Managed Care Director Jobs in Irvine, CA

Lead a dynamic care team, driving performance and operational success while ensuring high-quality member engagement and care. Collaborate cross-functionally to enhance workflows and achieve key perfor...

Transform healthcare data management by leading the Medical Records department. Oversee patient health data collection and ensure compliance with regulations, enhancing data accuracy and accessibility...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Lead the charge in driving software sales for healthcare solutions with a focus on claims administration. Collaborate with internal teams to optimize strategies and exceed expectations in a fast-paced...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Drive success by leading quality data processes and ensuring HEDIS compliance. Work with cross-functional teams to optimize data integrity and performance. Manage, mentor, and motivate a skilled data...

Lead innovative initiatives in clinical operations, driving excellence in primary care delivery while overseeing medical directors. Optimize participant satisfaction and operational metrics to enhance...

Transform clinic operations by providing senior leadership and oversight for enhanced patient experience and efficiency. Ensure compliance and drive performance improvements across health center opera...

Lead Medicare Advantage claims operations, drive compliance, optimize performance, and develop high-performing teams to ensure accurate adjudication and enhance member satisfaction in a rapidly evolvi...

Elevate revenue integrity and clinical outcomes by leading comprehensive risk adjustment strategies, ensuring compliance and high performance in quality metrics, while collaborating effectively across...

Drive strategic community and local government engagement, fostering vital relationships to enhance membership growth and support health equity initiatives. Collaborate with executives and cross-funct...

Pioneer strategic community and government engagement, fostering relationships with stakeholders to enhance Medi-Cal outreach and drive health equity initiatives while mentoring a dynamic team to achi...

Unlock potential by leading Managed Care Contracting & Medical Economics, leveraging quantitative analysis to evaluate risks in value-based care contracts while engaging with payor partners and collab...

Drive operational excellence by leading a global team that harmonizes onshore and offshore resources. Foster cross-cultural collaboration, enhance performance standards, and ensure accountability acro...

Shape the future of digital strategy by driving enterprise-wide innovation. In this leadership role, you will connect customer needs with business priorities, leveraging AI and personalization to enha...

Elevate your career by leading digital product strategy across a dynamic portfolio. Drive alignment, enhance cross-channel experiences, and foster an innovative culture to deliver meaningful results f...

Champion innovative health care solutions by leading complex projects, collaborating with diverse stakeholders, and driving improvements in care models to enhance health outcomes across multiple secto...

Lead a dynamic team in optimizing claims adjustments, ensuring compliance and operational efficiency while managing complex disputes and high-stakes reviews. Collaborate with executive management to d...

Transform client relationships by leading value-based care initiatives, operational strategy, and analytics adoption. Collaborate with teams to ensure success, enhance client satisfaction, and drive m...

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 and empower a team of regulatory compliance experts in supporting a ground-breaking healthcare platform, ensuring regulatory alignment and operational excellence within a complex, evolving enviro...

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

Join a dynamic team to drive business performance improvement through strategic advisory services. You'll lead projects, manage client relationships, mentor staff, and contribute to organizational goa...

Oversee managed care contracts by collaborating with hospital departments and payers. Ensure effective negotiations to balance growth and profitability while addressing payment issues for optimal reve...