Director of Care Coordination – Multi-State, Value-Based

Optum; Phoenix (AZ); On-site; USD 135,000 - 231,000; Full time

Job summary

OptumCare in Arizona and New Mexico seeks a Director of Care Coordination to lead a multi-state program, overseeing field-based and centralized teams across care management, transitions of care, medication management, behavioral health coordination, and social care support.

This leadership role designs scalable workflows, staffing models, performance processes, and cross-functional partnerships to improve outcomes and value-based care.

Qualifications

• Active, unrestricted RN license in AZ or NM or compact license
• Residence in AZ or NM
• 7+ years healthcare experience in care management, population health, utilization management, or clinical operations
• 5+ years leadership experience managing clinical teams, programs, or operations
• Experience leading interdisciplinary teams across multiple locations, markets, or business units
• Experience with Medicare Advantage, value-based care, risk-bearing populations, and population health programs

Responsibilities

• Design, launch, and scale care coordination programs for Medicare Advantage and risk-based populations
• Build workflows, staffing models, reporting, productivity standards, and quality processes
• Lead field-based and telephonic care coordination teams across Arizona and New Mexico
• Oversee care management, transitions of care, readmission reduction, and support for high-risk members
• Drive improvement in HEDIS, Stars, medication adherence, member engagement, affordability, and utilization
• Use analytics to identify opportunities, prioritize resources, close gaps, and measure impact
• Partner with providers, practices, pharmacy, operations, national care management, and community partners while ensuring regulatory, accreditation, and organizational compliance

Skills

RN license

Residency AZ/NM

Healthcare experience 7+ yrs

Leadership 5+ yrs

Interdisciplinary teams

Medicare Advantage knowledge

Job description

OptumCare in Arizona and New Mexico seeks a Director of Care Coordination to lead a multi-state program, overseeing field-based and centralized teams across care management, transitions of care, medication management, behavioral health coordination, and social care support.

This leadership role designs scalable workflows, staffing models, performance processes, and cross-functional partnerships to improve outcomes and value-based care.