New

Senior Director, Complex Care

Boston Medical Center
paid time off, 403(b)
United States, Massachusetts, Boston
One Boston Medical Center Place (Show on map)
Apr 20, 2026
POSITION SUMMARY: The Senior Director Complex Care Management oversees the Complex Care Management program strategy, implementation and staff across the Boston Medical Center Health System's (BMCHS) Medicaid Accountable Care Organizations (ACO), which are partnerships between the WellSense health plan and eight provider systems across Massachusetts including the Greater Boston, Southeast MA, South Shore, North Shore, Lowell, and Springfield/Holyoke areas. The Complex Care Management program includes direct delivery of field-based care management across the ACOs' hospitals, primary care clinics, and community health centers, as well as partnership and management of delegated care management arrangements within the network. In close partnership with other leaders within Population Health Services, the Sr. Director will be responsible for setting a strategic vision for Complex Care Management as a key part of the larger BMCHS care management continuum, and overseeing operations and outcomes of the program. He/she will develop and maintain oversight of outcomes and performance data, be responsible for adjusting program design and implementation to achieve program goals, and be accountable for helping to drive quality outcomes. Additionally, the Sr. Director will continue to innovate and build programs and collaborations that enhance BMCHS's complex care management programs by leading efforts to develop targeted initiatives that impact the highest cost patients, such as a homelessness programs, clinical specialty programs (i.e. End Stage Renal Disease, Sickle-Cell Disease, palliative care), and other community collaborations that strengthen connections across the continuum of care. The Sr. Director serves as the primary subject matter expert and technical liaison for health system partners and leaders related to the development and delivery of care management programs. The Sr. Director is also a key representative to EOHHS and governmental leaders in advocacy of care management. Position: Senior Director, Complex Care Department: Pop-Health Care Management Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: The Sr. Director will have the key responsibility for recruitment and retention of high-performing care management teams and will play a mission critical leadership role in interfacing with system leaders to support ACO retention andoptimizeintegration of care management teams into Population Health strategy. Leadership within BMCHS: In partnership with health plan and hospital leaders, iterate the strategy of the Complex Care Management program to support system goal and population needs, and to ensure ongoing close coordination between care management programs Develop and nurture constructive partnerships with leaders across BMCHS, includingWellsenseHealth Plan, Boston Medical Center, the Faculty Practice Foundation, and leaders of joint venture ACO partners across Massachusetts; collaborate with provider leaders to iterate program adaptation to local practice and ACO needs as appropriate Represent BMCHS in care management related discussions with state and representative bodies Care Management Program Management Define key program elements for care management programs,including:patient selection criteria, care management workflows and processes, team role composition, staffing ratios, etc. Centrally manage and implement a standardized care management program meeting state regulations and quality standards, while understanding the nuances of local clinical site dynamics and partnering with local site leaders and existing local site programs to ensure program success Define methods for measuring program success anddemonstratingprogram effectiveness in managing total cost of care; partner with Clinical Analytics leads to define data and reports needed to manage performance Contribute to the field of Complex Care through participation,leadershipand advocacy in national forums andinterorganizationalpartnerships Care Management team leadership: Hire, develop, and motivate Care Management Directors and Managers Define recruitment and retention strategy to attract top care management talent across Massachusetts Serve as key point personinterfacing withACO partner CM/PopHealthleadership to ensure integration of care management teams into primary care practices and hospitals Maintain open lines of communication with local site leaders In partnership with the CCM medical director and other CCM leaders, ensure the maintenance of a robust training and education curriculum for care management staff, and oversee a professional development strategy for staff across disciplines Metrics: Design programs and interventions targeted at key program outcomes, including: Reduction in ED and avoidable inpatient visits Decreased total medical expense Improved patient satisfaction Improved clinical outcomes Improved provider satisfaction Performance on contractual audits with state and regulatory agencies Other Duties Perform other duties as needed. JOB REQUIREMENTS EDUCATION RN or LICSW licensure preferred; other clinical specialties may be considered Bachelor's degreerequired Master's degree in ahealth relatedfield CERTIFICATES, LICENSES AND CERTIFICATION Licensure: Social work candidates must be independently licensed Nurse candidates mustmaintainRN or NP licensure Certification Preferred qualifications: Demonstrated interest inservinga culturally and socio-economically diverse patient population, particularly those with complex medical and behavioral health conditions including chronic medical illness, serious mental illness, and substance use disorder. EXPERIENCE Significant experiencein clinical operations in a hospital, health system, provider practice, and/or community health center environmentrequired Experience leading complex care management programs Experience building and managing a large, field-based team 10+ years of healthcare experience, with 5-7 years of leadership experience, including leadership of managers or directors KNOWLEDGE, SKILLS AND ABILITIES Visionary, creative leader with ability to motivate staff and stakeholders Ability to partner with a variety of clinical sites, including community health centers, community hospitals, and academic medical centers where care management programs are deployed. Excellent interpersonal skills and ability to work collaboratively across organizations and stakeholders Ability to attract and develop top talent at the Director, Manager and front-line level Commitment to staffing and leadership that reflects the demographic and cultural experience of the population served Excellent written and verbal communication Strong clinical operationalskills Advanced analytic abilities, including ability to define gaps and opportunities for improved performance and translate performance insights into operational actions Business planning skills; ability to write clear and effective business plans fornew programs Ability to adapt to changes in healthcare delivery at local and systems level Strong organizational and time management skills Ability to thrive in a hybrid work setting requiring independent management in a remote setting, and a commitment to work onsite and in the field whenadvantageousto do so Compensation Range: $130,000.00- $188,500.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.