🌎
This job posting isn't available in all website languages

Staff VP Healthcare Delivery/Case Management (Clinical) - Cerritos, CA CareMore office required (PS21220)

📁
Medical
📅
PS21220 Requisition #

What Is CareMore?

CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk.  We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.  We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve nearly 200,000 patients in multiple states across Medicare, Medicaid, and commercial populations.  We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience.  As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.

 

CareMore’s Health Networks, Primary Care+, Touch and CareMore@Home models drive strategy, operations, and care delivery in our national markets (Arizona, California, Colorado, Connecticut, Iowa, Nevada, New York, Tennessee, Texas, Virginia and the District of Columbia), where CareMore builds and runs capitated primary care medical groups, at-risk health networks and upstream care delivery products in service of high-risk Medicaid, Medicare and commercial patients, and our collaboration with Emory Health System in Georgia. Our comprehensive, upstream approach to health is led by robust multidisciplinary teams of extensivists (managing acute and post-acute episodes of care), primary care clinicians, behavioral health clinicians, care management & engagement specialists (including social workers, case managers and community health workers), and mobile home-based care teams. We continue to evolve our model to effectively engage and care for complex patients, led by a team of passionate, execution-minded leaders dedicated to this mission.

 

For more information, visit http://www.caremore.com/


Responsible for integrated care management services for CareMore multi-state and multi-payer markets. 
Primary duties may include, but are not limited to: 
  • Manages care management delivery teams which may include, Case Management/Disease Management, Transitions of Care and clinical programs. 
  • Delivers quality, high touch, customer responsive, and cost effective care. 
  • Leads care delivery teams providing integrated solutions including behavioral health, wellness, Population Health, and provider partnerships. Manages medical loss ratio. Partners with other CareMore Clinical Programs, Payer Clients, and state leadership to deliver market leading care management services, root cause analyses and solutions to achieve engagement and quality outcomes. 
  • Develops and manages communications on CareMore Care Management issues and opportunities. 
  • Develops and implements process redesign and programmatic improvements. Serves on internal and external quality and provider committees. 
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports. 
Requires a BA/BS, RN preferred ; 10 years of experience in managed care/health care environment or related field, including 4 years of management experience; or any combination of education and experience, which would provide an equivalent background.

Please note this position requires selected candidate to be based in CareMore Cerittos, CA office.  


Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Previous Job Searches

Activity Feed

29168
Job shares through Anthem, Inc.
Phyllis Webster referred the Provider Network Mgr I - PS31667 position. Jan 15, 2020
rekha Masilamani referred the Healthcare Economics Consultant (PS32364) position. Jan 14, 2020
Zeel Soni referred the IT Change Management Support Internship- PS30724 position. Jan 13, 2020
yanru zhou referred the ETL Developer II / I - PS26168 position. Jan 08, 2020
Tonde Aboroson referred the Business Analyst,Sr (IT Business Systems Analyst Sr) - PS28311 position. Jan 07, 2020

Similar Listings

Cerritos, California, United States

📁 Medical

Requisition #: PS27649

Cerritos, California, United States

📁 Medical

Requisition #: PS30527

Cerritos, California, United States

📁 Medical

Requisition #: PS30989

Your Skills.
 Our Opportunities

As one of America’s largest health benefits companies, we at Anthem have a profound appreciation for service. Our organization proudly supports our nation’s active, reserve and veteran military service members and their spouses.

This is an exciting opportunity to advance your life and career, while still protecting and serving others. Come see for yourself why Anthem is recognized as a Top Employer by GI Jobs and among the “Best of the Best: Top Veteran Friendly Companies” by US Veterans Magazine.

Find A Career

Skills Translator

Enter your Military Occupation Code (MOC) or military or civilian title into our Military Skills Translator tool to see related openings at Anthem for an improved experience locating careers that maximize your military skills

Use Translator