Senior Manager, Care Management (Remote)

We are seeking a highly skilled and experienced Senior Manager, Care Management to join our team at Aetna Better Health of Texas. As a Senior Manager, you will be responsible for developing, implementing, and promoting health services strategies, policies, and programs that drive the delivery of high-quality healthcare to our members.

In this role, you will oversee and manage a team of care managers, ensuring the effective operation of care management and care coordination activities across the continuum of care. You will also serve as a technical, professional, and business resource, providing expertise and guidance to internal and external stakeholders.

Our ideal candidate will have a strong background in clinical management, with a minimum of 7 years of experience in a clinical setting and 7 years of administrative/management experience. You will also have a dynamic, unrestricted Texas State License in the appropriate functional area (e.g., RN, LPC, LCSW) and a bachelor's degree in a related field.

We offer a competitive salary range, with a typical salary range of $35-45 per year, as well as opportunities for professional growth and development. If you are a motivated and experienced healthcare professional looking to make a difference in the lives of our members, we encourage you to apply for this exciting opportunity.

Key Responsibilities:

• Develop, implement, and promote health services strategies, policies, and programs that drive the delivery of high-quality healthcare to our members
• Oversee and manage a team of care managers, ensuring the effective operation of care management and care coordination activities
• Provide technical, professional, and business expertise to internal and external stakeholders
• Ensure compliance with contract requirements and regulatory standards
• Identify opportunities to implement best practices and innovations to improve outcomes
• Collaborate with cross-functional teams to achieve business objectives

Requirements:

• Dynamic, unrestricted Texas State License in the appropriate functional area (e.g., RN, LPC, LCSW)
• 7 years of experience in a clinical setting
• 7 years of administrative/management experience
• Care management experience
• Knowledge of regulations, standards, and policies related to clinical management
• 3+ years of experience in computer, keyboard navigation, and MS Office Suite applications
• Bachelor's degree in a related field

Preferred Qualifications:

• Managed care experience
• Certified Case Manager (CCM)
• Texas Medicaid experience – specifically TX STAR and CHIP

If you are a motivated and experienced healthcare professional looking to make a difference in the lives of our members, we encourage you to apply for this exciting opportunity. Apply Job! or Apply to this Job