• Provides clinical and administrative leadership to care management team(s). • Responsible for direct daily oversight of both medical and behavioral health clinicians and non-clinical staff. • Implements care management programs and ensures program operations and documentation support regulatory standards. • Monitors performance and productivity of team members to ensure guidelines are followed and goals are met. • Facilitates collaboration with internal partners for coordinated care.

• Works with and supports members with various chronic conditions in achieving an optimal state of health. • Assist, promote and support self-management goals and interventions by providing support, education, and coaching to members with chronic conditions with a focus on diabetes. • Collaborate with the member, providers, and internal team members. • Provide disease specific care management interventions to promote self-management education and coaching to members enrolled in Diabetes Management programs. • Responsible for the assessment of members, including identifying and coordinating access to the appropriate providers, level of care, and treatment. • Document all member goals, clinical data, outcomes, interactions, assessments, care plans, interventions, and related administrative details in the organization’s clinical database system. • Assess barriers to care and assist members and health care team to address concerns. • Develop and implement individualized plans of care that consider physical, behavioral, cultural, psychosocial, spiritual, age-specific, and educational needs. • Collaborate and communicate care activities to ensure continuity and engage community resources as appropriate.

• Support the international research team for at least six months • Provide short-term information on current projects • Examine development trends • Assist in the creation of complex cross-industry enterprise and market analyses • Conduct searches in databases and other relevant media • Maintain internal know-how management

• Collaborate with hospitals to identify the need for and drive measurable improvements in patient outcomes. • Partner with local, state, and national organizations to connect providers and patients to relevant initiatives and learning opportunities. • Analyze regional, state- and provider-level quality data, facilitate learning collaboratives, and provide technical assistance to hospitals as they implement evidence-based practices. • Bring knowledge of hospitals and healthcare systems, experience in quality improvement methodologies, and strong relationship-building skills to effectively engage with partners and providers across the healthcare continuum while ensuring alignment with both state and federal healthcare quality objectives.