Member Care Advocate Manager

About the Company

Wellth is a healthcare technology company that uses behavioral science and real-time engagement to help health plans improve medication adherence, close care gaps, and drive better outcomes for their highest-need members.

Responsibilities

• Oversee the Member Care Advocate (MCA) team's day-to-day operations and build analytical/programmatic infrastructure
• Synthesize member data from various sources into unified, advocate-ready views
• Translate HEDIS measure logic and PDC-clock math into actionable daily queues and coaching
• Manage risk stratification, cohort segmentation, and priority scoring
• Monitor aggregate performance across HEDIS measures to detect clinical trends and gaps
• Lead the MCA team's execution, including developing outreach scripts and decision trees
• Personally manage a caseload of complex or high-priority members
• Hire, onboard, and develop a team of Member Care Advocates through coaching and performance scorecards
• Serve as the primary internal point of contact for Product, Engineering, Quality, and Client Success teams

Requirements

• 3+ years in case management, care coordination, or digital health coaching
• 1–2 years in a lead or supervisory capacity
• Working knowledge of HEDIS measures and operational protocols
• Experience managing or mentoring front-line care teams in a metrics-driven environment
• Strong analytical skills to identify cohort outliers and translate findings into action
• Excellent written and verbal communication skills

Preferred Qualifications

• Experience in a digital health or health tech company
• RN, LPN, LSW, or CHW credential, or equivalent clinical/community health background
• Experience with care management platforms, CRM tools, or health plan quality reporting systems