Lead, Care Management Delegation
Greater NYC Area
2 weeks ago
As the Care Management Delegation lead, you’ll spearhead our care management delegation programs, managing the life-cycle from the pre-delegation assessment to on-going management and reviews/audits by our health plan partners. As we grow and scale to new markets and partner with more health plans, you will lead policy development, reporting, and quality improvement strategies that ensure Cityblock remains compliant with state, federal and NCQA regulations. You’ll work cross-functionally across our Clinical, Operations, Data and Product teams to optimize the care management program regulatory performance across each of our partners, including working with care teams and tracking the program through audits and clinical reports. You will be the primary point of contact for our partner Delegation Oversight Committees and leads, ensuring all requirements are met, corrective action plans are completed, new requirements are implemented within our care model.