Managed Care Director Jobs in Fremont, CA

Join a team that's driving growth and profitability by delivering managed care contracting expertise. You'll negotiate, analyze, and oversee contracts while collaborating with various stakeholders to...

Drive end-to-end operational excellence for stop-loss and funding processes. Oversee program administration, manage relationships with vendors, and enhance operational efficiency while leading high-pe...

Drive strategic business development initiatives in the Medicare landscape, fostering key partnerships with national payers to enhance care access. Collaborate cross-functionally to accelerate growth...

Champion operational excellence by leading membership status determinations, ensuring accuracy and compliance while driving improvements and utilizing AI tools to optimize workflows in a fast-paced, i...

Optimize marketing strategy to elevate our presence in healthcare AI. Lead cross-functional initiatives to generate impactful content, drive revenue growth, and establish Qualified Health as the trust...

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

Transform the enterprise reporting landscape by leading cross-functional initiatives, developing performance dashboards, and establishing data infrastructure to enhance decision-making and drive impac...

Lead the charge in enhancing healthcare services through strategic oversight and innovative management, ensuring compliance and optimal health outcomes for members across diverse departments in a coll...

Transform the future of healthcare interoperability by leading strategic initiatives, ensuring compliance, and collaborating across teams to enhance data exchange and clinical outcomes, while managing...

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 the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Drive strategic growth by architecting innovative healthcare payor programs, navigating regulatory landscapes, and establishing robust market entry strategies. Collaborate across teams to transform co...

Transform enterprise growth by driving strategic initiatives, identifying new business opportunities in healthcare, and building executive relationships to enhance market presence and revenue expansio...

Transform utilization management by overseeing operations, ensuring compliance, analyzing data, and leading a skilled team to enhance patient care quality and efficiency. Collaborate with healthcare p...

Join a dynamic team to provide medical leadership in quality improvement, utilization management, and patient care coordination while supporting initiatives that enhance cost-effectiveness and healthc...

Join a team that's committed to excellence in regulatory compliance. Lead NCQA accreditation efforts while collaborating across departments to ensure ongoing adherence to standards and support the org...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Pioneer impactful strategies in value-based care operations, leading cross-functional initiatives and partnerships to enhance risk stratification insights and support practices in delivering sustainab...

Transform your career by leading a comprehensive HR strategy that aligns with executive leadership. Drive workforce planning, talent acquisition, employee engagement, and compliance initiatives to sha...

Lead the charge in driving human resources strategy, shaping organizational design, and optimizing workforce effectiveness while guiding transformation and ensuring talent alignment with business goal...

Innovate within healthcare finance by leading Medicaid strategy and consulting engagements. Leverage your expertise to enhance business performance for clients while driving strategic initiatives in p...

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...

Drive impactful healthcare initiatives by providing clinical guidance, training, and oversight for care quality. Collaborate with providers and ensure adherence to regulatory standards while enhancing...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...