> Markdown version of [/jobs/ext/1328368-li-remote](https://www.wearedevelopers.com/jobs/ext/1328368-li-remote). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # #LI-REMOTE - **Company:** Healthmap Solutions - **Location:** United States (Remote available) - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Microsoft Word, Microsoft Excel, Artificial Intelligence, Data Analysis, Microsoft Outlook, Instant Messaging Technology, Microsoft Office, Microsoft PowerPoint - **Published:** July 18, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=afe2987247fba5b2 ## About the Role * Bachelor's degree required. Bachelor's in Nursing or Masters preferred * 10- 15 years' experience strategizing and implementing the design of clinical and quality activities, prior experience in healthcare required * 10 years of progressive leadership management operations experience, preferably in a healthcare setting * Proven history of generating superior results * Travel to corporate headquarters as needed Skills: * Excellent communication skills, both written and verbal, to effectively convey information to stakeholders * Must be able to work collaboratively in a highly matrixed environment * Strong organizational and multitasking abilities to manage competing priorities * Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook * Strong critical thinking skills to identify and resolve operational challenges * Ability to collaborate with team members and stakeholders, * Ability to sit for extended periods stationary or while driving * Dexterity/Effort * Repetitive motion for typing and/or texting * Good manual dexterity for handling packages, paperwork, operation of motor vehicles and/or electronic devices * Sense Acuity * Ability to see/read computer monitors or other electronic devices ## Description The Program Director of Case Management and Member Engagement (Care Navigation Operations & Engagement) collaborates with care services, clinical, and cross-functional leadership to develop, define, and execute strategies for Healthmap Care Management Programs. This ensures the programs engage members, follow clinical best practices, and achieve performance targets. Responsibilities: * Responsible for designing care management service delivery that is aligned with organizational goals for clinical, financial and experience outcomes across all Regional Pods * Leverage payer content knowledge to ensure care teams execute against established goals across multiple payers * Drive clinical outcomes through workflow design and content to proactively address opportunities for improvement by working with CS Ops Management * Collaborate with the population health operations and analytics teams to execute organizational strategy and execute quality metric outcomes around the CN program objectives * Articulate barriers and challenges across the management structure to identify solutions that contribute to the development of a sustainable platform for care management programming * Work with CN Ops Leadership on strategic planning, program development and operations management across the regions to ensure CN model is achieving targets * Lead the development of well-planned, well-integrated, cost-effective approaches to the case management of members. Ensure proactive intervention and targeted use of case management resources. Coordinate care effectively among all providers to ensure a seamless delivery system * Incorporate evidence based best practice standards into program development. Research, analyze and define programs; develop the structure and key elements of the program; manage the development of new programs from concept to implementation; provide post-implementation monitoring and oversight by working with CS Ops, and cross functional departments for end-to-end alignment on program components * Gather and document clinical and operational business requirements facilitating accurate and efficient translation to IT to establish efficient technology design and delivery * Lead end to end Super User Acceptance Testing * Collaborate with Reporting and Analytics team to ensure accurate capture of Client SLA documentation to achieve targets * Collaborate with Quality and Clinical Leadership to ensure NCQA accreditation guidelines are following best in class in case management practices * Serve as clinical case management subject matter expert for clinical program development and alignment with Member Engagement * Collaborate with AI/ML to support Healthmap initiatives * Monitor key performance indicators (KPIs) to assist operational performance, identify and address barriers and/or areas for improvement * Stay updated on industry trends and best practices in healthcare operations and provide suggestions for process improvement * Available to work outside normal business hours based on business need * Perform other operational functions necessary for efficient and successful growth in the market, Additionally, on-site or at location positions (ex. Mailroom, IT or Admin) may require: * Lift/Carry/Push/Pull * Occasional movement of equipment, or materials up to 50/75 Pounds * Bend/Twist * Occasional bending, twisting, and stooping * Occasional need to kneel or crouch Additionally Traveling positions (ex. Field Care Navigators or Quality Practice Advisors) may require: * Sense Acuity * Ability to see/read road signs, maps, and electronic devices * Good visual acuity for driving, including peripheral vision and depth perception * Environmental * Possible exposure to travel, traffic and/or other outdoor hazards * Possible exposure to various weather conditions, including extreme heat, cold, rain, and snow ## Related Videos - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [In-depth .NET Azure Functions: Isolated mode, performance and durable AI agents](https://www.wearedevelopers.com/videos/100207-in-depth-net-azure-functions-isolated-mode-performance-and-durable-ai-agents) - [Developing the Rich Text Editor for DeepL.com](https://www.wearedevelopers.com/videos/1172-developing-the-rich-text-editor-for-deepl-com) - [Data Science in Retail](https://www.wearedevelopers.com/videos/586-data-science-in-retail) - [Beyond the 9–5: Designing Work Around Humans](https://www.wearedevelopers.com/videos/1321-beyond-the-9-5-designing-work-around-humans) - [From Syntax to Singularity: AI’s Impact on Developer Roles](https://www.wearedevelopers.com/videos/900-from-syntax-to-singularity-ai-s-impact-on-developer-roles) ## Related Articles - [Best Paying Remote Jobs](https://www.wearedevelopers.com/magazine/255-best-paying-remote-jobs) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [Remote Work: Best Practices for Developers](https://www.wearedevelopers.com/magazine/315-remote-work-best-practices-for-developers) - [Mastering Remote Work: Tips for Developers](https://www.wearedevelopers.com/magazine/558-mastering-remote-work-tips-for-developers) - [Best Job Boards for Remote Work for Developers](https://www.wearedevelopers.com/magazine/290-best-job-boards-for-remote-work-for-developers) - [Remote, Hybrid, or In-Office: What’s Really Best for Developers?](https://www.wearedevelopers.com/magazine/638-remote-hybrid-or-in-office-what-s-really-best-for-developers)