Director of Care Coordination

About the Role

The Director of Care Coordination provides executive leadership, strategic direction, and operational oversight for SSHCO's Care Coordination Department, ensuring the delivery of high-quality, patient-centered care coordination services that advance organizational goals, improve health outcomes, and support value-based care performance.

Reporting directly to the Vice President of Population Health, the Director is accountable for the overall performance of the Care Coordination Department, including operational excellence, quality outcomes, workforce development, execution of departmental deliverables, and achievement of organizational strategic priorities. The Director leads the implementation of coordination programs and initiatives while ensuring the successful operational execution of care coordination services and departmental deliverables.

Serving as the primary liaison for the care coordination team, the Director collaborates closely with leaders across the organization, including Strategic Partnerships, Quality Improvement, and Data & Analytics to align care coordination strategies with organizational priorities, performance metrics, and contractual obligations. The Director translates organizational strategy into operational execution by developing scalable care coordination models, improving workflow efficiency, ensuring regulatory compliance, advancing quality improvement initiatives, and fostering a culture of accountability, collaboration, innovation, and continuous improvement.

Responsibilities

• Provide leadership and strategic direction for all Care Coordination programs, operations, and personnel.
• Responsible for the performance of the Care Coordination Department, including operational excellence, quality outcomes, workforce development, execution of departmental deliverables, and achievement of organizational strategic priorities.
• Develop and execute strategic initiatives that improve population health outcomes, advance health equity, and support long-term organizational sustainability.
• Establish departmental goals, key performance indicators, and annual operational plans aligned with SSHCO's strategic plan.
• Lead the development, implementation, and continuous refinement of care coordination models that support Medicaid populations, value-based care, and health-related social needs.
• Ensure departmental initiatives align with organizational priorities, regulatory requirements, quality standards, and contractual obligations.
• Identify opportunities to improve operational effectiveness, enhance patient outcomes, strengthen community partnerships, and expand care coordination services.
• Develop, update, and continuously improve workflows, processes, and procedures to support organizational objectives and adapt to evolving regulation, payer requirements, or operational needs.
• Work under the direction of the Vice President of Population Health to implement strategic priorities and advance organizational initiatives across the Population Health division.
• Collaborate closely with organizational leaders to operationalize Managed Care Organization (MCO) contracts, value-based agreements, grants, and other payer initiatives by ensuring Care Coordination services are effectively implemented, and all departmental deliverables are successfully achieved.
• Monitor departmental performance against organizational goals, quality metrics, and contractual care coordination requirements, proactively identifying operational risks and implementing corrective actions when needed.
• Prepare executive-level reports, dashboards, presentations, and recommendations that communicate departmental performance, quality outcomes, operational initiatives, and progress toward organizational goals.
• Represent the Care Coordination Department in meetings with managed care organizations, healthcare partners, community-based organizations, funders, and other external stakeholders as appropriate.
• Lead the operational execution of all care coordination activities supporting Managed Care Organization (MCO) contracts, value-based payment arrangements, grants, and other population health initiatives.
• In collaboration with organizational leaders, ensure Care Coordination fulfills all operational commitments, quality measures, reporting expectations, and care management deliverables associated with payer contracts and strategic partnerships.
• Collaborate with the Vice President of Population Health to develop strategies that improve quality performance, member engagement, health equity, utilization management, and population health outcomes.
• Utilize data, quality metrics, and operational performance indicators to identify opportunities for improvement and optimize value-based reimbursement outcomes.
• Partner with Quality Improvement and Data & Analytics teams to ensure timely reporting, performance monitoring, and continuous improvement.
• Develop and maintain collaborative relationships with hospitals, Federally Qualified Health Centers (FQHCs), managed care organizations, physician groups, accountable care organizations, community-based organizations, government agencies, and other external partners to strengthen referral networks, improve care integration, and advance SSHCO's population health mission.
• Directly supervise Care Coordination leadership and staff, which may include Managers, Supervisors, Nurse Care Coordinators, Community Health Workers, Social Workers, Care Coordinators, and other care coordination personnel as assigned. Provide leadership, coaching, performance management, and professional development to ensure departmental goals, quality standards, contractual obligations, and organizational objectives are achieved.
• Perform other duties as assigned.

Qualifications

• Strong leadership, strategic planning, and organizational management skills.
• Knowledge of population health, care coordination, Medicaid, value-based care, and healthcare operations.
• Experience leading multidisciplinary teams, quality improvement initiatives, and program development.
• Excellent communication, presentation, relationship-building, and collaboration skills.
• Strong analytical, critical thinking, problem-solving, project management, and decision-making abilities.
• Ability to manage multiple priorities, drive organizational change, and build effective partnerships across departments and external stakeholders.
• Commitment to diversity, equity, inclusion, culturally responsive care, and continuous improvement.
• Proficiency with Microsoft Office and healthcare data, reporting, and care management systems.

Schedule

This is a hybrid position requiring a minimum of three (3) days per week onsite. Remaining workdays may be remote based on organizational needs and with leadership approval. Occasional evening and weekend work may be required to support executive meetings, community engagement activities, board presentations, organizational initiatives, or operational priorities.

Travel Requirements

This position requires regular local travel throughout the South Side of Chicago and surrounding service areas to support SSHCO's care coordination programs, strategic partnerships, and community initiatives. Travel may include visits to hospitals, health systems, Federally Qualified Health Centers (FQHCs), physician practices, managed care organizations, community-based organizations, government agencies, partner organizations, and other meeting locations as needed. Occasional travel outside of the primary service area may be required based on organizational priorities. A valid driver's license, reliable transportation, and proof of automobile insurance are required.