Managed Care Director Jobs in Santa Clarita, CA

Lead the charge in shaping a comprehensive Medicare Advantage strategy by leveraging extensive expertise to enhance member experience and operational efficiencies, while collaborating with cross-funct...

Join a dynamic team to enhance risk adjustment strategies and initiatives. Lead transformative projects, ensure compliance and optimize clinical documentation to support organizational growth and effi...

Reimagine the delivery of professional services by leading cross-functional teams to exceed customer expectations. Leverage strategic partnerships and expertise to drive project success, ensuring qual...

Join a team that's dedicated to enhancing behavioral health provider engagement through management, coaching, and strategic relationship building. Oversee operations and ensure compliance while drivin...

Optimize marketing strategy to elevate our presence in healthcare AI. Lead cross-functional initiatives to generate impactful content, drive revenue growth, and establish Qualified Health as the trust...

Seeking a Medical Director to lead Utilization Management, ensuring evidence-based clinical oversight and compliance. Collaborate with teams to enhance care quality, analyze data to reduce FWA risks...

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 community health delivery by leading operational efforts across teams in multiple counties. Ensure integration, performance, and compliance as you streamline resources to enhance care manage...

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...

Drive impactful HR initiatives and programs as you collaborate with teams, optimize processes, and enhance employee engagement to align organizational objectives and foster compliance...

Shape the future of oncology partnerships by driving strategy and execution to expand Daymark's network among leading practices focusing on value-based care. Cultivate relationships, close deals, and...

Oversee clinical reviews and collaborate with medical teams to ensure optimal service utilization, enhancing patient care quality while ensuring compliance with regulatory guidelines and internal stan...

Transform enterprise growth by driving strategic initiatives, identifying new business opportunities in healthcare, and building executive relationships to enhance market presence and revenue expansio...

Lead health plan strategy to unlock growth, build partnerships, and influence product direction. Partner closely with executives to shape Leap's commercial model and manage a high-performing team driv...

Pioneer a robust Encounters submissions strategy to MassHealth and New Hampshire DHHS. Lead cross-functional teams, ensuring compliance and quality while driving continuous improvement and operational...

Join a dynamic team to provide medical leadership in quality improvement, utilization management, and patient care coordination while supporting initiatives that enhance cost-effectiveness and healthc...

Manage the design and implementation of health equity programs for vulnerable populations, enhancing care quality and cost-effectiveness while ensuring stakeholder alignment and program efficiency. Le...

Lead value-based contracting efforts to drive cost improvement and quality performance, managing complex provider relationships. Oversee contract lifecycle, strategic planning, and cross-functional co...

Transform healthcare delivery by leading a dedicated medical team in implementing quality improvement initiatives across multiple inpatient services, ensuring optimal patient care and outcomes in a co...

Transform healthcare negotiations by leading payer strategies and optimizing population health incentives. Engage cross-functionally to craft innovative solutions and manage complex relationships nati...

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...

Lead compliance for Medicare Advantage and ACO programs, overseeing regulatory adherence and operational excellence. Collaborate with internal teams and external partners to ensure effective complianc...

Drive data-driven insights and strategies in healthcare analytics to optimize performance, enhance contract management, and support informed decision-making within the organization...

Analyze financial and health information to support decision-making on healthcare revenue, costs, and outcomes. Collaborate to identify revenue opportunities and ensure accurate reporting while drivin...

Partner with us to lead consulting engagements, drive business development, and enhance internal processes. Leverage your health care expertise to build client relationships and support team growth in...