Vice President, Care Management

Essen Medical Associates•Bronx, NY

About The Position

The Vice President of Care Management provides strategic and operational leadership for Essen Health Care’s Care Management services across New York. This executive-level role oversees program performance, care delivery, regulatory compliance, quality outcomes, partner relationships, and the division’s financial performance. The Vice President ensures programs operate efficiently, meet regulatory requirements, advance organizational goals, and deliver measurable value to patients, partners, and the communities Essen serves. The role leads Care Management strategy and operations, develops scalable program processes, monitors performance and quality, and ensures compliance with applicable requirements, including New York State Medicaid managed care and Care Management regulations. It also manages partner relationships and service agreements, oversees budgets and financial performance, and builds and develops a high-performing team in collaboration with leaders across the organization.

Requirements

Seven or more years of progressive healthcare leadership experience in care management, population health, managed care, or value-based care.
Demonstrated experience leading complex Care Management programs and multidisciplinary teams.
Strong knowledge of New York State Medicaid managed care and Care Management regulations.
Proven experience improving operational performance, quality outcomes, and patient engagement.
Experience with budgeting, financial management, and performance accountability.
Strong leadership, communication, analytical, negotiation, and relationship-management skills.
Bachelor’s degree in healthcare administration, business administration, nursing, social work, public health, or a related field.

Nice To Haves

Master’s degree in healthcare administration, business administration, public health, nursing, social work, or a related field.
Deep knowledge of the New York City and Bronx healthcare markets and provider landscape.
Experience working with health plans, provider organizations, community-based organizations, and value-based care arrangements.
Experience developing and managing healthcare service agreements.
Background overseeing multi-site Care Management or population health operations.
Clinical licensure or relevant professional certification; preferred but not required.

Responsibilities

Provide strategic direction and oversight for Essen’s Care Management programs and services.
Develop and implement initiatives to improve care coordination, patient engagement, health outcomes, and service delivery.
Align programs with organizational priorities, population health objectives, and value-based care initiatives; identify opportunities to strengthen or expand services.
Advise executive leadership on Care Management performance, opportunities, and challenges.
Oversee day-to-day operations across Essen and its partner network; establish workflows, performance expectations, and quality standards.
Develop scalable processes for program implementation, partner onboarding, staff training, and operational support.
Monitor key performance indicators, service utilization, patient outcomes, and contractual requirements; address operational gaps through corrective actions and continuous improvement.
Ensure staffing models and resources support program goals.
Ensure compliance with applicable federal, state, and local requirements, including New York State Medicaid managed care and Care Management regulations.
Partner with Compliance, Legal, and Clinical leadership to maintain program integrity and address regulatory requirements.
Develop and monitor quality assurance processes, documentation standards, and audit-readiness initiatives.
Ensure timely and accurate reporting to internal leadership, payers, regulatory agencies, and partner organizations.
Promote patient-centered, culturally responsive, coordinated care.
Build and maintain relationships with primary care practices, healthcare organizations, payers, community-based organizations, and other strategic partners.
Serve as the senior relationship owner for Care Management partners, supporting communication, engagement, and performance.
Collaborate with partners to resolve operational concerns, improve outcomes, and strengthen service delivery.
Support the development, negotiation, and implementation of Care Management service agreements, and establish onboarding and support processes for new partners.
Oversee the division’s budget, revenue, expenses, and financial performance; monitor performance across programs and partnerships.
Identify opportunities to improve efficiency, manage costs, and strengthen program sustainability.
Collaborate with Finance and executive leadership on budgeting, forecasting, pricing, and resource allocation; provide regular performance reports and recommendations.
Build, develop, and lead a high-performing Care Management team; establish goals, expectations, and accountability measures.
Foster collaboration, innovation, quality, and continuous improvement.
Collaborate with Clinical, Operations, Finance, Compliance, Legal, Human Resources, and Information Technology leadership.
Mentor and develop division leaders while supporting succession planning and employee engagement.