Martin's Point Health Care

Director

• Provide strategic leadership for Utilization and Care Management programs that impact member health and well-being
• Develop and implement new programs to improve population health and reduce costs with a focus on evidence-based care
• Oversee care management operations, from disease management programs (like CHF) to complex care coordination
• Drive results through data, KPIs, reporting, monitoring performance, regulatory compliance, and accreditation standards
• Collaborate across the enterprise, aligning with quality, compliance, and clinical teams to support STAR performance and CMS requirements
• Manage external partners and vendors to ensure seamless integration and strong performance
• Lead and develop a talented team and work closely with senior health plan leaders

Director, Clinical Programs, Health Plan