Managed Care Director Jobs in Oakland, CA

The Manager of Managed Care Services at NorthBay Health is responsible for operational management and contract negotiations with healthcare insurance companies. This role involves overseeing claims pr...

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...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

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...

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 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 care management by leading a team dedicated to providing high-quality services. Oversee initiatives, ensure compliance, and collaborate with stakeholders to drive continuous improv...

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...

Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...

Lead the charge in enhancing healthcare services through strategic oversight and innovative management, ensuring compliance and optimal health outcomes for members across diverse departments in a coll...

Transform practice operations by integrating AI technology with compliance and quality management. Oversee scaling initiatives, ensure safe automation, and enhance clinical risk mitigation while leadi...

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...

Elevate health plan strategy by leading growth initiatives, integrating product and network plans, and aligning with market dynamics. Drive executive recommendations through competitive insights and c...

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...

Provide strategic leadership in pharmacy contract strategy and provider engagement, driving enterprise alignment and supporting scalable growth. Lead contract frameworks, compliance, and partnerships...

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...

Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...

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...

Lead strategic initiatives to enhance healthcare outcomes and cost-efficiency for national accounts. Collaborate with sales teams, act as a clinical thought leader, and drive new business growth throu...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Unlock your potential by driving enterprise sales in healthcare AI, leading strategic initiatives, and fostering partnerships to enhance patient outcomes. Your expertise will shape market strategies w...

Help us drive vital health plan contracts by ensuring in-network agreements are secured and activated, enhancing member access to essential cervical cancer screenings through targeted strategies and c...

Shape the future of healthcare strategy as a leader in consulting, driving innovation and transformation while mentoring the next generation of consulting talent across multiple client projects...