VIVA HEALTH · 1 week ago
Associate Director, Care Management
Birmingham, AL
Full-time
Onsite
Mid, Senior Level, Lead/Staff
5+ years expVIVA HEALTH is part of the University of Alabama at Birmingham Health System, providing quality and accessible health care. The Associate Director of Care Management is responsible for overseeing day-to-day operations of the Care Management department, focusing on care coordination and utilization management to improve member outcomes and satisfaction.
Health CareInsurance
Hiring Manager
Shannon Marlow
Responsibilities
Make all day-to-day program decisions including overseeing all personnel within the department to ensure staff is providing quality customer service and meeting productivity and quality benchmarks
Ensure department is appropriately staffed with qualified and trained employees. Coach and motivate employees by modeling behavior consistent with VIVA HEALTH’S Core Values. Assess and manage performance of management staff; create a positive environment that encourages productivity, innovation, and compliance
Work in collaboration with other Health Services leaders and other departments, attaining and improving HEDIS and STARs metrics for VCare and Special Needs Plans (SNP). Meet with external stakeholders as required determining priority areas to be addressed. Implement plans as indicated
Work in collaboration with other Health Services leaders to evaluate opportunities to impact and improve internal processes and best practice for the team
Execute strategies, monitor their success on an on-going basis, report on outcomes, and adjust strategies as needed
Support the design and oversight of initiatives aimed at improving member health outcomes including transitions of care, complex case management, and social determinant of health interventions
Oversee the review and validation of program reports and data files to ensure accuracy, completeness, and alignment with Centers for Medicare and Medicaid Services (CMS) and internal benchmarks. Collaborate with analytics and quality teams to identify discrepancies and ensure timely resolution
Review and analyze data reports to identify trends in admissions, readmissions, and utilization patterns. Assess the impact of social determinants of health and other risk factors to develop targeted strategies that close care gaps and reduce avoidable utilization
Qualification
Required
Licensed BSW, RN, or master's level in a health-related field
5 years of progressive leadership and management experience in complex, mission-driven healthcare or human services organizations, including responsibility for operational oversight, strategic planning, and performance outcomes
Valid driver's license in good standing
May require significant face-to-face member contact with duties regularly performed away from the principal place of business
Willing to submit to vaccine testing and screening
Possess excellent assessment and organizational skills
Exhibit critical thinking and decision-making abilities, as well as conflict resolution skills
Excellent verbal, presentation, and written communication skills
Comfortable speaking to large groups
Ability to travel overnight as needed
Ability to perform tasks with little or no supervision
Basic computer skills including Microsoft Word and Excel
Preferred
BSN or a master's in social work
Experience in population health and/or chronic care disease management
Experience working for a Medicare Advantage Plan or Medicaid Plan
Current RN or LMSW license in good standing in the State of Alabama
Certified Case Management (CCM)
Knowledge of community resources and Medicaid regulations
Benefits
Comprehensive Health, Vision, and Dental Coverage
401(k) Savings Plan with company match and immediate vesting
Paid Time Off (PTO)
9 Paid Holidays annually plus a Floating Holiday to use as you choose
Tuition Assistance
Flexible Spending Accounts
Healthcare Reimbursement Account
Paid Parental Leave
Community Service Time Off
Life Insurance and Disability Coverage
Employee Wellness Program
Training and Development Programs to develop new skills and reach career goals
Employee Assistance Program
Company
VIVA HEALTH
VIVA HEALTH is the preferred healthcare provider which provides Health Insurance, Medicare, Medicaid and Healthcare.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
C
Cardwell Feagin
COO
Recent News
2025-05-16
Company data provided by crunchbase