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Director Dhcs Jobs (NOW HIRING)

WelbeHealth

Director, MOE

Los Angeles, CA · On-site

Direct and coordinate all intake and enrollment processes, including implementing process ... Maintain WelbeHealth's working relationship with DHCS to ensure seamless enrollment workflow ...

WelbeHealth

Director, MOE

Fresno, CA · On-site

Direct and coordinate all intake and enrollment processes, including implementing process ... Maintain WelbeHealth's working relationship with DHCS to ensure seamless enrollment workflow ...

View Behavioral Health

Clinical Director

Colton, CA · On-site

$100 - $130/hr

Clinical Director Pay: Depends on experience Position Summary The Clinical Director is responsible ... Ensure compliance with DHCS, Joint Commission, and applicable state and federal regulations

Akua Behavioral Health Inc

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Program Director - AS Newport

Newport Beach, CA · On-site

$90K - $126K/yr

State DHCS, The City and The Joint Commission (JCAHO).The Program Director is responsible for maintaining operational control of a financial budgets set forth by Akua Management. This includes but is ...

WelbeHealth

Director, MOE

Burbank, CA · On-site

$145K - $191K/yr

Direct and coordinate all intake and enrollment processes, including implementing process ... Maintain WelbeHealth's working relationship with DHCS to ensure seamless enrollment workflow ...

WelbeHealth

Director, MOE

Fresno, CA · On-site

$145K - $191K/yr

Direct and coordinate all intake and enrollment processes, including implementing process ... Maintain WelbeHealth's working relationship with DHCS to ensure seamless enrollment workflow ...

Welbehealth

Director, MOE

North Hollywood, CA

$145K - $191K/yr

Direct and coordinate all intake and enrollment processes, including implementing process ... Maintain WelbeHealth's working relationship with DHCS to ensure seamless enrollment workflow ...

Welbehealth

Director, MOE

Fresno, CA

$145K - $191K/yr

Direct and coordinate all intake and enrollment processes, including implementing process ... Maintain WelbeHealth's working relationship with DHCS to ensure seamless enrollment workflow ...

Welbehealth

Director, MOE

Fresno, CA

$145K - $191K/yr

Direct and coordinate all intake and enrollment processes, including implementing process ... Maintain WelbeHealth's working relationship with DHCS to ensure seamless enrollment workflow ...

Insperity

Director of Claims- Healthcare

Los Angeles, CA · On-site

$130K - $160K/yr

The Claims Director ensures timely, accurate, and compliant claims processing while meeting all applicable DHCS, DMHC, CMS, NCQA, contractual, and health plan requirements, supporting TMS ...

Department of Health Care Services

SFI-II

Sacramento, CA · On-site

$9.8K - $13K/mo

Nguyen@dhcs.ca.gov Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding ...

New

WelbeHealth

Director, MOE

Los Angeles, CA · On-site

$145K - $191K/yr

Direct and coordinate all intake and enrollment processes, including implementing process ... Maintain WelbeHealth's working relationship with DHCS to ensure seamless enrollment workflow ...

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Director Dhcs information

See salary details

$33.5K

$117.5K

$195.5K

How much do director dhcs jobs pay per year?

As of Sep 5, 2026, the average yearly pay for director dhcs in the United States is $117,480.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,000.00 and $157,000.00 per year, depending on experience, location, and employer.

What is the difference between Director Dhcs vs Director of Healthcare Services?

AspectDirector DhcsDirector of Healthcare Services
CredentialsRelevant healthcare management certifications, state-specific licensesSimilar healthcare management certifications, often requiring licensure
Work EnvironmentGovernment or public health agencies, Medicaid/Medicare settingsHospitals, clinics, private healthcare organizations
Employer & IndustryState departments, public health agenciesPrivate hospitals, healthcare providers
Common Search/ComparisonYesYes

The main difference between a Director Dhcs and a Director of Healthcare Services lies in their work environment and employer. Director Dhcs typically work within government agencies managing Medicaid or public health programs, while a Director of Healthcare Services is more common in private healthcare organizations overseeing service delivery. Both roles require similar credentials and focus on healthcare management, but their specific responsibilities and settings differ.

