Managed Care Director Jobs in Fresno, CA

Lead the charge in developing innovative risk adjustment products and strategies. Collaborate cross-functionally to enhance client experiences while ensuring compliance and clinical integrity. Drive h...

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...

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...

Innovate healthcare operations by managing multiple client accounts, overseeing provider enrollment and payer contracting with a focus on accuracy and quality. Lead a small team while ensuring timely...

Unlock insights at the forefront of managed care analytics, driving strategic contract modeling and decision support initiatives while ensuring financial integrity and optimal service delivery across...

Partner with us to drive value-based care by negotiating and managing Medicare Advantage and Medicaid contracts, enhancing provider relationships, and contributing to strategic growth in a dynamic hea...

Lead and oversee end-to-end claims processing while driving operational improvements, ensuring compliance, and managing enterprise risk across multi-functional teams for effective client servicing and...

Join a team that's committed to driving growth through strategic partnerships in healthcare. You'll lead initiatives that optimize provider relations and collaboration, ensuring delivery and improveme...

Accelerate your career by driving new revenue and building strategic relationships with key stakeholders in the pharma and biotech sectors. Own the full sales cycle in a fast-paced, autonomous role fo...

Join a team that's redefining finance by leading strategic planning and analysis across key business functions. As a strategic partner, you'll support leadership, drive accountability, and develop a h...

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...

Lead a dynamic team to optimize our contact center ecosystem, enhancing product management and driving strategic alignment. You'll be at the forefront of customer service excellence through innovative...

Transform operations by leading a team in the strategic launch of complex client accounts, optimizing process improvements across departments, and enhancing the customer experience in a fast-paced hea...

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...

Shape the future of healthcare integration by leading efforts in network and data integration, ensuring compliance and modernization across workflows. Drive multi-year roadmaps while fostering high-pe...

Join a team that's dedicated to enhancing geriatric care through innovative house calls, combining direct patient interaction with the leadership of a skilled APRN team, while ensuring high-quality, v...

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...

Shape the future of healthcare technology by leading product management for Medicare FFS enrollment operations, ensuring compliance with CMS regulations while enhancing benefit design capabilities wit...

Join a team that’s revolutionizing network development by expanding partnerships with Physician providers across the U.S. Leverage your sales and strategy expertise to enhance collaborations, drive en...

Lead the charge in managing provider data standards for Medicare Fee-for-Service within the HealthRules Payer platform, ensuring compliance with CMS mandates through collaboration and product requirem...

Take ownership of the planning and forecasting cycles, manage financial analyses, mentor staff, and enhance forecasting models to drive strategic business initiatives for organizational success...