Senior Manager, High Acuity Team - RN

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most. Position Summary: The Senior Manager, High Acuity Team will be responsible for driving exceptional performance outcomes by fostering a collaborative experience amongst internal and external stakeholders. The role will provide directional oversight to established plans and make adjustments that account for other Multidisciplinary Care Service teams ensuring nationwide alignment. The position will guide and drive the administrative, clinical, and quality activities related to building strong provider and member engagement and health outcomes. Responsibilities: Develop and facilitate programs to drive clinical enhancements and a positive team cultureAdjust expectations to meet organizational goals and targets to ensure continuous alignment with mission, vision and values. Reallocating resources to drive accountability where appropriateProve to be an exemplary provider to the value-based care team by adjusting team behaviors to accomplish growth targets within the organization Partner effectively with key stakeholders within operations, sales, data analytics, quality and compliance to improve metricsFunction as ambassador for organization with all internal and external customersCollaborate as needed with team to help engage providers and members and serve as escalation point for difficult practices and/or members.Implement organization policies, procedures, workflows, and action plans to drive team performance.Ensure collaboration and communication among multi-disciplinary teams to ensure they are coordinated in working towards maximum customer engagement and improved member outcomesDevelop, monitor, and report on team performance and productivityTroubleshoot technical issues within operating systems as identified by team members and establish protocols to correct as appropriatePromote an environment of continuous improvement through on-going team audits. Work to develop ongoing team education to address areas of opportunityDevelop, coach, and mentor team members to achieve company, department, and individual goalsConduct regular performance evaluations and provide constructive feedback to redirect team members with a positive discipline approachMaintain team performance according to National Committee for Quality Assurance (NCQA) standards including but not limited to appropriate provider and member documentation.Comply with HIPAA privacy laws, all other federal and local regulations, and company security policiesProvide recommendations to the leadership regarding necessary operational adjustments needed to ensure organizational objectives and goals are metPerform other related duties as assigned Requirements: Bachelor’s degree in healthcare or related field required; master’s degree preferredActive, unrestricted RN license requiredCertified Case Manager (CCM) preferredPrior experience building and managing relationships with health care providers or patients preferred Minimum 5 years progressive supervisory and/or management experience required7 years of experience in healthcare services, clinical operations, quality, or care and utilization management requiredPrior experience managing large data sets, demonstrated sales excellence and managing relationships with health care providers or patientsProof of valid and unrestricted driver’s license requiredMust be able to successfully comply with the credentialing process Skills: Excellent verbal, written and presentation skillsPeople skills to develop and maintain strong internal and external relationshipsAbility to multitask, prioritize, and create solutions in a challenging environmentDemonstrated leadership skills and ability to create and maintain a positive work environmentStrong critical thinking and analytical skills Ability to foster strong employee engagement among the teamMust be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint Travel: Moderate Travel, less than 50% Americans with Disability Specifications The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.