Sr. Manager Care Management LTSS

Centene Corporation•Remote-KS, KS

2d•$102,900 - $190,500•Hybrid

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidates must reside in the state of Kansas. This role will have oversight of an LTSS team working in HCBS services for the state of Kansas. Experience leading larger teams in a fast moving environment highly preferred.

Requirements

Requires a Bachelor's degree and 6+ years of related experience, including prior management experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Candidates must reside in the state of Kansas.
Experience leading larger teams in a fast moving environment highly preferred.

Responsibilities

Oversees the care management of higher acuity, long-term care members to develop and assess high quality, cost-effective healthcare outcomes.
Oversees care management teams' facilitation of member and provider needs through the complete care management cycle.
Provides guidance and directs long-term care management required documentation to maintain compliance with federal and state regulations and contractual agreements.
Reviews long-term care management policies and procedures as developed within the care management team and presents to senior leadership team.
Oversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needs.
Manages and tracks achievement against goals and objectives for long-term care management team to achieve cost-effective healthcare results.
Ensure proper coordination and communication of medical service functions with other departmental functions at the business as assigned.
Participates in coordinating large or special project work with other departmental functions.
Identifies process improvements for the long-term care management team to achieve cost- effective healthcare results and presents to senior leadership team.
Reviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations.
Educates and provides resources for long-term care management leaders on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers.
Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care.
Manages and coordinates the training of long-term care management team members to ensure adequate training and high-quality care to improve member and provider experience.
Supports in developing the overall strategy for onboarding, hiring, and training new long-term care management team members.
Performs other duties as assigned.
Complies with all policies and standards.