Better Outcomes using Behavioral Economics
Member Care Advocate Manager
Location
United States
Posted
1 day ago
Salary
$80K - $95K / year
Seniority
Senior
Job Description
Member Care Advocate Manager
Wellth
• Oversee the MCA team's day-to-day operations while building the analytical and programmatic infrastructure that turns raw member engagement data into targeted, timely care interventions. • Own the four-phase operational cycle — Data Aggregation, Risk Stratification, Trend Detection & Gap Analysis, and Intervention — and be accountable for the team's contribution to measure closure rates. • Synthesize member data from the Wellth app highlight engine, Member Care Queues, supplemental data feeds (pharmacy, lab, claims), and partner health plan sources into a unified, advocate-ready view. • Monitor aggregate performance across priority HEDIS measures detect cohort-level or geography-level anomalies before they become measure-year liabilities.
Job Requirements
- 3+ years in case management, care coordination, digital health coaching or similar with at least 1–2 years in a lead or supervisory capacity.
- Working knowledge of HEDIS measures, comfort translating measure specifications into operational protocols.
- Experience managing or mentoring front-line care teams in a metrics-driven environment.
- Strong analytical instincts: able to read a member cohort dashboard, identify outliers, and translate the finding into a concrete team action.
- Excellent written and verbal communication — can write a clear outreach script and also present trend data to a health plan partner.
Benefits
- Flexible working arrangements, supporting strong remote-first practices and tools with the option to work in our excellent gathering space in Marina Del Rey.
- Robust paid time off and generous parental leave program.
- Competitive salary & equity structure.
- Health, dental, vision insurance, and FSA/HSA plans.
- Ability to have a positive impact on people who need it most.
- Support of a highly dedicated team focused on building the future of healthcare.
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