Company Statement
Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.
Lead Complex Care Manager
Education, Training, Licenses, Certifications
• Bachelor’s degree from an accredited college or university.
• Active, unrestricted RN license.
• CCM certification required. Consideration given to certification candidates, but certification must be completed within 12
months of hire date as a condition of continued employment.
Relevant Work Experience, Knowledge, Skills, and Abilities
• 5 – 8+ years of clinical experience. (R)
• Staff and process management experience; ability to manage staff performance. (R)
• Advanced knowledge of complex medical conditions to properly address/escalate issues. (R)
• Ability to identify, implement, and ensure compliance with established metrics and procedures. (R)
• Prior health plan experience. (P)
• For Albany location(s): must be physically present at specific site locations at least 3 – 4+ times/month. (R)
• Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences; and the ability
to effectively engage practitioners and other external stakeholders. (R)
• Proficient with MS Office (Word, Excel, PowerPoint, Outlook, Teams, etc.). (R)
• Ability to build relationships both internally and externally while delivering excellent customer service. (R)
• Experience in compiling and analyzing data. (R)
• Experience with data retrieval and statistics. (P)
• Must be detail-oriented with strong organizational skills, including the ability to coordinate workflow. (R)
• Knowledge of / familiarity with community resources and social service resources to assist patients with social needs. (P)
• Demonstrated knowledge with the regulatory requirements of DOH, CMS, NCQA. (R)
Security Disclosure
If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.
We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail.
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.
EEOC Statement
We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.