Managed Care Director Jobs in Irvine, CA

Deliver strategic oversight and leadership in healthcare reimbursement, ensuring compliance with regulations while driving revenue recognition and analytics to optimize financial performance and suppo...

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...

Support project management initiatives that enhance enterprise infrastructure and integrate clinic services. Collaborate across departments to implement improvements, ensuring efficient operations and...

Unlock potential by leading healthcare analytics initiatives to optimize medical loss ratio. Collaborate across teams to identify trends and improve cost and quality outcomes, delivering insights to s...

Manage clinical care coordination and improvement processes to enhance patient outcomes and satisfaction. Lead teams in compliance with regulations and effective discharge planning while fostering col...

Champion the optimal delivery of clinical care through effective management of coordination, planning, and outcomes. Lead initiatives to enhance patient benefits while ensuring compliance and collabor...

Transform clinical care management by leading teams and optimizing processes to enhance patient outcomes, ensuring compliance and collaboration across multiple healthcare stakeholders while driving co...

Champion the Risk Adjustment strategy and execution, leading cross-functional teams to enhance Medicare Advantage program performance. Drive compliance, optimize revenue accuracy, and ensure organizat...

Champion compliance and regulatory strategies for multi-state home care operations, ensuring readiness and accountability. Drive policy development and oversee audits while leading a dedicated team to...

Lead the management and documentation of resident health information, ensuring compliance and ethical standards while promoting a positive work environment and high-quality care for all residents...

Analyze complex medical cases to ensure timely, accurate determinations for acute care services. Collaborate with healthcare professionals to uphold quality standards in clinical decision-making and m...

Advance your career by leading the product innovation lifecycle, managing offering performance, and collaborating across teams to deliver impactful solutions in health technology for diverse clients...

Engage as the strategic legal advisor to executive leadership, managing legal, governance, compliance, and risk. Oversee key legal affairs, partnerships, and healthcare contracts while fostering a cul...

Transform client relationships by managing a diverse portfolio of health plans, ensuring exceptional service delivery, and driving strategic outcomes that generate value and demonstrate key metrics. E...

Join a team that's committed to enhancing member care. Lead a clinical team, ensuring operational efficiency and compliance, while fostering staff development and optimizing processes to meet departme...

Shape the future of health care by leading payment integrity operations to enhance accuracy and decrease wasteful spending, while managing cross-functional teams and driving strategic initiatives for...

Drive impactful cost control initiatives across the organization, collaborating with stakeholders to improve healthcare affordability while managing complex projects and analytics that enhance market...

Transform healthcare contracting by leading strategy and performance for provider networks. Drive improvements and ensure compliance while enhancing member access and experience in a dynamic, growth-f...

Lead the charge in optimizing care management operations, ensuring exceptional patient services while enhancing team performance and operational efficiencies across clinical and support staff...

Lead transformative change in contract management, optimizing processes and compliance. Collaborate across teams to advance the contract lifecycle management capabilities, enhancing operational effici...

Empower healthcare outcomes through clinical review and management activities. Collaborate with teams to enhance patient care while ensuring regulatory compliance and achieving quality goals in a dyna...

Drive clinical strategy forward as a leader managing formulary and business development to enhance patient outcomes, streamline cost management, and foster competitive differentiators while aligning w...

Contribute to organizational excellence by driving access strategies and operations. Collaborate with leaders to enhance patient access performance, streamline processes, and deliver impactful solutio...

Shape the future of compliance by leading the Special Investigations Unit, overseeing investigative strategies, and ensuring adherence to fraud, waste, and abuse regulations for enhanced operational i...

Empower leadership and strategic direction for enterprise-wide risk management initiatives. Collaborate with executives and teams to cultivate a culture of safety and compliance while minimizing organ...