Manager of Health Management (RN) Mississippi

About the Role

This position is responsible for operational management, account management, and business development for the Mississippi Utilization Management contract. Operational management includes team accountability for evaluation measures, deliverables, or project requirements. Health management services may include population health management, practice facilitation, medical/utilization management, case/disease/maternity management, and/or quality improvement activities.

The role involves monitoring compliance in accordance with client and contract deliverables, as well as service and accreditation requirements.

Responsibilities

• Manage the day-to-day operations of health management lines of service and/or contracts/programs, with a focus on case management programs and care coordination initiatives.
• Lead a team in creating, implementing, evaluating, and managing a strategic plan to ensure contract deliverables, program requirements, and evaluation metrics are met or exceeded within assigned funding/budget.
• Facilitate analyses and initiate action plans when deliverables or requirements are at risk.
• Develop and maintain relationships with team stakeholders, providing technical assistance, including issue research and resolution.
• Implement process improvement methods for continual organizational improvement.
• Ensure operations are completed in a timely, satisfactory, and compliant manner within assigned funding/budget.
• Participate in sales, business development, and proposal activities, including developing concept papers, contributing content, or reviewing proposals as a subject matter expert.
• Maintain financial accountability for monitoring budgets and financials for assigned contracts.
• Coach, guide, and direct team members to achieve individual, team, and organizational objectives, providing resources and support as needed.
• Represent the company at meetings and/or conferences, working externally with providers or clients as assigned.
• Make recommendations for improvements and/or efficiencies to management.
• Pursue opportunities for knowledge expansion, skill development, and certifications to enhance quality improvement activities and contract deliverables.
• Stay abreast of industry trends and changes.
• Perform miscellaneous duties as assigned.

Requirements

• Two or four-year degree in nursing; graduate of an accredited nursing program (ACEN, CCNE) with an active, unrestricted RN license.
• Five years of experience in a healthcare environment with demonstrated expertise in care management, care coordination, and/or healthcare quality improvement, including experience with case management and evidence-based clinical guidelines.
• Three to five years of experience managing projects and/or professional staff.
• Demonstrated experience working in a fast-paced and deadline-driven environment.
• Positions working on specific contracts may require U.S. citizenship.

Preferred Qualifications

• Knowledge of healthcare quality principles, including:
  • Healthcare services, organizations, and programs.
  • Information management processes, electronic health records, and healthcare information technology.
  • Quality improvement concepts, principles, and process tools.
  • Basic statistics, data collection techniques, data analysis, and graphic representation of data.
• Knowledge of leadership principles, including:
  • Strategic planning, implementation, and evaluation.
  • Leading change and people: coaching, guiding, and training.
  • Conflict management and difficult conversations.
  • Financial principles, including budgeting.

About Us

Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans. Over our 50-year history, healthcare has evolved—and so have we. What hasn’t changed is our deep commitment to those we serve.

Our success is built on our ability to adapt, respond to client needs, and deliver innovative, mission-driven solutions. Our business is our people, and we’re seeking talented individuals who share our passion and are ready to take ownership, make an impact, and help shape the future of health.

• Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
• Community: We show up—for our clients, our communities, and each other. Being a responsible corporate partner is part of who we are.
• Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
• Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.