About the role

  • Director of Care Management leading clinical intervention strategies tailored to defined populations for Capital Blue Cross. Overseeing integrated programs and ensuring clinical oversight for member outreach.

Responsibilities

  • Deliver value to customers by leading the development and implementation of clinical intervention strategies tailored to the needs of defined populations.
  • Collaborate across care teams to identify optimal clinical support and programming.
  • Oversee clinically integrated programs for Capital members and lead operational and outcome improvement initiatives.
  • Ensure clinical oversight for all member outreach and engagement programs.
  • Support measurable improvements in health outcomes, member experience, and cost efficiency.
  • Develop and execute an annual population health improvement plan.

Requirements

  • 10+ years of experience with clinical healthcare
  • 5+ years of experience with healthcare delivery program management and administration
  • 5+ years of experience with project management, process improvement, quality improvement, or organizational design
  • At least 3 years of clinical experience
  • Possession of excellent leadership, analytical, and data management skills
  • Strong managerial and project management skills
  • Knowledge and experience with remote patient monitoring
  • Must possess an active RN license in the required state
  • A Master’s degree in a health or business-related field is preferred

Benefits

  • Medical, Dental & Vision coverage
  • Retirement Plan
  • Paid Time Off
  • Holidays
  • Volunteer time off
  • Incentive Plan
  • Tuition Reimbursement

Job title

Director of Care Management

Job type

Experience level

Lead

Salary

$118,650 - $223,560 per year

Degree requirement

Postgraduate Degree

Location requirements

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