Director of Care Coordination (AZ & NM)

UnitedHealth Group•Phoenix, AZ

1d•$134,600 - $230,800

About The Position

Optum is seeking a Director of Care Coordination to lead a multi-state program across Arizona and New Mexico. The role oversees field-based and centralized teams supporting high-risk members through care management, transitions of care, medication management, behavioral health coordination, and social care support. The Director builds scalable workflows, staffing models, performance processes, and cross-functional partnerships to improve outcomes, reduce avoidable utilization, and advance value-based care performance. The position is part of Optum Care Delivery, a clinician-led care organization. The role includes designing and scaling programs for Medicare Advantage and risk-based populations, leading teams and operations, and using analytics to improve care and organizational performance. The Director partners across provider, pharmacy, operational, national care management, and community organizations while ensuring compliance with regulatory, accreditation, and organizational requirements.

Requirements

Active, unrestricted Registered Nurse (RN) license in Arizona or New Mexico, or a compact license.
Residence in Arizona or New Mexico.
At least 7 years of progressive healthcare experience in care management, population health, utilization management, or clinical operations.
At least 5 years of 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.

Nice To Haves

Certified Case Manager (CCM), ACM-RN, or other relevant care management certification.
Experience leading field-based, community-based, or multi-state care coordination programs.
Experience supporting HEDIS, Medicare Stars, risk adjustment, and value-based care initiatives.

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.
Ensure regulatory, accreditation, and organizational compliance.