This position is responsible for daily program oversight, including staff recruitment and retention, problem solving, and fostering collaboration both within and across departments.
Engage directly with state partners to ensure alignment with program goals and regulatory expectations.
Responsible for the management and supervision of the MLTSS Care Management staff.
Oversee Care Managers (CM)s who are assigned to members in concentrated geographic areas.
Ensure adherence to contractual requirements for the MLTSS Program.
Requirements
Must reside in the state of New Jersey (Specifically – Bergen, Passaic, Morris, or Essex County)
Must have reliable transportation and be willing and able to travel up to 10% of the time to meet and support staff anywhere in the state of New Jersey.
Must have one of the following active unrestricted NJ State Licensure RN, LSW, or LCSW
2-5 years of experience in care management (preferred experience with the MLTSS program), behavioral health, or integrated health care settings.
Strong understanding of Medicaid and Medicare, including experience with MLTSS FIDE SNP membership.
1-2 years of previous leadership experience in a healthcare or managed care environment.
Demonstrated ability to independently problem solve, analyze data to identify trends and gaps, and take proactive action to improve member outcomes and program performance
Proficiency in data-driven decision-making and performance monitoring
Experience collaborating with state agencies and external regulators
Excellent communication, organizational and interpersonal skills.
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementdata analysisperformance monitoringproblem solvingleadershipMedicaidMedicareMLTSSFIDE SNPbehavioral health
Soft skills
communicationorganizationalinterpersonalcollaborationindependent problem solvinganalytical thinkingproactive actionstaff recruitmentstaff retentionsupervision