Member Care Advocate Manager

Wellth

Member Care Advocate Manager overseeing team operations at Wellth to improve member outcomes. Building data-driven systems for proactive care navigation and interventions across healthcare.

Posted 7/9/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in case management and care coordination, with a strong focus on HEDIS measures and data analysis to drive targeted care interventions. Proven ability to lead and mentor teams in a metrics-driven environment while effectively communicating insights to stakeholders.

Highest-signal resume keywords

Case ManagementHEDIS MeasuresData AnalysisTeam LeadershipCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AggregationRisk StratificationTrend DetectionGap AnalysisMetrics-Driven EnvironmentMember Engagement DataOperational ProtocolsCohort Dashboard AnalysisPerformance MonitoringCare Interventions

Soft Skills

Analytical InstinctsMentoringWritten CommunicationVerbal Communication

Tools & Technologies

Wellth AppMember Care QueuesSupplemental Data FeedsHealth Plan Sources

Industry Keywords

Digital Health CoachingCare CoordinationOperational CycleMeasure Closure RatesCohort-Level Anomalies

About the role

Key responsibilities & impact

Oversee the MCA team's day-to-day operations while building the analytical and programmatic infrastructure that turns raw member engagement data into targeted, timely care interventions.
Own the four-phase operational cycle — Data Aggregation, Risk Stratification, Trend Detection & Gap Analysis, and Intervention — and be accountable for the team's contribution to measure closure rates.
Synthesize member data from the Wellth app highlight engine, Member Care Queues, supplemental data feeds (pharmacy, lab, claims), and partner health plan sources into a unified, advocate-ready view.
Monitor aggregate performance across priority HEDIS measures detect cohort-level or geography-level anomalies before they become measure-year liabilities.

Requirements

What you’ll need

3+ years in case management, care coordination, digital health coaching or similar with at least 1–2 years in a lead or supervisory capacity.
Working knowledge of HEDIS measures, comfort translating measure specifications into operational protocols.
Experience managing or mentoring front-line care teams in a metrics-driven environment.
Strong analytical instincts: able to read a member cohort dashboard, identify outliers, and translate the finding into a concrete team action.
Excellent written and verbal communication — can write a clear outreach script and also present trend data to a health plan partner.

Benefits

Comp & perks

Flexible working arrangements, supporting strong remote-first practices and tools with the option to work in our excellent gathering space in Marina Del Rey.
Robust paid time off and generous parental leave program.
Competitive salary & equity structure.
Health, dental, vision insurance, and FSA/HSA plans.
Ability to have a positive impact on people who need it most.
Support of a highly dedicated team focused on building the future of healthcare.