Manager, Care Management

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. *This is a remote role that will work Pacific Time Zone business hours* The Job Manages the daily operations and continuous quality improvement of care management programs at SCAN to ensure the delivery of high quality, evidence-based care with a focus on addressing the medical, behavioral health, and social needs of members. The goal is to oversee teams and programs that help achieve excellent health and support provider and member engagement. Provides leadership and oversight across multiple care management pods through direct management of care management supervisors, ensuring opera tional excellence, workforce optimization, quality outcomes, compliance, and achievement of departmental objectives . You Will Provides oversight of care management teams and supervisor-led care management pods to drive operational excellence and productivity and to ensure the achievement of department goals and objectives. Provides guidance and support with urgent and escalated issues. Accomplishes results by communicating to staff job expectations; planning, monitoring, and appraising job results; coaching and counseling employees; initiating, coordinating, and enforcing systems, policies, and procedures. Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe and secure work environment; developing personal growth opportunities. Directly manages care management supervisors and provides leadership, coaching, performance management, mentorship, and accountability for pod performance. Participates in establishing strategic plans and objectives; collecting and monitoring performance; developing dashboards and reports; and developing and evaluating programs and projects that promote health, improve member engagement, and address holistic member needs. Ensures that department policies and procedures, desktop procedures, workflows, job aides, training materials, are current and accurately reflect processes in order to provide consistent quality care in compliance with department requirements. Collaborates with internal departments to ensure seamless care and support clinical and operational goals and create and review department metric reporting. Facilitates staff meetings and interdisciplinary team meetings. Builds effective professional relationships with providers and other internal and external partners utilizing verbal and written communication skills, developing trust, meeting timelines, respecting cultural differences, using active listening skills, and maintaining confidentiality. Serves as a subject matter expert and represents the department at assigned committees to support two-way communication between department and committee and committee to department head and/or staff as appropriate. Promotes process improvement, quality assurance, and compliance with and adheres to all regulatory and quality standards including but not limited to: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), and accreditation bodies’ standards such as the National Committee for Quality Assurance (NCQA) as it relates to Complex Care Management activities. Consults with SCAN Medical Directors and other clinical subject matter experts when needed regarding complex medical and behavioral health situations and facilitates appropriate coordination with the care team. Maintains the member‘s right to privacy and protects SCAN operations by keeping information confidential. Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, participating in professional societies. Supervises/Manages Others ( i.e. hires, performance reviews, corrective action, etc.) We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned. Your Qualifications Required: Bachelor's Degree or equivalent experience. Bachelor's Degree in Healthcare Administration , Nursing, Social Work, Public Health, Business Administration, or related field, or equivalent combination of education and experience. Preferred: Graduate or Advanced Degree or equivalent experience. Required Experience: 3+ years of progressive leadership experience in complex healthcare operations, care management, care coordination, population health, or integrated care delivery programs, including supervisory or management responsibilities. Preferred Experience: - Active clinical-related licensure (e.g., RN, LCSW, LMFT or equivalent) preferred. - Medicare/Medi-Cal experience in managed care environment . - Experience leading care management, care coordination, population health, or healthcare operations programs in a medical group, IPA, HMO, health plan, or integrated delivery system preferred. - Experience leading through subordinate leaders and coordinating diverse teams to achieve organizational goals preferred. Leadership - Lead and inspire teams to achieve Problem Solving - Good problem-solving skills Communication - Good communication and interpersonal skills Bilingual ability strongly preferred. Strong written and oral communication skills, as well as strong interpersonal, critical thinking, and analytical skills. Demonstrated ability to work with all levels of staff, within and external to the organization to achieve goals. Ability to prioritize multiple and competing tasks. Ability to work independently or as a team while working in a fast-paced and dynamic environment. Basic knowledge of related NCQA standards, CMS and DHCS regulations. Medical and clinical terminology conversant. Leading through subordinate leaders. What's in it for you? Base salary range: $92,400 to $133,671 per year Work Mode - Mostly Remote: Employees who reside outside the local area are expected to work remotely and travel to SCAN's headquarters approximately once per month for in-person meetings, team collaboration, training, and other business needs. SCAN's headquarters is currently located in Long Beach, California, and is expected to relocate to Cerritos, California, in 2027. An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO) Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday Excellent 401(k) Retirement Saving Plan with employer match and contribution Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-CS2 Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)