Senior Level Care Manager Jobs
Senior level care manager jobs put experienced professionals in charge of patient outcomes, care coordination strategy, and the clinical teams that deliver complex, high-acuity programs. Openings concentrate across Healthcare & Medical Services, Education, and Technology & Software, with a mix of on-site, remote, and hybrid settings, and employers like NYC Health + Hospitals, Amazon, and Henry Ford Health hiring at this level now.
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At Included Health, the Associate Clinical Director, Integrated Care Quality (NP/MD) is responsible for the strategy, external representation, and program leadership needed to ensure our clinical services perform credibly in high-stakes client, consultant, and audit-facing settings.
This role leads the clinical quality approach to client audits, consultant engagement, and longitudinal quality assurance across relevant services. The Director will represent Included Health in consequential meetings with clients, consultants, health plans, and internal leaders; shape the vision for external-facing clinical quality work; build trusted relationships; and translate audit and quality findings into durable operational improvement strategies.
Establishing a robust longitudinal oversight process is a primary objective for this position. This leader will drive the development of systems to monitor member journeys, ensure care quality, and maintain service reliability over time. Furthermore, they will utilize AI-driven quality surveillance and pattern detection to modernize and scale quality operations.
Responsibilities
Client and Consultant Leadership
Represent Included Health clinical services in high-stakes client, consultant, and audit-related discussions.
Build strong relationships with clients, consultants, health plans, and internal commercial partners.
Serve as a trusted clinical quality voice in escalations, performance reviews, corrective action discussions, and executive forums.
Translate complex clinical and operational issues into clear, credible, executive-ready narratives.
Client Audit Strategy and Execution
Own the strategy and operating model for clinical client audit readiness.
Lead audit planning, preparation, risk triage, file review standards, and executive readiness.
Serve as the senior clinical lead for audit content, responses, and remediation planning.
Ensure audit findings are converted into measurable action plans with clear ownership and follow-through.
Longitudinal Quality Assurance
Lead the design and maturation of longitudinal QA models that assess quality across the member journey.
Build proactive oversight frameworks that identify risks before they surface in audits, escalations, or client dissatisfaction.
Connect quality findings across service lines to identify systemic issues, not isolated defects.
Ensure longitudinal QA informs coaching, workflow redesign, policy refinement, and client readiness.
AI-Enabled Quality at Scale
Lead the use of AI and advanced analytics to scale quality surveillance, longitudinal review, and audit readiness.
Define where AI can responsibly augment human review, including trend detection, review prioritization, and documentation assessment.
Partner with product, engineering, analytics, and AI quality leaders to build safe, clinically credible workflows.
Ensure AI-supported quality programs maintain strong human oversight, validation, and calibration.
Population Health Quality Oversight and Performance Management
Own population health quality oversight across relevant clinical programs, with accountability for defining, monitoring, and improving program performance.
Establish and govern a metric framework spanning clinical quality, operational performance, service reliability, and member outcomes.
Define metric ownership, thresholds, escalation triggers, and review cadences in partnership with clinical, operational, analytics, and client-facing leaders.
Translate performance findings into concrete action, including corrective plans, workflow redesign, policy refinement, and program accountability.
Build scalable oversight processes that connect longitudinal QA, audit findings, escalations, and program data into a unified view of quality across the member journey.
Qualifications:
Required:
Physician or Nurse Practitioner with current unrestricted U.S. license in good standing.
Board certification required for physicians.
7+ years of clinical, healthcare quality, patient safety, or clinical operations experience with progressive responsibility.
3+ years of experience leading or materially shaping client-facing quality work, external audits, consultant engagement, or similar high-stakes external clinical work.
Demonstrated experience representing clinical services in consequential syncs with clients, consultants, auditors, health plans, or senior executives.
Strong experience in quality strategy, audit readiness, program development, and cross-functional leadership.
Excellent written and verbal communication skills, with the ability to tailor messaging to clinicians, clients, consultants, and executives.
Strong analytical and systems-thinking skills, with comfort interpreting quality and operational data.
Proven ability to build relationships, influence without authority, and lead through ambiguity.
Preferred:
Experience in population health, care navigation, care management, virtual care, or other longitudinal care models.
