Job Description
- Description:
- Responsible for driving the operational execution of enterprise care management strategies.
- Focus on the implementation, integration, and expansion of care management operational and programmatic capabilities.
- Translate strategic priorities into structured, repeatable, and compliant operations.
- Oversee operational planning and implementation of care management capabilities for new LTSS programs and acquisitions.
- Collaborate closely with the LTSS Product Owner and Integrated Care Teams.
- Ensure LTSS and other care management operations align with federal, state, and contractual requirements.
- Requirements:
- Bachelor’s degree in business, healthcare or related field or equivalent years of relevant work experience is required.
- Master’s degree is preferred.
- Minimum of ten (10) years of clinical operations leadership and/or case management, disease management, medical management, quality improvement experience is required.
- Minimum of five (5) years of senior level management experience is required.
- Minimum of five (5) years of Managed Care experience in a multi-market organization.
- Experience in a collaborative matrix environment preferred.
- Case Management or Managed Care certification and Certification in Healthcare Quality is preferred.
- Benefits:
- Substantial and comprehensive total rewards package.
- Bonus tied to company and individual performance.
Apply Now
Apply Now