• Develops, assesses, and facilitates complex care management activities for primarily physical needs members • Provides high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families • Evaluates the needs of the member, barriers to accessing appropriate care, social determinants of health needs • Develops ongoing care plans / service plans and collaborates with providers to address member's unmet needs • Identifies problems/barriers to care and provide appropriate care management interventions • Coordinates between the member and/or family/caregivers and the care provider team • Provides ongoing follow up and monitoring of member status and progress towards care plan goals • Provides resource support to members and care managers for local resources for various services • Facilitates care management and collaborates with appropriate providers or specialists • Collects, documents, and maintains all member information and care management activities • Provides and/or facilitates education to members and their families/caregivers on disease processes • Provides feedback to leadership on opportunities to improve care and quality delivery

• Develops, assesses, and facilitates complex care management activities for primarily physical needs members • Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs • Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs • Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators

• Develop strategic partnerships between the health plan and contracted provider networks • Engage with providers to align on network performance opportunities and solutions • Drive optimal performance in contract incentive performance, quality, and cost utilization • Participate in the development of network management strategies • Serve as primary contact for providers and act as liaison ensuring coordinated effort in improving performance • Investigate, resolve and communicate provider claim issues and changes • Perform provider orientations and ongoing education • Evaluate provider performance and develop strategic plans for improvement • Present detailed HBR analysis and create reports for Joint Operating Committee meetings

• Lead and coordinate the team of Technical Delegates • Ensure the project KPIs are met • Define, maintain and communicate a clear local governance model • Plan and monitor schedules for on-site visits and field interventions • Analyze team performance reports • Ensure compliance with MSX and OEM (automotive manufacturer) standards • Coordinate local deployment of new project initiatives • Act as the primary operational point of contact for the automotive manufacturer • Prepare and lead regular meetings with the automotive manufacturer • Develop and manage a country-level activity plan • Manage and support the national team of Technical Delegates • Produce clear, concise reporting on country performance