AVP, Care Management

Location:

Calmont Operations Building

Department:

Administration

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The AVP, Care Management, Cook Children's Health Plan (CCHP), oversees the strategic program development, integration, direction, and leadership of CCHP's Member-facing clinical teams. This leader assures that the Member-facing clinical programs comply with contractual, regulatory and accreditation standards. The AVP, Care Management is charged with being a partner to local providers, Community Based Organizations, and Cook Children's Health Care System (CCHCS) in initiatives to improve healthcare quality, decrease preventable morbidity and mortality, and enhance the health of the population served.

Additional Information:

The AVP, Care Management, Cook Children's Health Plan (CCHP), oversees the strategic program development, integration, direction, and leadership of CCHP's Member-facing clinical teams. This leader assures that the Member-facing clinical programs comply with contractual, regulatory and accreditation standards. The AVP, Care Management is charged with being a partner to local providers, Community Based Organizations, and Cook Children's Health Care System (CCHCS) in initiatives to improve healthcare quality, decrease preventable morbidity and mortality, and enhance the health of the population served.

MINIMALLY REQUIRED QUALIFICATIONS

Experience

• 7 years of clinical professional experience managing Care Management, Service Coordination, Population Management or Quality Improvement functions in a health care setting required.
• Must have experience with Medicaid programs.

Education

• Bachelor's Degree in a related field from an accredited college or university required.

Licensure, Registration, and/or Certification

• Must have an industry related license for the degree type.

About Us:

Cook Children's Health Plan

Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Client-provided location(s): Fort Worth, TX

Job ID: Cook_Childrens-JR-115027

Employment Type: FULL_TIME

Posted: 2025-12-12T18:45:24