Associate Manager, Clinical Health Services
Core
Oversee implementation of healthcare management services for Dual Eligible Special Needs Plan (DSNP) members, addressing complex health and social determinant needs through care plans and quality monitoring.
Role type
Associate Manager, Clinical Health Services
Builds
Care plans, quality interventions, and operational models for dual eligible populations
Domain
US Healthcare / Medicare-Medicaid (Dual Eligible)
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Clinical policy implementation, care plan development, data evaluation for outcome improvement, team mentorship, regulatory compliance (NCQA/URAC), resource management, performance expectation setting, change management
Preferred skills
Managed Medicare experience, prior management experience
Technologies
Information systems for care management and data evaluation
Responsibilities
Implement clinical policies per regulatory standards, mentor team on practice standards and critical thinking, monitor best practice approaches for member needs, evaluate data to identify improvement areas, develop and review training content, collaborate on inter-departmental training, manage resources for care plan identification and implementation, assess team developmental needs, lead change efforts
Seniority
Mid-level Manager, hands-on IC
