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Job description
Direct Hire + Hybrid! 100% Employer Paid Benefits! Professional Development/Tuition Reimbursement, look no further for your Director of Managed Care Operations Opportunity!
Job Title: Director of Managed Care Operations (Hybrid)
Location: Palm Desert, CA
Employment Type: Direct Hire
Schedule: Monday-Friday, 8AM-5PM
Pay: $150,000/year (flexible)
What you’ll do:
Provide strategic leadership over Claims, Billing, Eligibility, Benefits, Materials Management, Business Informatics, and Contracting
Drive accountability, controls, governance, and performance management
Partner with the CFO/executive leadership on financial efficiency strategy and operational excellence
Lead executive-ready reporting and communications (including monthly timeliness reporting)
Oversee systems supporting operational/EDI needs (EMR, scheduling, reporting tools)
Required Qualifications for Director of Managed Care Operations:
Bachelor’s Degree
10+ years of claims management experience (hands-on medical finance/claims required)
2+ years of people Leadership/Supervisory experience
Knowledge of Medicare and DMHC regulations and managed care rules
Familiarity with medical terminology and coding (ICD-9, CPT, RVS)
100% Paid Benefits:
Medical insurance at no cost to employee (employer covered)
No-cost pharmacy benefit (employee)
Dental, Vision, EAP, Life/AD&D, LTD options
401(k) with company match; PTO (released after 90-day evaluation)
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Worksite address
palm desert, CA, 92261, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.