Managed Care Director Jobs in Irvine, CA

Strategize managed care revenue functions, ensuring financial integrity and optimizing payer relationships while leading finance and analytics teams for sustained performance...

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

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...

Accelerate progress at our home care agency by leading operations, developing teams, and enhancing client satisfaction. Utilize data-driven insights to improve processes, ensure compliance, and drive...

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...

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

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...

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...

Shape the future of sales by leading strategic development and execution for key brands. Drive revenue growth and team performance while managing P&L. Collaborate cross-functionally to innovate and en...

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...

Drive the vision for an enterprise data and analytics platform, leading a team to empower data-driven decision-making across all business functions while ensuring accuracy, governance, and scalability...

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...

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...

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...

Join our team to lead Broker Sales efforts and drive membership growth through strategic sales planning and effective management of a dedicated team, ensuring compliance and developing key relationshi...

Transform healthcare operations by leading shared services strategy, enhancing efficiency, and driving financial outcomes while collaborating across teams to improve patient access and streamline work...

Drive impactful Community Health projects, enhancing care for vulnerable populations through data analysis, strategic planning, and stakeholder engagement, ensuring effective project execution and col...

Engage in strategic Community Health initiatives to improve managed care for vulnerable populations. Lead project planning, stakeholder collaboration, and data analysis to enhance healthcare outcomes...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Transform business operations by managing large-scale strategic initiatives, analyzing processes, and improving productivity. Collaborate with leadership to develop communication and training plans th...

Champion operational excellence in claims administration, ensuring compliance and accuracy while leading a high-performing team. Drive process improvements and strategic initiatives to align claims pr...

Drive impactful healthcare solutions by partnering with key stakeholders in our National accounts. Lead with clinical expertise to enhance service delivery, contribute to sales processes, and elevate...

Drive clinical improvement initiatives to enhance Stars performance for D-SNP and Covered California. Collaborate cross-functionally, manage teams, and ensure compliance while fostering excellence in...