Director, STAR/CHIP Care Management & Population Health

Cook Children’s Health Plan

We are a local, non-profit managed care company that cares about the community we serve. Our health plan offers coverage through the Texas CHIP, STAR, and STAR Kids Medicaid programs to more than 130,000 members in the 6-county Tarrant service area (Tarrant, Johnson, Denton, Parker, Hood, and Wise).  We offer quality, affordable plans for low-income pregnant women and families with children, including those with significant medical complexity.  Our network includes thousands of doctors, clinics, hospitals, and specialty service providers. Our member and provider satisfaction scores demonstrate our commitment to elevating every experience for our members, providers and staff.

Summary:

Responsible for the leadership, strategy, and performance of the integrated STAR/CHIP Care Management program including the planning, organizing, implementation and management of all Cook Children’s Health Plan (CCHP) STAR/CHIP care management functions and likewise for the CCHP Population Health and Clinical Outcomes/Outreach programs. Accountable for monitoring the STAR/CHIP Care Management program to assure compliance with external regulatory and accreditation agencies.

Education & Experience:

Registered Nurse, MSN required.
7+ years of clinical management experience within a health care institution or managed care organization.
Health Plan experience required
Medicaid/SCHIP experience required
Proficiency with Excel, MS Word, PowerPoint, required
Excellent teaching and communication skills (written and speech) required
Leadership skills in health care required

Licensure, Registration, and/or Certification:

Registered Nurse in the State of Texas.

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