Senior Director, Care Coordination Operations

Chicago, IL
Operations /
Full-Time 40+ hrs per week /
Remote
Join the Porter Team as the Senior Director, Care Coordination Operations!

Porter is seeking a Senior Director of Care Coordination Operations (Care Management, Disease Management, Utilization Management) who is a strategic and operational leader. The Senior Director is responsible for delivering high-quality, efficient, and compliant care coordination services. This role oversees all aspects of Porter’s Care Coordination services, while leading the Care Guide Team to ensure exceptional member and client outcomes.

Key Responsibilities:
- Lead the development, implementation, and continuous improvement of care coordination capabilities to ensure optimal member engagement, outcomes, and client satisfaction.
- Oversee the Care Guide Team, fostering a culture of accountability, collaboration, and excellence in supporting members through the care continuum.
- Ensure seamless integration and alignment of all Porter Care Coordination programs with organizational priorities and regulatory requirements.
- Develop and execute data-driven performance metrics and operational KPIs to monitor effectiveness and drive results.
- Collaborate cross-functionally with clinical leaders, provider partners, and operational teams to ensure care delivery meets the highest standards of quality and efficiency.
- Stay current on regulatory changes, industry best practices, and innovative models of care to drive continuous improvement and innovation.
- Provide leadership, mentorship, and development opportunities for care coordination staff to enhance capabilities and engagement.
- Serve as a key partner to client stakeholders, ensuring that all services meet or exceed client expectations and contractual obligations.

Qualifications:
- Bachelor’s degree in nursing, social work, or related field; Master’s degree preferred.
- Active clinical licensure (e.g., RN, LCSW) strongly preferred.
- 8+ years of progressive leadership experience in care management, disease management, and/or utilization management within a complex health plan, provider, or integrated delivery system.
- Proven ability to lead large, multi-disciplinary teams and achieve measurable results.
- Deep knowledge of regulatory and accreditation standards (e.g., NCQA, CMS).
- Exceptional communication, collaboration, and problem-solving skills.
- Demonstrated commitment to patient-centered care and client partnership.
 
What Porter Offers
Remote Work Environment
Annual Salary
Benefits - effective within 30 days from start
Paid Holidays
Paid Time Off: Vacation + Sick
Strong Team Culture