Senior Director, Integrated Complex Care and Utilization

AbsoluteCARE Medical Center & Pharmacy; United States; On-site; USD 120,000 - 180,000; Full time

Job summary

AbsoluteCARE Medical Center & Pharmacy is seeking a Senior Director to oversee Complex Care Management and Utilization Management. This strategic role involves designing integrated care delivery models for complex populations and ensuring compliance across all markets.

The ideal candidate will have a Bachelor’s degree and significant experience in clinical operations. Preferred qualifications include an RN license and certifications in Case Management. The position requires up to 40% travel across AbsoluteCare locations and offers remote work opportunities.

Qualifications

• 7-10 years in a Senior Director or Vice President role overseeing complex care management.
• Proven track record of leading large-scale clinical operations and achieving affordability targets.
• Willingness to travel across different markets for corporate engagement.

Responsibilities

• Oversee national CCM and UM programs ensuring compliance with regulations.
• Monitor and optimize care and utilization management workflows.
• Build and mentor a high-performing interdisciplinary team.

Skills

Leadership

Communication

Change-management

Knowledge of Medicaid/Medicare

Clinical operations

Education

Bachelor’s degree in Nursing, Public Health, or Health Administration

Master’s degree

Tools

ZeOmega/Jiva electronic health record

Job description

AbsoluteCARE Medical Center & Pharmacy is seeking a Senior Director to oversee Complex Care Management and Utilization Management. This strategic role involves designing integrated care delivery models for complex populations and ensuring compliance across all markets.

The ideal candidate will have a Bachelor’s degree and significant experience in clinical operations. Preferred qualifications include an RN license and certifications in Case Management. The position requires up to 40% travel across AbsoluteCare locations and offers remote work opportunities.