State Licensed Clinical Director

Job Summary

A company is looking for a Director, Case Management and Health Plan Strategy.

Key Responsibilities

• Champion the payer-side clinical strategy to ensure high-quality, evidence-based care for members
• Build and lead a clinician-led team for complex case management and cost containment initiatives
• Partner with various teams to assess clinical risk, support population health initiatives, and enhance care delivery

Required Qualifications

• A valid license to practice as a NP, RN, PA, MD, DO, or a Master's in Healthcare Administration
• 8+ years of experience in clinical care and payer-side, value-based, or population health work
• Strong judgment and comfort with analytics, SQL, and business intelligence tools
• Experience in a fast-moving, ambiguous startup environment
• Alignment with the mission to improve healthcare for individuals and employers