Director of Care Coordination (AZ & NM) | Phoenix, Arizona

Director of Care CoordinationOptum is seeking a Director of Care Coordination to join our team in Arizona and New Mexico. Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.The Director of Care Coordination leads a multi-state program across Arizona and New Mexico, overseeing field-based and centralized teams that support high-risk members through care management, transitions of care, medication management, behavioral health coordination, and social care support. This leader builds scalable workflows, staffing models, performance processes, and cross-functional partnerships to improve outcomes, reduce avoidable utilization, and advance value-based care performance.Primary Responsibilities:Design, launch, and scale care coordination programs for Medicare Advantage and risk-based populationsBuild workflows, staffing models, reporting, productivity standards, and quality processesLead field-based and telephonic care coordination teams across Arizona and New MexicoOversee care management, transitions of care, readmission reduction, and support for high-risk membersDrive improvement in HEDIS, Stars, medication adherence, member engagement, affordability, and utilizationUse analytics to identify opportunities, prioritize resources, close gaps, and measure impactPartner with providers, practices, pharmacy, operations, national care management, and community partners while ensuring regulatory, accreditation, and organizational complianceYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:Active, unrestricted Registered Nurse (RN) license in AZ or NM or compact licenseResidence in AZ or NM7+ years of progressive healthcare experience in care management, population health, utilization management, or clinical operations5+ years of leadership experience managing clinical teams, programs, or operationsExperience leading interdisciplinary teams across multiple locations, markets, or business unitsExperience with Medicare Advantage, value-based care, risk-bearing populations, and population health programsPreferred Qualifications:Certified Case Manager (CCM), ACM-RN, or other relevant care management certificationsExperience leading field-based, community-based, or multi-state care coordination programsExperience supporting HEDIS, Medicare Stars, risk adjustment, and value-based care initiativesPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $134,600 - $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.