Experience designing or leading longitudinal QA or proactive surveillance models.
Experience leveraging agentic AI or advanced analytics to scale quality oversight.
Familiarity with external quality or accreditation frameworks such as URAC, NCQA, HEDIS, or MIPS.
Experience with tools such as Looker, Tableau, Observe.AI, or advanced spreadsheet analysis.
CPHQ, CPPS, Lean Six Sigma, or similar training/certification.
Core competencies:
Strong clinical judgment; systems thinking.
Analytical rigor; documentation excellence.
Risk identification/mitigation in tech-enabled care.
Coaching/influencing across clinical and technical teams.
Leads through ambiguity; works independently.
Key Compentencies:
Executive presence and clinical credibility
Client and consultant relationship management
Strategic thinking and program development
Audit leadership and remediation planning
Longitudinal quality assurance
AI-enabled quality scaling
Analytical rigor
Cross-functional influence
Clear, persuasive communication
Why Join Us
This role is an opportunity to shape how Included Health shows up externally on clinical quality while building the internal systems needed for a more proactive, scalable, and AI-enabled future. You will help strengthen client confidence, improve audit performance, and raise the standard of longitudinal quality oversight across the organization.
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.
Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions—final decisions are made exclusively by our recruiting and hiring teams.
At Included Health, the Associate Clinical Director, Integrated Care Quality (NP/MD) is responsible for the strategy, external representation, and program leadership needed to ensure our clinical services perform credibly in high-stakes client, consultant, and audit-facing settings.
This role leads the clinical quality approach to client audits, consultant engagement, and longitudinal quality assurance across relevant services. The Director will represent Included Health in consequential meetings with clients, consultants, health plans, and internal leaders; shape the vision for external-facing clinical quality work; build trusted relationships; and translate audit and quality findings into durable operational improvement strategies.
Establishing a robust longitudinal oversight process is a primary objective for this position. This leader will drive the development of systems to monitor member journeys, ensure care quality, and maintain service reliability over time. Furthermore, they will utilize AI-driven quality surveillance and pattern detection to modernize and scale quality operations.
Responsibilities
Client and Consultant Leadership
Represent Included Health clinical services in high-stakes client, consultant, and audit-related discussions.
Build strong relationships with clients, consultants, health plans, and internal commercial partners.
Serve as a trusted clinical quality voice in escalations, performance reviews, corrective action discussions, and executive forums.
Translate complex clinical and operational issues into clear, credible, executive-ready narratives.
Client Audit Strategy and Execution
Own the strategy and operating model for clinical client audit readiness.
Lead audit planning, preparation, risk triage, file review standards, and executive readiness.
Serve as the senior clinical lead for audit content, responses, and remediation planning.
Ensure audit findings are converted into measurable action plans with clear ownership and follow-through.
Longitudinal Quality Assurance
Lead the design and maturation of longitudinal QA models that assess quality across the member journey.
Build proactive oversight frameworks that identify risks before they surface in audits, escalations, or client dissatisfaction.
Connect quality findings across service lines to identify systemic issues, not isolated defects.
Ensure longitudinal QA informs coaching, workflow redesign, policy refinement, and client readiness.
AI-Enabled Quality at Scale
Lead the use of AI and advanced analytics to scale quality surveillance, longitudinal review, and audit readiness.
Define where AI can responsibly augment human review, including trend detection, review prioritization, and documentation assessment.
Partner with product, engineering, analytics, and AI quality leaders to build safe, clinically credible workflows.
Ensure AI-supported quality programs maintain strong human oversight, validation, and calibration.
Population Health Quality Oversight and Performance Management
Own population health quality oversight across relevant clinical programs, with accountability for defining, monitoring, and improving program performance.
Establish and govern a metric framework spanning clinical quality, operational performance, service reliability, and member outcomes.
Define metric ownership, thresholds, escalation triggers, and review cadences in partnership with clinical, operational, analytics, and client-facing leaders.
Translate performance findings into concrete action, including corrective plans, workflow redesign, policy refinement, and program accountability.
Build scalable oversight processes that connect longitudinal QA, audit findings, escalations, and program data into a unified view of quality across the member journey.
Qualifications:
Required:
Physician or Nurse Practitioner with current unrestricted U.S. license in good standing.
