Care Management Director

2 weeks ago

Oakland, California, United States Altais Health Solutions Full time
About Our Opportunity

We are seeking a seasoned Care Management Director to lead our existing Care Management Programs and future innovative population health initiatives. This role will be responsible for designing and implementing models of care for D-SNP members and overseeing other lines of business.

Key Responsibilities:

  • Partner with senior leadership to develop and execute annual strategic plans, ensuring appropriate resource allocation and budgeting for the care management department.
  • Act as a change agent to improve performance results, providing organizational effectiveness leadership to achieve department goals.
  • Lead a team focused on high-quality patient care and other high-member-touch programs.
  • Establish strong partnerships across the organization, including People & Engagement, Finance, Enterprise Project Management Office, and IT.
  • Collaborate with multiple business areas to address cross-functional organizational problems and ensure seamless program implementations.
  • Develop and maintain a training and learning development plan, ensuring ongoing business process management and continuous process improvement.
  • Drive strategic outcomes of Care Management programs, evaluating data from multiple sources and designing programs in conjunction with clinical leaders.
  • Ensure key Care Management metrics related to compliance and contractual obligations are met, maintaining audit readiness and subject matter expertise in regulatory and process areas.
  • Maintain staffing and development of the Care Management team, working cross-functionally to start new initiatives and lead their operationalization.

Requirements:

  • Current Registered Nurse (RN) license in the state of California.
  • Bachelor's Degree.
  • Master's Degree Preferred.
  • Minimum of 3 years' experience successfully managing people and leading teams.
  • Minimum of 3 years' progressive leadership experience in MediCal/Medicare care management, with model of care experience.
  • Minimum of 7 years' combined experience managing projects, programs, complex change initiatives, and/or CMS and DHCS audits and regulatory compliance.
  • Minimum of 7 years' experience in developing and executing strategic business plans and budgets with a track record of achieving results.

What We Offer:

Altais Health Solutions is committed to providing a competitive compensation package, robust benefits, and a dynamic work environment that values diversity, innovation, and collaboration. We are an equal opportunity employer and welcome applications from qualified candidates who share our mission and values.

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