Associate Manager, Health Services
Core
Oversees healthcare management staff and implements healthcare management services to support members across the continuum of care.
Role type
Associate Manager, Health Services
Builds
Healthcare management services and care plans for members
Domain
Health Services / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Team leadership, regulatory compliance, care plan development, quality monitoring, resource management, change management, cross-functional collaboration, clinical oversight, mentorship, policy implementation
Preferred skills
Certified Case Manager (CCM), Master's degree in health-related field
Technologies
NCQA, URAC, state and federal standards
Responsibilities
Oversee implementation of healthcare management services, maintain policies and procedures per regulatory standards, assess developmental needs of staff, act as liaison with business areas, monitor care quality and medical appropriateness, serve as content model expert and mentor, lead change efforts
Seniority
Manager, hands-on leadership