Belong Health is hiring a
Director, Care Management

Summary

Join Belong Health as the Director of Care Management, overseeing and managing Care Coordination operations to achieve clinical and social determinants of health outcomes for Dual Special Needs Plans (DSNP) and Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) membership. The role involves motivating a high-performing team, ensuring compliance with partner, internal, state, and federal policies, and collaborating effectively with internal and external partners to deliver innovative solutions.

Requirements

• Experience in mid-senior management in care management or other related healthcare management environment
• Demonstrated strategic thinking with strong collaboration skills to work effectively with a variety of external organizations and personnel
• Experience in process improvement with an ability to devise innovative and practical solutions to solve problems; Complex Problem-solving skills
• Experience with complex data systems, and facility with learning new systems
• Supervisory experience including but not limited to hiring, development, monitoring and oversight, and performance management, in both remote and physical settings
• Understanding of health plan Care Coordination requirements/compliance including Dual Special Needs Plans (DSNP), Medicaid/Medicare, Medicare Advantage.  

Responsibilities

• Motivate and inspire a high-performing and highly engaged team to provide exceptional care, compliant outcomes, and best-in-class service
• Provide oversight of and leadership to the Belong Health Care Management staff while adhering to compliance, quality and service standards and SLA’s
• Ensure compliance with partner, internal, state, and federal policies, and the applicable Model of Care
• Oversee an integrated interdisciplinary team consisting of clinical and non-clinical team members
• Monitor operational and outcomes data to inform management priorities and improvements
• Collaborate effectively with internal and external partners and provider practices to deliver innovative, repeatable, and reliable solutions
• Communicate effectively with internal and external stakeholders through the regular sharing of performance metrics, process improvements, and solution delivery
• Collaborate with other departments at Belong Health and partner organizations to improve health outcomes and quality measure performance
• Engage in continuous process and quality improvement activities to improve the effectiveness and efficiency of processes and programs
• Effectively manage multiple priorities and service delivery in a fast-paced, high-growth environment

Preferred Qualifications

• Master’s degree in nursing
• Proven track record in delivering successful readiness reviews and audits in working with state and federal regulators
• Experience in leading a Care Management or Care Coordination operation in a Medicaid, Medicare Advantage, and/or ACO environment
• Experience in a high-growth company

Benefits

$130,000-$160,000