Managed Care Director Jobs in Los Angeles, CA

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...

Inspire local leadership, develop impactful policies, and drive health initiatives by managing innovative programs and strategic partnerships to enhance community engagement and advocacy in public hea...

Shape provider partnerships and network strategies by leading high-impact contract negotiations. Collaborate with cross-functional teams to align operational goals with organizational objectives and i...

Join a team that's redefining enterprise data strategy and governance. Lead innovative data initiatives to enhance analytics, architecture, and team performance while driving impactful insights across...

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

Drive compliance excellence by leading a comprehensive enterprise Compliance Program across Medicare Advantage operations, enhancing adherence and promoting a culture of integrity while collaborating...

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

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...

Champion enterprise-wide analytics initiatives to enhance forecasting, financial modeling, and operational insights, driving strategic decision-making and transformative objectives. Lead a team, integ...

Lead the charge in optimizing claims processing operations, ensuring compliance and efficiency. Manage a team dedicated to accurate adjudication while collaborating with internal and external stakehol...

Drive compliance excellence by overseeing Medigap program operations and regulatory adherence. Lead initiatives to implement federal and state requirements, assess compliance risks, and provide strate...

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...

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...

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...

Lead the charge in developing and optimizing AI/ML solutions that enhance operational efficiencies and drive innovation. Oversee a skilled team of engineers, managing the entire ML lifecycle while ens...

Lead the charge in underwriting complex pharmacy benefit deals, optimizing pricing strategies with cross-functional teams. Leverage automation and insights to enhance underwriting capabilities while m...

Join a team that champions proactive advocacy within healthcare policy. Lead government affairs initiatives, engage with federal agencies, and strengthen strategic partnerships to ensure impactful rep...

Transform care management by leading a dedicated team to ensure compliance, enhance member care, and optimize operational processes while collaborating with stakeholders for high-quality health outcom...

Advance the LTSS market by identifying and developing new business opportunities, managing implementation strategies, and fostering key relationships to enhance organizational revenue and operational...

Lead the charge in developing and commercializing payer analytics products, driving product strategy and execution within a matrixed environment. Collaborate cross-functionally to translate market ins...

Advance innovative healthcare analytics programs by leading evaluations of clinical outcomes, ensuring clear metrics, and establishing best practices. Collaborate with cross-functional teams to drive...

Empower a comprehensive case management program across multiple hospitals, ensuring high-quality care delivery. Lead a team of directors and managers, overseeing compliance, best practices, and patien...