Managed Care Director Jobs in Visalia, CA

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...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

Advance the standards of care by ensuring compliance with medical policies and regulations in a collaborative multidisciplinary team environment. Conduct critical reviews of medical necessity for trea...

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

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...

Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...

Shape the success of client implementations by leading a dynamic team of Business Consultants. Drive operational excellence in software delivery while fostering talent development and ensuring high cl...

Strategize and execute comprehensive market approach for health plans, enhancing engagement and brand positioning. Collaborate across teams, leveraging deep healthcare expertise to drive growth and st...

Provide strategic leadership in pharmacy contract strategy and provider engagement, driving enterprise alignment and supporting scalable growth. Lead contract frameworks, compliance, and partnerships...

Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Lead the charge in driving transformative financial strategies and operational excellence across organizational functions. Collaborate with executive leadership to elevate decision-making and foster a...

Unlock potential by analyzing health plan data to identify revenue growth opportunities, validate reports, and maintain compliance, while collaborating across departments to improve organizational eff...

Oversee the provision of patient-centered health care services, ensuring staff management, regulatory compliance, and effective departmental operations while empowering providers to deliver high-quali...

Transform departmental performance and quality of care by effectively managing Allied Health Providers, fostering a collaborative culture, and ensuring compliance while delivering exceptional patient...

Develop and oversee quality allied health services, manage staff performance, ensure clinical compliance, and foster a patient-centered model of care to enhance health access and outcomes across the o...

Join a dedicated team to provide expert medical reviews and insights for post-acute care. Collaborate with healthcare professionals to ensure quality service delivery and optimal patient outcomes in a...

Manage and deepen relationships with Medicare Advantage clients, oversee new client launches, and build a high-performing account management team. This strategic role impacts clinical operations and m...

Collaborate to drive member retention and satisfaction through exceptional service delivery. Lead a multifunctional team, develop data-driven strategies, and foster cross-functional partnerships to en...

Transform provider enrollment operations by leading a dynamic team, enhancing workflows, and fostering client relationships to achieve departmental success and consistency in enrollment processes...

Transform operations by building a robust quality framework for Enhanced Care Management, overseeing compliance, and driving educational initiatives to ensure operational excellence across multiple he...

Elevate your career by driving client partnerships and agency excellence through strategic vision and execution. Lead brand planning and foster creativity to deliver impactful advertising solutions th...

Champion excellence in clinical operations by managing field practitioners, ensuring compliance and quality care, and driving operational success in a dynamic healthcare environment. Lead innovative t...