Offer summary

Qualifications:

Registered Nurse licensure, preferably in a compact state., Bachelor's degree is preferred., At least 5 years of experience in Care/Case Management., Health Plan experience is required..

Key responsibilities:

Lead and manage a team of Care Managers, providing guidance and supervision.

Ensure program performance meets clinical, operational, and contractual goals.

Collaborate with stakeholders on program delivery and quality improvement.

Participate in hiring, training, and performance evaluations of Care Managers.

Job description

Job Description:

Job Summary:

The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the objectives and goals of the Value Based Care Management Program. The responsibilities of this role include directly leading and managing teams of Care Managers, providing guidance and supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and operational performance objectives of the program are being met. This role is responsible for operational processes and initiatives that support achievement of performance goals and providing support as needed to the Director of Clinical Care Operations.

Essential Job Functions:

Provide consistent development and retention of a team of Care Managers with the support of Operations Leadership and training team.
Act as a mentor and coach to the Care Managers, highlighting development opportunities that will positively impact the greater team and aid in their personal development as a Care Manager.
Provide performance management for the team of Care Managers to include formal performance evaluations and delivery of performance feedback.
Appropriately utilizes diagnostic tools and reports to identify feedback opportunities for colleague performance improvement and recognition.
Continually evaluate performance against objectives for the team, develop strategies and implement initiatives to achieve performance goals.
Interact with CareFirst in a variety of areas such as integration activities, audits, and case management in collaboration with the Director.
Provide clinical/coaching oversight to team to ensure consistency in service delivery to drive contract outcomes.
Collaborate with the Operations Leadership Team to monitor program delivery performance to ensure that contractual requirements as well as the financial, clinical, and quality objectives of the VBCM program are being met.
Participate in the new hire process of Care Managers.
Participate in quality improvement activities.

Specific Skills/ Attributes:

Ability to interpret and understand contract requirements.
Demonstrated critical and analytical thinking.
Track record of ability coaching staff to successfully meet performance goals.
Exceptional problem-solving and decision-making skills in a collaborative team and matrixed environment.
Demonstrated strategic and creative thinker (i.e., ability to develop and execute plans and can articulate vision, forecast, and anticipate results).
High energy individual with positive, enthusiastic approach. Must be comfortable with ambiguity of program.
Self-directed with exceptional organizational skills.
Excellent verbal and non-verbal communication skills.
Ability to recognize, embrace and support the philosophy, mission, values and vision of Sharecare with leadership practices.

Qualifications:

Current licensure as a Registered Nurse is required; Compact state preferred
Bachelor’s degree preferred
5+ years’ experience in Care/Case Management
NCQA experience preferred
Certified Case Manager preferred
Prior management and supervision of a clinical team is preferred.
Health Plan experience is required.
Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications.
Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies.

This position will be based from a home office which must satisfy all HIPAA requirements and minimum internet connectivity requirements.

Ability to communicate with members, other members of the team, physicians, and plan representatives.
Ability to effectively present information to audiences with a variety of knowledge/skill levels

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

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