Managed Care Director Jobs in Valencia, CA

Contribute to high-quality patient care by overseeing medical necessity reviews and care coordination, ensuring timely access to services while collaborating with a team of healthcare professionals to...

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...

Lead pharmacy strategy for a Medicare Advantage plan, driving PBM partnerships and ensuring financial performance. Shape enterprise strategy through collaboration with executives, optimizing formulary...

Help us manage provider relationships and ensure compliance with regulations. You'll oversee changes impacting providers, evaluate network adequacy, and collaborate with internal teams to enhance serv...

The Director of Revenue Cycle Management will oversee and enhance revenue cycle operations to improve accounts receivable, cash acceleration, and net revenue. This role involves strategic oversight, p...

Unlock potential by leading data operations and analytics in Medicare Advantage, driving quality improvements and stakeholder collaboration to ensure accurate and actionable data insights for informed...

Drive quality and compliance in healthcare, overseeing hospital-wide programs to ensure patient care excellence through collaboration, data analysis, and proactive improvement initiatives...

Shape the future of healthcare delivery by providing strategic clinical direction, guiding policy, and ensuring high-quality, cost-effective patient care through leadership and collaboration across mu...

Drive operational excellence and branch growth through effective leadership, strategic partnerships, and ensuring a superior client experience within the home care sector in Ventura County...

Join a dynamic team to manage and optimize clinical operations, ensuring seamless supply-demand balance, enhancing care team workflows, and driving efficient practice infrastructure while overseeing o...

Lead transformative change in contract management, optimizing processes and compliance. Collaborate across teams to advance the contract lifecycle management capabilities, enhancing operational effici...

Transform operations by overseeing supplemental vendors and enhancing benefit programs, ensuring compliance and efficiency through strategic management, collaboration with stakeholders, and performanc...

Optimize healthcare finance operations by providing strategic leadership, driving reimbursement analysis, ensuring regulatory compliance, and enhancing team performance. Collaborate with stakeholders...

Develop and execute business development strategies to drive growth. Oversee pipeline performance and strategic prospect relationships. Collaborate with cross-functional teams to identify opportunitie...

Take ownership of product strategy and execution by driving innovative development, informed by market insights and customer feedback, to create competitive health product offerings that align with bu...

Unlock impactful insights by leading data strategies for business units. Drive revenue and enhance decision-making through data empowerment while ensuring compliance and risk management. Collaborate a...

Empower employee experiences by managing benefits administration, enhancing communication, and overseeing process improvements for health, retirement, and wellness programs with a focus on maximizing...

Lead and develop a high-performing analytics team to deliver strategic insights, enhance data-driven decision-making, and drive measurable business outcomes through innovative analytics solutions and...

Elevate the growth strategy of behavioral health services while leading a dynamic team. Drive client engagement and new business acquisition to meet profitability goals, ensuring alignment with the co...

Drive external growth strategy to identify and acquire new business, overseeing all sales efforts while ensuring alignment with business goals. Lead a diverse team to enhance profitability and client...

Partner with us to lead clinical excellence and quality outcomes in healthcare. Drive utilization management strategies, enhance provider engagement, and support population health initiatives as a tru...

Elevate healthcare impact by building and scaling enterprise accounts in women's health. Own the sales cycle, engage stakeholders, and drive screening initiatives while collaborating across teams to e...

Lead us in enhancing senior care services by guiding clinic operations, overseeing budgets, and developing strong community ties, while ensuring compliance and quality care to our vulnerable populatio...

Engage in transformative leadership as you oversee clinic operations, drive team excellence, and enhance patient care in a fast-paced environment focused on senior services and compliance with health...

Transform demand planning and workforce operations by leading forecasting, capacity planning, and execution across diverse teams and environments. Drive strategic initiatives and ensure operational ef...