Manager – Care Management Performance Optimization

Alliance Health

. Drive operational alignment and lead performance and optimization initiatives across the Care Management department .

Posted 11/6/2026full-timeMorrisville • North Carolina • United StatesMid-LevelSenior💰 $91,192 - $116,270 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management operations, performance improvement, and project management, with a strong focus on data analysis and process optimization. Proficient in implementing Lean Six Sigma methodologies to enhance operational efficiencies and member outcomes.

Highest-signal resume keywords

Lean Six Sigma Green BeltPerformance ImprovementHealthcare Operations ManagementData AnalyticsProject Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Performance AnalysisRoot Cause AnalysisProcess ImprovementKPI MonitoringWorkflow OptimizationData InterpretationRegulatory ComplianceCare Management ModelsClinical SystemsReporting Tools

Soft Skills

Strong Communication SkillsOrganizational SkillsChange LeadershipConflict ResolutionCollaboration

Tools & Technologies

Microsoft OfficeData Analytics ProgramsCare Management Platforms

Certifications & Qualifications

Lean Six Sigma Green BeltCertified Case Manager (CCM)

Industry Keywords

Healthcare AdministrationPopulation HealthValue-Based CareCare ManagementHuman Services

About the role

Key responsibilities & impact

Drive operational alignment and lead performance and optimization initiatives across the Care Management department
Monitor, analyze, and report on care management KPIs
Develop performance dashboards and reporting tools with care management leadership
Identify performance gaps and lead root cause analysis and action planning
Improve care management business processes, operational efficiencies, workflows, and documentation practices
Support high-priority care management operations projects
Implement Lean Six Sigma or similar process improvement methodologies to reduce costs, improve quality, and enhance member experience
Manage initiatives and workstreams that streamline workflows, reduce administrative burden, and improve member outcomes
Support change management and care management operational projects
Liaise across Care Management and cross-functional areas to drive process improvement aligned with business goals
Lead or participate in interdisciplinary committees and workgroups
Ensure care and support services comply with regulatory, contractual, and legal requirements
Contribute to long-term care management strategy through data insights and performance trends
Facilitate collaboration with internal and external stakeholders and identify strategic partnerships
Generate and present reports, dashboards, and ad-hoc analyses to leadership and stakeholders
Serve as a subject matter expert on care management operations and best practices
Align operational goals with strategic objectives
Work with Human Resources to attract, maintain, and retain a qualified workforce
Train staff on organizational, departmental, and oversight agency policies, procedures, and business processes
Organize workflows and clarify staff roles and responsibilities
Ensure tools and resources support organizational goals, employees, licensure, regulatory, and accreditation requirements
Promote a positive, diverse, and inclusive working environment
Resolve conflicts and disputes
Set performance goals and deadlines
Provide feedback, coaching, mentoring, and professional development support
Encourage cross-team collaboration and partnership
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in Nursing, Healthcare Administration, Human Services, Public Health, Business Administration, Data Analytics, or related field from an accredited college/university and five (5) years of experience in health care operations, care management or population health, including at least three (3) years in performance improvement, transformation or project management; OR
Master’s degree in Nursing, Healthcare Administration, Human Services, Public Health, Business Administration, Data Analytics, or related field from an accredited college/university and three (3) years of experience in health care operations, care management or population health, including at least two (2) years in performance improvement, transformation or project management
Lean Six Sigma Green Belt required within one (1) year of hire
Certified Case Manager (CCM) certification preferred
Experience with clinical systems and care management platforms
Strong analytical and data interpretation skills
Strong verbal and written communication skills
Strong organizational, project management, and change leadership skills
Ability to analyze facts, evaluate policies, and devise solutions related to program effectiveness
Knowledge of healthcare regulations, value-based care, and care management models
Proficiency with Microsoft Office products and data analytics programs and reporting
Must reside in North Carolina and be willing to travel to the Morrisville, NC home office for onsite team meetings as needed

Benefits

Comp & perks

Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Professional development through ongoing coaching, mentoring, and learning support