- Execute the strategic vision established by the Director of Care Management.
- Lead implementation and adoption of new care management programs, workflows, and operational initiatives.
- Coordinate implementation activities with clinic leadership and operational teams.
- Monitor implementation progress and resolve operational barriers.
- Ensure consistent execution of approved workflows, SOPs, and organizational policies.
- Conduct routine operational reviews to evaluate productivity, workflow compliance, patient engagement, and program performance.
- Build strong relationships with providers, Medical Directors, Business Administrators, Care Management Supervisors, and clinic leaders.
- Drive achievement of operational, productivity, enrollment, reimbursement, and financial goals.
- Support Quality Assurance (QA) and Quality Control (QC) initiatives.
Requirements
- Bachelor's degree in Healthcare Administration, Nursing, Business Administration, Public Health, or a related field.
- 5+ years of progressive healthcare operations leadership experience.
- Experience implementing and managing CMS care management programs.
- Experience in ambulatory care, value-based care, population health, or primary care operations.
- Strong knowledge of CMS reimbursement methodologies, quality reporting, and regulatory requirements.
Core Competencies
Demonstrates expertise in healthcare operations leadership, with a focus on implementing CMS care management programs and driving operational excellence. Strong ability to build relationships with key stakeholders and achieve financial and quality goals.
Highest-signal resume keywords
- Healthcare Operations Leadership
- CMS Care Management Programs
- Ambulatory Care Experience
- Regulatory Compliance Knowledge
- Quality Assurance Initiatives
Hard Skills
- Healthcare Administration
- Nursing
- Business Administration
- Public Health
- Operational Reviews
- Workflow Compliance
- Productivity Evaluation
- Patient Engagement Strategies
- Financial Goal Achievement
- Reimbursement Methodologies
Soft Skills
- Relationship Building
- Leadership
- Problem Solving
- Communication
- Collaboration
Industry Keywords
- Value-Based Care
- Population Health
- Primary Care Operations
- Quality Control
- SOPs