Associate VP, Care Management-IN Medicaid

Before you apply

Job source

Himalayas

Applying on

himalayas.app

Workplace

Fully remote

US state

Nationwide remote

Category

Administrative

Link last checked

Not checked yet

Posted

5 days ago

Closes

11/12/2026

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About the role

Become a part of our caring community The Associate Vice President, Care Management provides strategic and operational leadership for multidisciplinary care and service coordination programs serving Indiana Medicaid members, with primary accountability for the Indiana PathWays for Aging population. This leader is responsible for integrated care coordination, complex case management, service coordination, transitions of care, interdisciplinary care teams, and related population health operations across physical health, behavioral health, long-term services and supports (LTSS), and home and community-based services (HCBS). The AVP translates Medicaid contract requirements and enterprise strategy into reliable operating models, measurable performance, and person-centered outcomes. The role requires an in-depth understanding of how clinical, operational, quality, regulatory, financial, technology, and provider capabilities interrelate across the market and enterprise. The AVP must continuously maintain the Indiana clinical license required by the contract. This position reports directly to the CMO with a dotted line to the CEO of Indiana Medicaid. It has 7 direct reports and roughly 400 indirect reports. Strategic and Executive Leadership Own the care and service coordination strategy for Indiana Medicaid and align program priorities, resources, and operating plans with market, Medicaid segment, and enterprise objectives. Provide executive oversight of care coordination, complex case management, service coordination, transitions of care, interdisciplinary care team activities, and care management support functions. Build an integrated operating model across physical health, behavioral health, social needs, Medicare, LTSS, HCBS, nursing facility, and community-based services. Advise market executive leadership on clinical operations, emerging risks, contractual performance, workforce capacity, member outcomes, and opportunities for program improvement. Represent care and service coordination in State-facing discussions, audits, readiness reviews, governance forums, and cross-functional executive meetings, as appropriate. Person-Centered Care and Service Coordination Ensure programs consistently apply person-centered, strengths-based, culturally responsive, and trauma-informed practices that reflect member goals, preferences, risks, functional needs, and chosen living setting. Oversee timely and accurate screening, comprehensive assessment, reassessment, individualized care planning, service planning, authorization coordination, member outreach, and documentation. Ensure members and informal caregivers are meaningfully engaged in planning and supported with education, choice, decision-making, and access to community resources. Promote interdisciplinary care team collaboration and closed-loop coordination among members, caregivers, providers, community partners, Medicare plans, and internal teams. Advance initiatives that support aging in place, community integration, caregiver support, and appropriate diversion from or transition out of institutional settings. LTSS, HCBS, and Medicare-Medicaid Integration Provide executive leadership for LTSS and HCBS care delivery, including service coordination, service plan implementation, member monitoring, and escalation of access or safety concerns. Ensure effective coordination across Medicaid and Medicare benefits for dual-eligible members, including collaboration with D-SNP and Medicare clinical operations. Oversee operational alignment for nursing facility and community-based populations, including member choice, continuity of care, functional needs, and waiver or patient liability considerations. Partner with provider, housing, transportation, workforce, and community resources to address barriers to services and social drivers of health. Ensure smooth transitions among hospitals, nursing facilities, HCBS settings, providers, Medicaid programs, and coverage types, with timely transfer of

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