Managed Care Director Jobs in San Diego, CA

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 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...

Empower efficiency in provider dispute resolution by leading onshore and offshore teams, ensuring compliance, and developing strategic initiatives across Commercial, Medi-Cal, and Medicare lines to en...

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

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

Take ownership of the Smart Communications suite, driving product strategy and roadmap while collaborating with cross-functional teams to enhance transactional communications and ensure regulatory com...

Lead and innovate data operations, establishing a best-in-class Center of Excellence. Drive monitoring and reliability of data pipelines, ensuring effective automation and governance for optimal perfo...

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...

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...

Elevate brain health care through strategic collaborations and program management, ensuring innovative solutions are operationally feasible and scalable. Drive impactful initiatives across complex hea...

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...

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...

Champion revenue growth by leading a strategic sales team in healthcare solutions. Drive initiatives, collaborate with leadership, and leverage consultative sales techniques to optimize processes and...

Join a dynamic team to conduct medical case reviews, collaborate with healthcare professionals, and leverage your clinical skills to ensure appropriate patient care through evidence-based decision-mak...

Unlock potential by leading advanced measurement strategies for clients, analyzing marketing effectiveness, and driving data-driven decisions. Collaborate with cross-functional teams, mentor junior an...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Drive strategic direction and innovation in Actuarial Science, leading teams in pricing, forecasting, and financial analysis while ensuring regulatory compliance and enhancing operational efficiency a...

Elevate physician revenue cycle operations through strategic leadership, ensuring optimal performance, compliance, and collaboration across teams and vendor partners for improved financial outcomes an...