Member Care Advocate Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Supervise the daily operations of the MCA team while developing the analytical and programmatic framework that converts raw member engagement data into precise, timely care interventions.

• Take ownership of the four-phase operational cycle — Data Aggregation, Risk Stratification, Trend Detection & Gap Analysis, and Intervention — and ensure accountability for the team's role in measuring closure rates.

• Integrate member data from the Wellth app highlight engine, Member Care Queues, supplementary data sources (pharmacy, lab, claims), and partner health plan data into a cohesive, advocate-ready format.

• Track overall performance across key HEDIS measures and identify cohort-level or geography-level anomalies before they escalate into measure-year liabilities.

⛳️ Requirements

• Minimum of 3 years of experience in case management, care coordination, digital health coaching, or a related field, with at least 1–2 years in a leadership or supervisory role.

• Familiarity with HEDIS measures and the ability to translate measure specifications into operational guidelines.

• Proven experience in managing or mentoring front-line care teams in a metrics-oriented environment.

• Strong analytical skills: capable of interpreting a member cohort dashboard, identifying outliers, and translating those insights into actionable team initiatives.

• Exceptional written and verbal communication skills — able to craft a clear outreach script and effectively present trend data to health plan partners.

🏝️ Benefits

• Flexible work arrangements that promote robust remote-first practices and tools, with the option to collaborate in our outstanding gathering space in Marina Del Rey.

• Comprehensive paid time off and a generous parental leave program.

• Competitive salary and equity package.

• Health, dental, and vision insurance, along with FSA/HSA options.

• Opportunity to make a meaningful difference in the lives of those who need it the most.

• Support from a highly committed team focused on shaping the future of healthcare.