Associate Director, Care Management

This is a fully remote position, open to applicants in Illinois, +1 more state.

📋 Description

• Lead teams comprising nurses and behavioral health professionals tasked with care management.

• Supervise the assessment and evaluation of members’ needs to attain or sustain optimal wellness.

• Assist members and families in accessing suitable care and wellness resources.

• Direct the development, implementation, and evaluation of care management programs that align with organizational goals and regulatory standards.

• Manage multiple managers or highly specialized professional associates.

• Oversee data sharing among internal and external resources to guarantee service integration and continuity of care.

• Foster communication and collaboration with providers, payers, regulatory agencies, and other stakeholders.

• Spearhead the preparation and presentation of program reports.

• Utilize data analytics to track performance, identify trends, and propose enhancements.

• Advocate for process improvement and innovative initiatives in care management.

• Travel to provider offices, Illinois HFS and CMS, Humana Illinois locations, and occasionally to other Humana offices for training or meetings.

⛳️ Requirements

• Must reside in Illinois, Indiana, or Wisconsin.

• Active, unrestricted RN, LCSW, or LCPC license in Illinois.

• A minimum of six years of professional experience in healthcare or managed care.

• At least three years of experience with a managed care health plan.

• Minimum of two years in a leadership role managing leaders or supervisors.

• Three or more years of experience leading care coordination teams and achieving measurable outcomes across diverse member populations.

• Expertise in analyzing and interpreting data trends.

• Progressive business consulting and/or operational leadership experience.

• Ability to travel within Illinois to provider offices, Illinois HFS, CMS, and Humana Illinois locations.

• Preferred: advanced degree in nursing, Social Work, or a business-related field.

• Preferred: experience with MLTSS and HealthChoice populations.

• Preferred: previous experience in managed care.

• Preferred: five or more years of management/supervisory experience.

• Capability to work from a dedicated space without ongoing interruptions to safeguard PHI/HIPAA information.

• Self-provided internet service with a minimum of 25 Mbps download and 10 Mbps upload speed.

🏝️ Benefits

• Bonus incentive plan based on individual and company performance.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Personal wellness and smart healthcare decision support.

• Remote work arrangement.

• Occasional travel for training, meetings, and team engagement.