Senior Director, Care Coordination Operations

4 weeks ago


Durham, United States Porter Cares Full time

Senior Director, Care Coordination OperationsJoin the Porter Team as the Senior Director, Care Coordination OperationsPorter is seeking a Senior Director of Care Coordination Operations (Care Management, Disease Management, Utilization Management) who is a strategic and operational leader. The Senior Director is responsible for delivering high-quality, efficient, and compliant care coordination services. This role oversees all aspects of Porter's Care Coordination services, while leading the Care Guide Team to ensure exceptional member and client outcomes.Key Responsibilities:Lead the development, implementation, and continuous improvement of care coordination capabilities to ensure optimal member engagement, outcomes, and client satisfaction.Oversee the Care Guide Team, fostering a culture of accountability, collaboration, and excellence in supporting members through the care continuum.Ensure seamless integration and alignment of all Porter Care Coordination programs with organizational priorities and regulatory requirements.Develop and execute data-driven performance metrics and operational KPIs to monitor effectiveness and drive results.Collaborate cross-functionally with clinical leaders, provider partners, and operational teams to ensure care delivery meets the highest standards of quality and efficiency.Stay current on regulatory changes, industry best practices, and innovative models of care to drive continuous improvement and innovation.Provide leadership, mentorship, and development opportunities for care coordination staff to enhance capabilities and engagement.Serve as a key partner to client stakeholders, ensuring that all services meet or exceed client expectations and contractual obligations.Qualifications:Bachelor's degree in nursing, social work, or related field; Master's degree preferred.Active clinical licensure (e.g., RN, LCSW, NP)8+ years of progressive leadership experience in care management, disease management, and/or utilization management within a complex health plan, provider, or integrated delivery system.Proven ability to lead large, multi-disciplinary teams and achieve measurable results.Deep knowledge of regulatory and accreditation standards (e.g., NCQA, CMS).Exceptional communication, collaboration, and problem-solving skills.Demonstrated commitment to patient-centered care and client partnership.What Porter Offers:Remote Work EnvironmentAnnual SalaryBenefits - effective within 30 days from startPaid HolidaysPaid Time Off: Vacation + SickStrong Team Culture



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