Managed Care Director Jobs in Fremont, CA

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Lead the charge in health services program management by directing Utilization Managers, ensuring compliance, and fostering cross-departmental collaboration to optimize care quality and departmental g...

Champion healthcare value through rigorous health economics and analytics. Lead a small team to measure and quantify clinical outcomes, translating them into defensible economic value for payers, whil...

Drive strategic initiatives and operational excellence for medical staff management. Collaborate with leadership to enhance departmental functioning and ensure compliance with regulatory standards whi...

Unlock potential by partnering with executives to enhance customer strategies, streamline operations, and lead impactful initiatives that drive engagement and value for investor/customers in the healt...

Transform operational excellence in healthcare by overseeing ambulatory initiatives, optimizing processes, managing budgets, and ensuring compliance within a collaborative environment focused on enhan...

Pioneer innovative clinical pharmacy strategies to enhance Medicare Stars performance. Leverage deep expertise in pharmacy quality, influence cross-functional teams, and drive measurable outcomes to i...

Shape the future of healthcare analytics by leading teams, driving initiatives, and translating data insights into strategic solutions for multiple stakeholders, aiming to enhance performance and achi...

Shape the future of pharmacy benefits by leading high-performing teams and managing client relationships. Drive strategy and deliver results while enhancing service performance across multiple account...

Shape the future of healthcare finance by managing contracts in Epic, recovering underpayments, and collaborating with teams to refine reimbursement strategies for hospital and ASC operations...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Drive revenue enhancement and strategic transformation for healthcare clients. Navigate complex contract negotiations and implement managed care solutions, improving financial performance across multi...

Engage as a strategic leader in health communications, driving client success and operational excellence while mentoring high-performing teams and managing large client portfolios to foster growth and...

Drive impactful Phase IV and observational research initiatives by partnering with biopharmaceutical sponsors. Leverage deep scientific expertise to create tailored study designs, foster relationships...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Advance healthcare delivery by managing hospital-based programs, optimizing operations, and driving quality initiatives in collaboration with clinical leaders. Ensure financial sustainability and stra...

Shape the future of product development, leading cross-functional teams to execute strategic initiatives and optimize customer engagement through innovative data solutions and market insights. Drive i...

Help us drive growth and engagement in provider partnerships. Lead strategy, operations, and relationship management for our provider relations team, ensuring alignment with organizational goals and e...

Unlock potential by leveraging your extensive Medicaid policy experience to guide agencies in program implementation and compliance, fostering healthier communities through innovative strategies and c...

Grow your leadership in healthcare management by supervising teams and driving program innovations. Oversee quality services and enhance member engagement, impacting lives while fostering cross-functi...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Drive comprehensive analytics in acquisition cost and value strategies, transforming complex models into actionable narratives for manufacturers and pharmacies while ensuring efficiency translates to...

Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...

Drive operational excellence in medical record management; collaborate with teams to enhance retrieval processes and support audits. Utilize strong analytical skills to drive insights, ensuring compli...

Lead a regional team in optimizing client satisfaction, retention, and profitability. Drive strategic initiatives across pharmacy accounts while engaging with health plans and stakeholders to foster b...