How hard is it to become a director Dhcs?

Becoming a Director of DHCS typically requires extensive experience in healthcare administration, leadership skills, and relevant certifications or advanced degrees. Candidates often need several years of managerial experience and a strong understanding of healthcare policies and regulations to qualify for this senior role.
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Director Dhcs jobs near you
Infographic showing various Director Dhcs job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $117,480 per year, or $56.5 per hour.

Director of Clinical Audit & Performance Excellence

Advanced Medical Management

Long Beach, CA • On-site

$165K - $185K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Key responsibilities

  • Lead the enterprise Clinical Audit Program across various operational areas including Utilization Management, Case Management, Appeals, Medical Director Reviews, Prior Authorization, and Delegation Oversight.

  • Develop and maintain standardized audit methodologies, governance frameworks, audit tools, and evidence standards.

  • Oversee enterprise audit reporting, quality scorecards, performance dashboards, and prepare executive presentations.

Job description

About the Role

Seoul Medical Group (SMG), one of the nation's leading Independent Practice Associations (IPA), is seeking an experienced Director of Clinical Audit & Performance Excellence to lead our enterprise Clinical Audit Program. This strategic leadership role is responsible for developing and overseeing a standardized clinical audit framework that ensures compliance with CMS, NCQA, DMHC, DHCS, delegated health plan requirements, and enterprise policies while driving continuous quality and operational improvement.

The Director serves as the organization's independent authority for clinical audit methodology, audit governance, corrective action validation, performance analytics, and audit readiness across Utilization Management (UM), Case Management, and delegated health plan operations.

Key Responsibilities

  • Lead the enterprise Clinical Audit Program across UM, Case Management, Appeals, Medical Director Reviews, Prior Authorization, Concurrent Review, and Delegation Oversight.
  • Develop and maintain standardized audit methodologies, governance frameworks, audit tools, and evidence standards.
  • Oversee enterprise audit reporting, quality scorecards, performance dashboards, and executive presentations.
  • Lead root cause analyses, corrective action plan (CAP) validation, and continuous process improvement initiatives.
  • Ensure readiness for CMS, NCQA, DMHC, DHCS, delegated health plan, and external regulatory audits.
  • Partner with executive leadership, Compliance, Medical Directors, Operations, IT, Provider Relations, and Health Plans to improve operational quality and regulatory compliance.
  • Develop enterprise Inter-Rater Reliability (IRR) programs and auditor calibration processes.
  • Monitor audit trends, identify systemic risks, and recommend performance improvement strategies.

Qualifications

Required

  • Bachelor's degree in Nursing, Healthcare Administration, Clinical Sciences, Public Health, or a related field.
  • Active California RN license.
  • 10+ years of Managed Care experience.
  • 8+ years of Utilization Management experience.
  • 5+ years leading Clinical Audit, Quality, Compliance, or Performance Improvement programs.
  • Experience with Medicare Advantage, delegated MSO or Health Plan environments, CMS audit readiness, and NCQA accreditation.
  • Strong knowledge of CMS, NCQA, DMHC, DHCS regulations, prior authorization, appeals, medical necessity criteria, and clinical documentation standards.
  • Demonstrated experience leading enterprise quality improvement, audit governance, corrective actions, and executive reporting.

Preferred

  • Certified Professional in Healthcare Quality (CPHQ).
  • Experience with MCG and/or InterQual criteria.
  • Experience in multi-health plan delegated environments, Appeals oversight, and Medical Director collaboration.

AMM BENEFITS

When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:

  • Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
  • Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
  • Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
  • Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
  • Career Development: Tuition reimbursement to support your education and growth.
  • Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!