Managed Care Director Jobs in San Francisco, CA

Join a team that's driving growth and profitability by delivering managed care contracting expertise. You'll negotiate, analyze, and oversee contracts while collaborating with various stakeholders to...

Drive strategic business development initiatives in the Medicare landscape, fostering key partnerships with national payers to enhance care access. Collaborate cross-functionally to accelerate growth...

Unlock potential by leading enterprise-wide Cost of Care solutions. Drive scalability, optimize deployment, and enhance operational effectiveness across diverse markets, collaborating with stakeholder...

Optimize provider networks by leading complex contract negotiations and establishing strategic relationships with health systems and physician groups, ensuring high-impact results and fostering collab...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Transform the future of healthcare interoperability by leading strategic initiatives, ensuring compliance, and collaborating across teams to enhance data exchange and clinical outcomes, while managing...

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...

Elevate your career by managing claims operations, leading a cohesive team, ensuring compliance, and driving performance metrics in a healthcare setting. Collaborate cross-functionally while overseein...

Lead the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Drive strategic growth by architecting innovative healthcare payor programs, navigating regulatory landscapes, and establishing robust market entry strategies. Collaborate across teams to transform co...

Transform clinical operations by driving innovative strategies and performance improvements that enhance member health outcomes and engagement at scale. Lead cross-functional teams to optimize prevent...

Join a team that's committed to excellence in regulatory compliance. Lead NCQA accreditation efforts while collaborating across departments to ensure ongoing adherence to standards and support the org...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...

Develop comprehensive network strategies that optimize value, engage stakeholders, and enhance provider performance, ensuring alignment with market trends and regulatory requirements while leading cro...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Unlock potential by leading complex health-system implementations, guiding a specialized team, and establishing best practices. Drive performance, engage executives, and shape future strategies for la...

Transform your career by leading a comprehensive HR strategy that aligns with executive leadership. Drive workforce planning, talent acquisition, employee engagement, and compliance initiatives to sha...

Lead the charge in driving human resources strategy, shaping organizational design, and optimizing workforce effectiveness while guiding transformation and ensuring talent alignment with business goal...

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...

Drive impactful healthcare initiatives by providing clinical guidance, training, and oversight for care quality. Collaborate with providers and ensure adherence to regulatory standards while enhancing...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

Shape a robust compliance program for pharmacy operations and Medicare Part D, ensuring adherence to regulations while promoting a culture of compliance. Lead audits, oversee risk management, and coll...

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Lead the charge in health services program management by directing Utilization Managers, ensuring compliance, and fostering cross-departmental collaboration to optimize care quality and departmental g...

Unlock potential by leading enterprise forecasting and pipeline governance. Collaborate with cross-functional teams to drive performance insights, improve planning accuracy, and optimize revenue strat...