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Care Management District Manager
EPIC Health - Exclusive Physicians | Integrated & Comprehensive. Execute the strategic vision established by the Director of Care Management .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare operations leadership, focusing on the implementation and management of care management programs, regulatory compliance, and performance monitoring. Proven ability to drive operational efficiency, enhance provider engagement, and support quality assurance initiatives across multi-site healthcare environments.
Highest-signal resume keywords
Healthcare Operations LeadershipCare Management Program ImplementationRegulatory Compliance MonitoringKPI and KRI ManagementChange Management Support
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Management ProgramsOperational AuditsWorkflow OptimizationQuality ReportingPatient EngagementFinancial Goals MonitoringEHR WorkflowsUser Acceptance TestingCorrective Action PlansResource Optimization
Soft Skills
Relationship BuildingCoaching and MentoringProblem SolvingOperational LeadershipChange Management
Tools & Technologies
DashboardsAutomation ToolsPatient Registries
Certifications & Qualifications
Bachelor's Degree in Healthcare AdministrationMaster's Degree (MBA, MHA, MPH, MSN) Preferred
Industry Keywords
CMS Reimbursement MethodologiesValue-Based CarePopulation HealthAmbulatory CareQuality AssuranceQuality Control
About the role
Key responsibilities & impact- Execute the strategic vision established by the Director of Care Management
- Lead implementation and adoption of new care management programs, workflows, and operational initiatives
- Coordinate implementation activities with clinic leadership and operational teams
- Monitor implementation progress and resolve operational barriers
- Ensure consistent execution of approved workflows, SOPs, and organizational policies
- Conduct routine operational reviews evaluating productivity, workflow compliance, patient engagement, and program performance
- Monitor KPIs, KRIs, dashboards, and operational scorecards
- Develop and implement corrective action plans
- Promote consistency and standardization across assigned clinics and districts
- Build relationships with providers, Medical Directors, Business Administrators, Care Management Supervisors, and clinic leaders
- Drive provider participation and engagement in care management programs
- Support change management, workflow optimization, and operational coaching
- Resolve issues affecting provider efficiency, patient access, and care coordination
- Drive operational, productivity, enrollment, reimbursement, and financial goals
- Monitor documentation quality and revenue cycle performance
- Identify opportunities to improve efficiency and optimize resources
- Support Quality Assurance and Quality Control initiatives
- Conduct operational audits and monitor regulatory compliance
- Escalate significant regulatory, operational, or patient safety concerns
- Coach, mentor, and support Care Management Managers and operational leaders
- Assist with onboarding, competency validation, leadership development, and continuing education
- Monitor district performance against organizational goals and quality metrics
- Conduct routine business reviews with clinic leadership
- Support implementation of new technologies, EHR workflows, automation tools, dashboards, and patient registries
- Assist with workflow validation, user acceptance testing, and technology adoption
Requirements
What you’ll need- Bachelor's degree in Healthcare Administration, Nursing, Business Administration, Public Health, or a related field
- 5+ years of progressive healthcare operations leadership experience
- Experience implementing and managing CMS care management programs
- Experience in ambulatory care, value-based care, population health, or primary care operations
- Strong knowledge of CMS reimbursement methodologies, quality reporting, and regulatory requirements
- Master's degree (MBA, MHA, MPH, MSN, or related field) preferred
- Experience leading multi-site healthcare operations preferred
- Background checks are required for this role
Benefits
Comp & perks- Competitive compensation
- Medical, Dental, and Vision Insurance
- 401(k) Retirement Plan
- Paid Time Off and Holiday Pay
- Professional development and advancement opportunities
- Supportive, collaborative, and mission-driven work environment