Remote Care Management Performance Lead

Alliance Health; Morrisville (NC); Remote; USD 91,000 - 116,000; Full time

Benefits offered by this job

Medical, Dental, Vision, Life, Long Re

Generous retirement savings plan

Hybrid/Remote options

Paid time off including vacation, sick

Dress flexibility

Job summary

Alliance Health in North Carolina is seeking a Manager - Care Management Performance Optimization to drive operational alignment across the Care Management department, identifying performance gaps and leading cross-functional projects to improve quality, cost-efficiency, and member satisfaction.

This full-time remote role requires residence in North Carolina and occasional travel to the Morrisville home office for onsite team meetings.

Qualifications

• Bachelor’s degree in Nursing, Healthcare Administration, Human Services, Public Health, Business Administration, Data Analytics, or related field and five (5) years of health care operations experience including three (3) years in performance improvement, transformation or project management.
• Master’s degree in Nursing, Healthcare Administration, Human Services, Public Health, Business Administration, Data Analytics, or related field and three (3) years of health care operations experience including two (2) years in performance improvement, transformation or project management.
• Lean Six Sigma Green Belt (LSSGB) required within one (1) year of hire.
• Certified Case Manager (CCM) certification preferred.

Responsibilities

• Monitor, analyze, and report on care management KPIs.
• Collaborate with care management leadership to develop performance dashboards and reporting tools.
• Identify performance gaps and lead root cause analysis and action planning.
• Improve care management business processes by enhancing operational efficiencies.
• Develop and maintain standardized care management workflows and documentation practices.
• Lead Lean Six Sigma or similar process improvement initiatives to reduce costs and improve member experience.
• Manage initiatives and workstreams that streamline workflows and improve member outcomes.
• Ensure compliance with regulatory, contractual, and legal requirements.

Skills

Analytical skills

Verbal and written communication

Organizational and project management

Change leadership

Healthcare regulations knowledge

Data analytics / reporting

Microsoft Office

Education

Bachelor’s degree in Nursing

Bachelor’s degree in Healthcare Administration

Bachelor’s degree in Public Health

Master’s degree in Nursing

Job description

Alliance Health in North Carolina is seeking a Manager - Care Management Performance Optimization to drive operational alignment across the Care Management department, identifying performance gaps and leading cross-functional projects to improve quality, cost-efficiency, and member satisfaction.

This full-time remote role requires residence in North Carolina and occasional travel to the Morrisville home office for onsite team meetings.