Managed Care Director Jobs in San Francisco, CA

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

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...

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...

Shape the future of sales by leading strategic development and execution for key brands. Drive revenue growth and team performance while managing P&L. Collaborate cross-functionally to innovate and en...

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...

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...

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...

Lead the operational excellence of the Group Health Division, optimizing performance metrics and driving client satisfaction through tailored initiatives and a dedicated team. Collaborate with medical...

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...

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...

Develop impactful analytics strategies to enhance operational performance and participant outcomes. Collaborate with leaders to solve complex challenges through data-driven insights and foster relatio...

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...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

The Director of Specialty Care Clinics at NorthBay Health is responsible for the strategic and operational leadership of multiple specialty care clinics, ensuring high-quality, patient-centered care w...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Lead billing operations while ensuring accuracy, compliance, and team efficiency. Optimize workflows, enhance customer service, and manage the integration of systems in a collaborative environment foc...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Drive behavioral health excellence as you lead multidisciplinary teams in strategic operations, quality improvement, and compliance across inpatient and outpatient settings, ensuring patient-centered...

Manage strategic client engagements, oversee implementation and service delivery, mentor junior staff, and drive retention efforts while collaborating across teams to ensure exceptional care and compl...