Manager, Case Management SNP (California RN License Required)

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Manager, Case Management SNP is responsible for the health care management and coordination of care for members with complex and chronic care needs. Assures compliance with SNP program requirements as outlined in the Model of Care. Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members. Monitors and reports program performance, including vendor performance monitoring if activities are delegated. This position is responsible for the day-to-day operational performance of an integrated health management team while ensuring high-quality care management and adherence to regulatory and compliance standards for the appropriate program lines of business. Location: Fully Remote – California (Outside Bay Area preferred) Schedule: Full-Time | Monday–Friday Department: Case Management About the Role We are seeking a dedicated Manager, Case Management – SNP to lead a team focused on providing high-quality, patient-centered care to members with complex medical needs. This leadership position plays a key role in overseeing our Special Needs Plan (SNP) program, ensuring compliance with CMS regulations and promoting optimal health outcomes for our members. As a fully remote leader, you will manage daily operations, support care coordination activities, monitor team performance, and ensure adherence to the Model of Care. This is an exciting opportunity to lead a skilled interdisciplinary team making a real impact in the lives of vulnerable populations.

Lead and manage a high-performing case management team serving SNP members. Ensure timely completion of Health Risk Assessments, Individualized Care Plans (ICPs), and Interdisciplinary Care Team (ICT) meetings. Monitor program performance, identify trends, and develop strategies for improvement. Oversee audits, regulatory compliance, and quality assurance activities. Collaborate with departments such as Utilization Management, HEDIS/STARs, and Quality to ensure care continuity and integration. Provide coaching, performance reviews, and staff development to support team success. Analyze reports and operational data to support decision-making and program enhancements.