Managed Care Director Jobs in Rancho Cucamonga, CA

Transform patient care by leading the development and delivery of case management services across hospitals. Oversee a dedicated team to ensure compliance, quality standards, and optimal resource mana...

Drive your career forward as you lead the case management program, overseeing departmental operations across multiple hospitals and ensuring high-quality, coordinated patient care in compliance with c...

Lead case management initiatives by overseeing operations in a multi-hospital system. Ensure high-quality patient care through effective policy development and staff management while meeting clinical...

Shape the future of actuarial science by leading innovation, guiding strategies, and enhancing financial performance through advanced modeling and regulatory compliance. Collaborate with senior leader...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Lead and manage comprehensive Care Management programs, ensuring regulatory compliance and high-quality, patient-centered care while collaborating across multidisciplinary teams to achieve optimal hea...

Unlock potential by crafting a robust compliance framework that enables sustainable growth in a dynamic healthcare environment, focusing on Medicaid, managed care, and regulatory compliance while proa...

Join our team as you drive operational excellence in technology delivery, managing production support and customer interactions for a mid-size HealthPlan. You'll play a key role in ensuring seamless c...

Lead the charge in delivering high-quality, person-centered care while managing a multidisciplinary medical team and overseeing complex care strategies for patients in their residences...

Advance patient care by overseeing a multi-disciplinary team, ensuring high-quality service delivery, analyzing clinical performance, and fostering collaboration within the community to enhance health...

Manage critical partner integrations and optimize operational processes to enhance vendor verification speed and quality. Own the end-to-end relationship between our system and partner APIs for seamle...

Lead the evolution of a comprehensive Compliance Program, ensuring regulatory adherence across Medicare and beyond. Collaborate strategically with leaders to embed a culture of compliance while drivin...

Reimagine healthcare delivery by leading integration of varied medical services, ensuring quality and accessible care for underserved populations while driving organizational goals through strategic l...

Transform client relationships by leading Revenue Cycle Operations initiatives. Oversee process improvements, drive strategic goals, and ensure compliance while managing multi-disciplinary teams acros...

Elevate workforce management strategies by leading enterprise optimization, aligning staffing models, and enhancing service performance. Drive governance, analytics, and technology solutions that supp...

Elevate member care by overseeing utilization management and evaluating treatment appropriateness. Collaborate with multidisciplinary teams, ensuring compliance with clinical standards and regulations...

Drive innovative program development while ensuring stakeholder alignment and optimal performance outcomes. Lead cross-unit integration, adapt technology use, and enhance consumer experience through e...

Help us enhance healthcare payment integrity through strategic leadership in education and compliance, driving training initiatives for improved coding accuracy and reduced billing errors across our o...

Lead strategic initiatives in Payment Integrity education, enhancing compliance and billing accuracy. Collaborate across departments to develop programs that mitigate risks and ensure operational read...

Champion innovative healthcare solutions by building and managing a robust pipeline targeting hospitals and health systems, driving stakeholder engagement and sales growth while delivering measurable...

Tackle healthcare regulatory compliance and audit challenges. Lead a dynamic team driving accreditation, risk management, and operational audits to ensure organizational success in a rapidly evolving...

Oversee and innovate the performance, strategy, and governance of a multi-channel contact center, leading a dynamic team to drive operational excellence across diverse markets while enhancing customer...

Unlock your potential by leading a skilled Behavioral Health team, enhancing service quality, and collaborating with cross-functional partners to achieve high performance and compliance in service del...

Drive key commercial initiatives and strategic partnerships while leading cross-functional execution and managing stakeholder alignment to accelerate growth and operational effectiveness within a high...

Lead the charge in enhancing our pre-bill DRG review program, ensuring coding integrity and compliance while imparting expert training to elevate staff competencies and collaborative efforts in revenu...