Board certification required for physicians.
7+ years of clinical, healthcare quality, patient safety, or clinical operations experience with progressive responsibility.
3+ years of experience leading or materially shaping client-facing quality work, external audits, consultant engagement, or similar high-stakes external clinical work.
Demonstrated experience representing clinical services in consequential syncs with clients, consultants, auditors, health plans, or senior executives.
Strong experience in quality strategy, audit readiness, program development, and cross-functional leadership.
Excellent written and verbal communication skills, with the ability to tailor messaging to clinicians, clients, consultants, and executives.
Strong analytical and systems-thinking skills, with comfort interpreting quality and operational data.
Proven ability to build relationships, influence without authority, and lead through ambiguity.
Preferred:
Experience in population health, care navigation, care management, virtual care, or other longitudinal care models.
Experience designing or leading longitudinal QA or proactive surveillance models.
Experience leveraging agentic AI or advanced analytics to scale quality oversight.
Familiarity with external quality or accreditation frameworks such as URAC, NCQA, HEDIS, or MIPS.
Experience with tools such as Looker, Tableau, Observe.AI, or advanced spreadsheet analysis.
CPHQ, CPPS, Lean Six Sigma, or similar training/certification.
Core competencies:
Strong clinical judgment; systems thinking.
Analytical rigor; documentation excellence.
Risk identification/mitigation in tech-enabled care.
Coaching/influencing across clinical and technical teams.
Leads through ambiguity; works independently.
Key Compentencies:
Executive presence and clinical credibility
Client and consultant relationship management
Strategic thinking and program development
Audit leadership and remediation planning
Longitudinal quality assurance
AI-enabled quality scaling
Analytical rigor
Cross-functional influence
Clear, persuasive communication
Why Join Us
This role is an opportunity to shape how Included Health shows up externally on clinical quality while building the internal systems needed for a more proactive, scalable, and AI-enabled future. You will help strengthen client confidence, improve audit performance, and raise the standard of longitudinal quality oversight across the organization.
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.
Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions—final decisions are made exclusively by our recruiting and hiring teams.
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Find JobsSenior Level Care Manager Job Market
Who's Hiring
- NYC Health + Hospitals13
- Amazon10
- Henry Ford Health8
- Eventide7
- Amazon Web Services6
Top Industries Hiring
- Healthcare & Medical Services159
- Education32
- Technology & Software27
- Retail15
- Electronics & Hardware13
Senior Level Care Manager Jobs: Frequently Asked Questions
How do I get a senior level care manager job?
Employers at this level look for candidates who have led care coordination programs, managed interdisciplinary teams, and owned measurable outcomes like reduced readmissions or improved member health metrics. Demonstrating a history of building workflows, mentoring junior care managers, and influencing clinical policy gives candidates a clear edge. Certifications such as CCM and direct experience with high-risk or complex populations strengthen your candidacy further.
Which companies hire senior level care managers?
Companies hiring senior level care managers right now include NYC Health + Hospitals, Amazon, and Henry Ford Health, based on current listings on Migrate Mate as of July 2026. Hiring at this level covers large health systems, managed care organizations, and employer-sponsored health programs that need experienced professionals to lead care management functions rather than fill individual contributor seats.
Are there remote senior level care manager jobs?
Yes, remote and hybrid options are widely available at this level. About 24% of senior level care manager openings are remote or hybrid as of July 2026, reflecting the shift toward telephonic and digital care management models across payers and health tech employers. On-site roles remain common in acute care and health system settings where in-person oversight of clinical staff is required.
What makes a care manager role senior level?
Senior level care manager roles involve program ownership, cross-functional leadership, and accountability for population-level outcomes rather than individual caseloads alone. Expectations typically include setting clinical protocols, mentoring less experienced care managers, collaborating with medical directors and utilization review teams, and driving quality metrics across a department or product line. The scope is strategic as much as it is clinical.
Which industries hire the most senior level care managers?
Senior Level care manager roles concentrate in Healthcare & Medical Services, Education, and Technology & Software, based on current listings on Migrate Mate as of July 2026. These sectors drive the most demand because they manage large populations with complex needs, requiring senior professionals who can design and oversee scalable care coordination programs rather than simply manage a caseload.