Manager, Care Management
Core
Leads teams of nurses, social workers, and support professionals to manage care for Medicaid members in Illinois, focusing on optimal wellness and social determinants of health.
Role type
Senior IC care management manager
Builds
Care management programs and operational workflows for Medicaid members
Domain
US Healthcare / Medicaid / Social Determinants of Health
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medicaid/Medicare guidelines knowledge, data analysis, operational leadership, cross-functional collaboration, policy compliance, team management
Preferred skills
Managed care experience, CHW/peer specialist management, Illinois Medicaid systems familiarity
Technologies
Microsoft Windows, Outlook, Excel, Word, MIS software
Responsibilities
Oversee assessment and evaluation of members' needs to achieve optimal wellness; Support and enhance a care management model leveraging extenders (CHWs, peer support specialists); Monitor program performance and use data to evaluate impact; Align departmental processes with market objectives to control cost; Develop and maintain policies for consistent service delivery; Coordinate support for operations areas through smooth workflows; Represent the care management program in collaborative initiatives.
Seniority
Senior, hands-on IC with management responsibilities