39 manager managed care analytics jobs at 17 companies in San Clemente, CA
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Managed Care Financial Analytics Director
Los Angeles or Orange County or Atlanta or Chicago or Phoenix or California or United States
RemoteFull Time
City of Hope: Medical research and treatment center for cancer and diabetes.
10+ YOE5+ MgmtBachelor's degree; 10+ years healthcare/financial analytics experience with managed care expertise; 5+ years leading analytics teams; deep knowledge of payer reimbursement, contracting, and value-based models; SQL/Power BI/Tableau/Epic proficiency.
Ensign ServicesNASDAQ: ENSG: Provides administrative and clinical support to post-acute healthcare facilities.
2+ YOEExperience in managed care contracting, contract negotiation, coding knowledge, HIPAA compliance, strong analytical and communication skills, willingness to travel up to 80%.
Contract Logix, Microsoft Word, Microsoft Outlook, Microsoft Excel
CalOptima Health: Provides public health insurance for Orange County residents.
3+ YOEMaster’s degree in a related field and 3 years of clinical or managed care experience required. Requires transportation for community work; strong communication, analytical, organizational, and collaboration skills.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
Redlands Community Hospital: Provides comprehensive medical, surgical, and emergency healthcare services.
Provide care coordination, utilization management and discharge planning for an assigned caseload; CA RN license and CPR required; ACM/CCM preferred; strong clinical and analytical skills.
Director, Data Analytics (Customer Experience / Member Growth & Retention) - REMOTE
Long Beach or United States
$96k-$209k/yrRemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
10+ YOE5+ Mgmt10+ years managed care/Medicare experience, 5+ years supervisory experience, Bachelor degree or equivalent, Power BI/Salesforce/Excel proficiency, strong leadership and cross-team collaboration skills.
Microsoft Excel, Power BI, Salesforce, Salesforce Analytics
Raymond West: A provider of warehouse equipment, supply chain solutions, and related services.
3+ YOE1+ MgmtRequires 3–5 years in customer service or client-facing roles, 1–3 years managing or supervising teams, strong communication, organization, analytics, and Microsoft Office proficiency; must be able to drive.
Microsoft Office Suite, CRM, Time and Attendance system
Inland Empire Health Plan: Public health plan providing managed care to residents.
1+ YOEBachelor's degree in a quantitative field and 1+ year in analytics, data science, or business intelligence. Requires BI reporting, database, SQL, healthcare data, and managed care knowledge.
Tableau, Microsoft Power BI, MicroStrategy, Python, Java, R, Spark, TensorFlow, Scikit-learn, Microsoft SQL Server, SSAS, SSRS, Microsoft Access, Microsoft Excel
Inland Empire Health Plan: Public managed care organization serving Inland Empire residents.
1+ YOEBachelor’s degree in a quantitative field and 1+ year in analytics, data science, or business intelligence. Requires BI reporting, database, data analysis, medical terminology, and managed care knowledge.
Python, Java, R, Spark, TensorFlow, Scikit-learn, Tableau, Microsoft Power BI, MicroStrategy, Microsoft SQL Server, SSAS, SSRS, Access, Microsoft Excel
Prime Healthcare Services: Operates a nationwide network of acute care hospitals.
5+ YOEFive years of management experience in Materials Management in acute care; Bachelor’s degree or equivalent; computer literate; strong negotiation and analytical skills.
Dunlop Sports Americas: Designs and manufactures premium golf and racket sports equipment.
5+ YOE5+ years supporting national accounts or customer operations, Bachelor's preferred, experience with EDI/ERP/retailer compliance, strong analytical and escalation management skills, Microsoft Office proficiency.
Electronic Data Interchange (EDI), ERP, Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint
Dermalogica: Manufactures professional skincare products and provides expert therapist training.
Requires global beauty, personal care, or skincare innovation leadership; category strategy and multi-year roadmap experience; skin biology and regulatory knowledge; strong analytical, communication, and team leadership skills.
SCAN Health Plan: Providing Medicare Advantage plans and integrated healthcare for seniors.
5+ YOE1+ MgmtPharmD and active pharmacist license required; 5+ years managed care pharmacy experience; 1-2 years leadership preferred; Medicare Part D/CMS knowledge; experience with PBM oversight, audits, formulary and utilization management; strong analytical and communication skills.
AbbVieNYSE: ABBV: Develops and sells innovative pharmaceutical and biopharmaceutical medicines.
7+ YOE3+ MgmtBachelor's degree required, MBA preferred; 7–9 years in marketing or market access, 3+ years pharmaceutical product management, lifecycle management, analytics, budgeting, and cross-functional leadership.
AHMC Healthcare: Provider of acute care hospital and emergency medical services.
2+ YOEAssociates Degree in Nursing, current BLS–HCP required; 2 years direct patient care experience in area; effective communication, leadership, and analytical skills; national specialty certification and ACLS/PALS/NRP/advanced fetal monitoring/NIH as applicable.
Data Analyst, Patient Experience & Capacity Management - USC Care Patient Experience - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles or Kern County or Orange County or Las Vegas
$69k-$117k/yrOnsiteFull Time
University of Southern California: Private research university providing higher education and healthcare services.
2+ YOEBachelor’s degree in a related field, 2+ years as a business data analyst and in healthcare, healthcare revenue-cycle experience, analytical skills, and proficiency with Excel, Word, and Power BI.
Inland Empire Health Plan: Provides managed healthcare coverage to residents of the Inland Empire.
5+ YOE5+ years managed care experience, 2 years audit/QA experience, Bachelor’s degree required (or 4 yrs additional experience), knowledge of California managed care regs, audit experience, strong writing and analytical skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
10+ YOE6+ MgmtRequires 10+ years of progressive leadership experience, including 6+ years managing medical group operations in value-based care; strong analytics, root cause analysis, financial analysis, and operational improvement skills.
Polaris Pharmacy Services: Provide pharmacy services to long-term care and correctional facilities
3+ YOE3+ MgmtHigh school diploma, state-required pharmacy technician license or certification, and 3–5 years managing healthcare or long-term care pharmacy operations. Requires medical terminology, math, analytical, organizational, and problem-solving skills.
Director Quality & Performance Improvement, Saint John's Health Center, Santa Monica
Santa Monica or Los Angeles County or Orange County or California or Alaska or Montana or New Mexico or Oregon or Texas or Washington
$74-$117/hrOnsiteFull Time
Providence: Provides comprehensive healthcare services through hospitals, clinics, and health plans.
5+ YOEBachelor's degree (or equivalent), 5+ years acute care experience in quality/performance improvement and data analytics; CPHQ preferred; strong leadership, analytics, regulatory and presentation skills.
CareConnectMD: Delivers coordinated primary and palliative care for geriatric patients.
5+ YOEPhysician with Doctorate, California license, 5+ years patient care, leadership experience, and regional oversight; strong communication and analytics.