Manager, Care Management
Core
Manages daily operations and continuous quality improvement of care management programs to deliver high-quality, evidence-based care addressing medical, behavioral health, and social needs of older adults.
Role type
Senior IC care management program manager
Builds
Care management pods and programs for older adults in Medicare Advantage and integrated care models
Domain
Healthcare / Senior Care / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Care management operations, team leadership, performance management, regulatory compliance (CMS/NCQA), strategic planning, process improvement, stakeholder collaboration, data reporting
Preferred skills
Clinical licensure (RN/LCSW/LMFT), Medicare/Medi-Cal managed care experience, leading through subordinate leaders, bilingual ability
Technologies
None explicitly stated
Responsibilities
Oversee care management teams and supervisors to drive operational excellence and productivity; manage recruitment, training, and performance reviews for staff; establish strategic plans and monitor performance metrics; ensure compliance with CMS, DMHC, DHCS, and NCQA standards; consult with clinical experts on complex cases; maintain confidentiality and member rights.
Seniority
Manager, supervising supervisors
