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Senior Director, Care Coordination Operations

Senior Director, Care Coordination Operations

Porter CaresGrand Rapids, MI, US
2 days ago
Job type
  • Full-time
Job description

Senior Director, Care Coordination Operations

Join the Porter Team as the Senior Director, Care Coordination Operations!

Porter is seeking a Senior Director of Care Coordination Operations (Care Management, Disease Management, Utilization Management) who is a strategic and operational leader. The Senior Director is responsible for delivering high-quality, efficient, and compliant care coordination services. This role oversees all aspects of Porter's Care Coordination services, while leading the Care Guide Team to ensure exceptional member and client outcomes.

Key Responsibilities :

  • Lead the development, implementation, and continuous improvement of care coordination capabilities to ensure optimal member engagement, outcomes, and client satisfaction.
  • Oversee the Care Guide Team, fostering a culture of accountability, collaboration, and excellence in supporting members through the care continuum.
  • Ensure seamless integration and alignment of all Porter Care Coordination programs with organizational priorities and regulatory requirements.
  • Develop and execute data-driven performance metrics and operational KPIs to monitor effectiveness and drive results.
  • Collaborate cross-functionally with clinical leaders, provider partners, and operational teams to ensure care delivery meets the highest standards of quality and efficiency.
  • Stay current on regulatory changes, industry best practices, and innovative models of care to drive continuous improvement and innovation.
  • Provide leadership, mentorship, and development opportunities for care coordination staff to enhance capabilities and engagement.
  • Serve as a key partner to client stakeholders, ensuring that all services meet or exceed client expectations and contractual obligations.

Qualifications :

  • Bachelor's degree in nursing, social work, or related field; Master's degree preferred.
  • Active clinical licensure (e.g., RN, LCSW, NP)
  • 8+ years of progressive leadership experience in care management, disease management, and / or utilization management within a complex health plan, provider, or integrated delivery system.
  • Proven ability to lead large, multi-disciplinary teams and achieve measurable results.
  • Deep knowledge of regulatory and accreditation standards (e.g., NCQA, CMS).
  • Exceptional communication, collaboration, and problem-solving skills.
  • Demonstrated commitment to patient-centered care and client partnership.
  • What Porter Offers :

  • Remote Work Environment
  • Annual Salary
  • Benefits - effective within 30 days from start
  • Paid Holidays
  • Paid Time Off : Vacation + Sick
  • Strong Team Culture
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    Director Care Coordination • Grand Rapids, MI, US

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