Head of Care Management Operations

FreedomCare is a healthcare company that has been dedicated to revolutionizing
the home care industry since 2016. the power to choose a caregiver who will care for them in the comfort of their
We pride ourselves on our values which drive the level of care that we deliver
Here For You (An attitude of service, empathy, and availability)
* for a Manager of Operations for our Michigan Operations Team.

This is a full time hybrid role with weekly travel to our FreedomCare office
The Operations Manager is responsible for overseeing Michigan operations across
assigned service lines, including Home Help agency provider operations and HIDE
CHAMPS association, service delivery, documentation, billing readiness, quality
assurance, and compliance operations are executed accurately and consistently.

This position owns day-to-day operations for the Michigan market and is
MDHHS Home Help requirements, the client’s approved Time and Task / service
authorization, applicable Medicaid and payer requirements, and company policy.
The Manager partners closely with clinical leadership, compliance, enrollment,
care management contacts, Adult Services Workers, MDHHS and CHAMPS operational
contacts, HIDE SNP / plan partners, payroll, billing, HR, training, and
technology teams to ensure operational performance and regulatory readiness.

supports billing, and client/caregiver issues are resolved through clear
The Operations Manager will manage operations toward growth, service quality,
caregiver and client experience, compliance performance, audit
role monitors operational data, identifies risk trends, and implements process
Serve as the operational leader for Michigan services, ensuring efficient,
compliant, client-centered operations aligned with Michigan Medicaid, MDHHS
Home Help, HIDE SNP / MI Coordinated Health, payer, and company requirements.
* Lead implementation and optimization of Michigan operational infrastructure,
workflows, staffing models, technology use, SOPs, desk guides, training
materials, and performance controls to support compliant growth and service
Manage day-to-day operations for Michigan service lines, including Home Help
agency provider operations and HIDE SNP / plan-related operational workflows,
from referral intake through service delivery, monitoring, documentation,
Support compliant market growth by building operational relationships with
referral sources, Adult Services Workers, MDHHS stakeholders, CHAMPS-related
contacts, Medicaid and Medicare-Medicaid plan partners, community
Hire, train, manage, and develop Michigan operations staff, while
coordinating cross-functionally with clinical, compliance, technology,
product, enrollment, billing, payroll, HR, and internal support teams.
* Monitor quality, compliance, and operational metrics, including referral
gaps, incidents, complaints, caregiver retention, satisfaction, and audit
Oversee Michigan operational compliance, including caregiver qualification
files, training records, CHAMPS association evidence, authorizations,
contacts or monitoring touchpoints, incident and complaint workflows,
documentation quality, and corrective actions.
* Ensure Home Help services are delivered according to the authorized Time and
Ensure agency provider operations accurately reflect Michigan’s Home Help
employer structure, including that the Home Help client employs the agency
Monitor service delivery against authorization and billing requirements,
Lead root-cause analysis and corrective action planning for operational
mismatches, complaints, incidents, and audit findings.
* Partner with technology and product teams to improve referral management,
EVV / timekeeping, compliance reporting, and operational dashboards.
* Create and enforce processes and policies that simplify work, incorporate
feedback, improve quality of care, and support a positive culture aligned
Maintain working knowledge of applicable MDHHS Adult Services Manual
and internal compliance policies affecting Michigan operations.

5+ years of experience in management operations (healthcare, business,
customer experience are all interesting areas of past experience)
* able to effectively manage and motivate a
whatever is necessary to support the team while building and growing it

* Meets operational, quality, compliance, growth, and financial goals while
Identifies root causes, resolves service delivery barriers, escalates risks
Builds, trains, and develops high-performing Ohio operations teams; compliance, service quality, and continuous improvement.
* Working knowledge of Michigan Medicaid Home Help, HIDE SNP / MI Coordinated
Health operational expectations, MDHHS Adult Services workflows,
documentation, incident / complaint escalation, and audit readiness.
* Ability to identify operational compliance risks, implement corrective action
documentation completion, missed visits, incidents, complaints,
Ability to coordinate effectively with compliance, clinical, billing,
payroll, HR, training, technology, growth, MDHHS-related contacts, ASWs, care
management teams, and external plan stakeholders.
* escalation paths, and quality-control processes for Michigan waiver
Builds productive relationships with internal teams, Adult Services Workers,
Master's Degree in Business Administration or Healthcare Administration
* We offer competitive compensation, medical benefits, retirement
At FreedomCare, we celebrate diversity and are committed to creating an
ancestry, age, sex (including pregnancy, childbirth, or related medical
protected veteran, status as an individual with a disability, citizenship or
immigration status, citizenship or immigration status, or other applicable
The base pay range for this role