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Senior Director, Care Management (Denver)

L7

jacobson groupDenver, COtoday

$85/hour

Occupations

Medical and Health Services ManagersAdministrative Services ManagersGeneral and Operations Managers

Industries

Services for the Elderly and Persons with DisabilitiesAdministrative Management and General Management Consulting ServicesOther Residential Care Facilities
NO C2CJob Description Care Management Operations LeaderThe Jacobson Group is seeking an experienced Care Management Operations Leader for a contract opportunity with a managed care organization. This leader will oversee a department of approximately 40–50 employees, drive operational improvements, optimize HealthEdge utilization, and maintain regulatory compliance while supporting the team through organizational change.
Responsibilities: Lead and support a department of 40–50 employees through organizational change, establishing priorities, maintaining accountability, and ensuring operational continuity. Assess and optimize the HealthEdge platform to improve care management workflows, data utilization, staff productivity, and operational efficiency. Oversee daily care management operations, coordinating member care across medical, behavioral health, provider, and subcontractor networks. Ensure compliance with CMS, Medicaid, NCQA, state Department of Insurance, and contractual requirements across applicable lines of business. Collaborate with medical leadership, compliance, quality, technology, data analytics, and other stakeholders to resolve challenges and advance departmental goals. Monitor operational performance, quality metrics, and productivity indicators; analyze data and communicate findings and recommendations to senior leadership. Support employee development, training, and performance while providing guidance to managers and staff on clinical, operational, and workforce challenges. Oversee delegated vendors and programs to ensure compliance with contractual obligations, quality standards, and performance expectations.
Requirements:
  • Bachelor's degree required.
  • Seven or more years of administrative experience within a managed care organization or health plan, including leadership experience.
  • Three or more years of supervisory or management experience.
  • Experience leading multidisciplinary clinical and non-clinical teams through organizational change.
  • Strong knowledge of care management principles, case management strategies, and healthcare operations preferred.
  • Familiarity with CMS, Medicaid, NCQA, state regulatory, and health plan accreditation requirements preferred.
  • Demonstrated ability to manage people and processes, solve complex operational challenges, and build relationships with internal and external stakeholders.
  • Proficiency in Microsoft Excel, including statistical formulas, pivot charts, and data visualization.
  • Ability to work Mountain Standard Time (MST) business hours.
  • Ability to work a hybrid schedule with onsite travel for up to one week per month, with some flexibility.
  • Key SkillsCare Management Operations
  • Managed Care and Health Plan Administration
  • Team Leadership and Change Management
  • HealthEdge Platform Optimization
  • Regulatory Compliance and Audit Readiness
  • Staff Development and Performance Management
  • Vendor and Program Oversight
  • Data Analysis and Microsoft ExcelPay Range$85/hour W-2Contract duration: 2+ months
  • Hybrid schedule with onsite work required, up to one week per month
Benefits: Our comprehensive benefits package includes:
  • Medical insurance
  • Dental insurance
  • Vision insurance 401(k) retirement savings plan
  • ContactKarrie RuchThe Jacobson Groupkruch@jacobsongroup.comRefer a Colleague
Know someone who may be a great fit? Contact Karrie Ruch or submit a referral through our referral form.
Apply now (opens in a new tab)
Apply now (opens in a new tab)

Level

ManagerL7

Salary

$85/hour

Location

Denver, CO

Occupation

Medical and Health Services Managers

Industry

Services for the Elderly and Persons with Disabilities

Posted

today

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