Manager, Care Operations

Reporting to the VP Operations the Manager Care Operations leads the team responsible for centralized administrative support to care teams caregivers and consumers across Careforths programs. This role sets the standards staffing plans and performance targets for high-volume operational tasks including but not limited to Cost Share administration (Careforths consumer copay program) caregiver pay and stipend verification caregiver credentialing and background verification. The Manager owns operating KPIs across the Operations team with a focus on workflow design automation process optimization and efficiency. The Manager leads the Care Operations team and will work cross-functionally to advance the operational scope capabilities and deliverables.

• Lead and develop the Care Operations team driving team performance accountability and employee development in support of departmental priorities.
• Provide oversight and governance for the escalation and resolution of complex operational issues that cannot be resolved at the Supervisor level ensuring timely escalation and cross-functional coordination.
• Execute operational priorities in collaboration with the VP Operations and the Operating Plan aligning resources workflows and team performance to support key objectives.
• Own workflow design creation evaluation and documentation for operational processes and procedures.
• Oversee cost share operations establishing performance goals and monitoring enrollment and collection outcomes. Partner with Finance on reporting process effectiveness and continuous improvement opportunities.
• Define service delivery standards for caregiver and consumer support operations across channels and own performance against defined service levels and customer experience objectives.
• Define and manage operational support strategies for caregiver credentialing intake and caregiver pay processes partnering with cross-functional stakeholders to optimize workflows and improve service outcomes.
• Oversee the Background Verification function setting performance standards ensuring compliance with background verification policies and supporting new state and program launches to meet state and payer credentialing requirements.
• Establish monitor and report on key operational performance indicators; lead operational improvement initiatives and special projects that enhance efficiency scalability compliance and stakeholder experience as needed.
• Partner with Clinical Services Enrollment Payer Authorization and Caregiver Credentialing stakeholders to improve processes reduce operational rework and strengthen cross-functional collaboration.
• Perform other duties as assigned.

• Bachelors degree in Business Healthcare Administration or a related field; equivalent experience will be considered.
• 6 years of operations leadership experience including 2 years of direct people management preferably within healthcare home care or another regulated service environment.
• Demonstrated success leading high-volume service-oriented teams with responsibility for service delivery workforce planning and operational performance.
• Strong understanding of healthcare home care or other regulated service environments
• Proven ability to translate strategic priorities into operational plans and leverage data KPIs and performance metrics to drive results and continuous improvement.
• Strong communication stakeholder management and cross-functional collaboration skills including experience utilizing case management CRM and reporting tools to support operational decision-making.

At Careforth your well-being matters. With flexible schedules a remote-first culture and a nationally recognized wellness program our benefits are designed to help you thrive both professionally and personally. Discover how we invest in you: pay range for this position is $73988 - $90636 The actual wage offered may be lower or higher depending on budget and candidate experience knowledge skills qualifications and geographic location.