor management, and compliance to enhance service delivery and organizational goals across...

Transform healthcare operations by overseeing clinical teams and ensuring compliance. Manage day-to-day activities, foster collaboration, and meet performance metrics while developing staff capabiliti...

Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...

Elevate partnerships by leading strategic growth initiatives with brokers and health plans. Engage directly with stakeholders to enhance participation and drive innovative programs, ensuring alignment...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

Oversee effective operations within the Care Management Department, enhancing programs and ensuring compliance with regulations while collaborating with medical directors and stakeholders to improve m...

Advance the standards of care by ensuring compliance with medical policies and regulations in a collaborative multidisciplinary team environment. Conduct critical reviews of medical necessity for trea...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Shape the future of financial services by serving as a strategic advisor and execution leader for the CFO. Drive organizational effectiveness and cross-functional alignment while guiding finance initi...

Advance transformative AI initiatives in healthcare by spearheading commercial strategy and key partnerships. Collaborate with C-suite leaders to build impactful business cases and streamline innovati...

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...

Partner with us to lead operational and strategic initiatives that enhance clinical performance and patient experience, driving measurable improvements through innovative management processes and cros...

Elevate managed care contracting by overseeing negotiations, implementing contracts, and ensuring compliance while leading a team to achieve strategic financial goals and enhance operational efficienc...

Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...

Empower healthcare innovation by leading a team of TPMs to align product strategy with business goals and enhance operational efficiency through effective collaboration across teams...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Lead daily operations of Quality Assurance, Utilization Management, and Case Management. Oversee clinical operations and ensure compliance with regulations. Drive strategic improvements to deliver hig...

Advance your career by managing the daily operations of Quality Assurance, Utilization Management, and Case & Disease Management functions, ensuring high-quality, compliant healthcare delivery while p...

Transform healthcare data environments by developing advanced cloud data platforms. Lead a technical team to innovate, assess, and build robust solutions that enhance AI deployment, effectively removi...

Empower strategic initiatives by leading comprehensive health plan strategies that drive growth and profitability while aligning with organizational goals and market dynamics, ensuring strong executiv...

Shape the future of health plan strategy by leading growth initiatives and promoting innovative solutions. Collaborate with cross-functional teams to execute strategic priorities while mentoring a hig...

Unlock potential by leading healthcare operations consulting engagements, optimizing claims processing, and driving improvements across client workflows. Collaborate with diverse teams in a dynamic en...

Strategize and execute comprehensive market approach for health plans, enhancing engagement and brand positioning. Collaborate across teams, leveraging deep healthcare expertise to drive growth and st...

Lead the charge in transforming clinical operations, ensuring compliance and quality while driving efficiencies. Collaborate across teams to enhance patient care and achieve organizational goals throu...

Provide strategic leadership in pharmacy contract strategy and provider engagement, driving enterprise alignment and supporting scalable growth. Lead contract frameworks, compliance, and partnerships...