About careerzynith
At careerzynith, we believe that healthcare should be deeply personal, profoundly human, and powerfully accessible. Our shared mission — bringing our heart to every moment of your wellbeing — guides everything we do. In a world where the pace of change in healthcare continues to accelerate, careerzynith remains anchored in a single, unwavering commitment: delivering enhanced, human-driven care to the individuals, families, and communities we serve.
Our signature Heart At Work Behaviors empower every team member to play a meaningful role in transforming our culture and accelerating our ability to innovate. We are not simply a healthcare company; we are a movement dedicated to making care more personal, more convenient, and more affordable for everyone. Through our integrated, connected approach to wellbeing, we guide and support our members so they can get more out of life, every single day.
At careerzynith Better Health of Texas, we are passionate about helping individuals on their journey to better health. We are actively seeking purpose-driven professionals who value excellence, integrity, compassion, and continuous innovation. When you join careerzynith, you become part of a team devoted to improving the lives of Texans. We celebrate diversity, invest in professional development, and are committed to helping you achieve your long-term career aspirations.
Position Overview
careerzynith is hiring a Remote Senior Manager of Care Management to lead clinical and operational strategy for our Texas Medicaid programs. This is a high-impact leadership role for an experienced, licensed clinical professional who is passionate about driving better health outcomes for vulnerable populations. The Senior Manager will develop, implement, support, and promote health services strategies, policies, and programs that deliver exceptional, value-based care to careerzynith Better Health of Texas members.
Reporting directly to the Director of Clinical Health Services, Care Coordination, this remote position requires the selected candidate to live within the state of Texas. The Senior Manager will provide oversight and leadership for careerzynith Better Health Texas Manager(s), ensuring the development of high-performing teams and the seamless operation of care management and care coordination activities across the full continuum of care — assessment, planning, implementation, coordination, monitoring, and evaluation.
Key Responsibilities
- Lead the clinical team in supporting timely health risk screenings, comprehensive assessments, individualized care plan development, and member interventions aligned with the careerzynith Better Health Risk Stratification Level System and Texas contractual requirements.
- Serve as the primary liaison with regulatory and accrediting agencies, as well as other health specialty units, ensuring full compliance and proactive communication.
- Act as a subject matter expert, professional resource, and business partner across multiple functional areas within careerzynith.
- Champion quality improvement programs through effective execution, measurement, and continuous refinement.
- Develop, implement, and evaluate clinical and operational policies and procedures that address complex business challenges.
- Coordinate program execution and clinical outcomes to ensure alignment with strategic goals and contractual obligations.
- Apply deep knowledge of regulations, standards, and policies that govern clinical management within Medicaid managed care.
- Communicate effectively in both written and oral formats with internal stakeholders and external constituents, including state regulators, providers, and members.
- Evaluate and interpret data to monitor staff performance, ensure regulatory compliance, and identify opportunities for new programs and process improvements.
- Assess developmental needs of team members and collaborate with leadership to design and implement action plans that build high-performing teams.
- Lead all administrative responsibilities in accordance with established careerzynith standards for team management.
- Participate in recruitment and hiring processes, using clearly defined criteria for education, experience, technical, and performance capabilities.
- Establish, monitor, and clearly communicate performance expectations across the team.
- Support the management of complex physical and behavioral health cases, applying clinical expertise and cultural competence.
- Lead regularly scheduled one-on-one and team meetings focused on member service delivery, administrative excellence, and productivity standards.
- Serve as the Care Management subject matter expert for careerzynith Better Health of Texas Medicaid and contract requirements.
- Ensure Care Management compliance with all contract requirements and identify opportunities to implement best practices and innovative approaches.
- Consistently model change agent behavior and lead organizational change initiatives.
- Maintain compliance with careerzynith policies and procedures and ensure team-level implementation.
- Ensure care management, care coordination, and disease management are fully integrated into population health and quality improvement activities.
- Responsible for internal and external metrics, including member engagement goals and state contract requirements.
- Support state audits, NCQA accreditation activities, and Clinical Strategy development for Requests for Proposals (RFPs).
Required Qualifications
- Active, unrestricted Texas state license in a relevant clinical discipline (e.g., RN, LPC, LCSW).
- Minimum of 7 years of clinical experience in a relevant specialty area.
- Minimum of 7 years of management or supervisory experience.
- Demonstrated care management experience across physical and behavioral health.
- Comprehensive knowledge of regulations, standards, and policies related to clinical management in a managed care environment.
- Proficiency in computer systems, keyboard navigation, and Microsoft Office Suite applications (3+ years of experience).
- Bachelor's degree required for RN licensure, or Master's degree in social services or clinical counseling for behavioral health licensure.
Preferred Qualifications
- Prior managed care experience.
- Certified Case Manager (CCM) credential.
- Direct Texas Medicaid experience, specifically with STAR and CHIP programs.
- Experience supporting NCQA accreditation and state audit processes.
- Demonstrated success leading remote or distributed clinical teams.
Skills and Competencies for Success
- Clinical Leadership: Deep understanding of care management principles, population health strategies, and value-based care delivery.
- Regulatory Acumen: Comfortable interpreting and applying Medicaid contract requirements, state regulations, and NCQA standards.
- Data-Driven Decision Making: Skilled at analyzing clinical and operational data to identify trends, opportunities, and performance gaps.
- Communication Excellence: Exceptional written and verbal communication skills, with the ability to influence and engage diverse audiences.
- Change Management: Proven ability to lead change initiatives and model adaptability in a fast-paced environment.
- Team Development: Passion for coaching, mentoring, and developing high-performing clinical teams.
- Cultural Competence: Commitment to delivering care that respects the diverse backgrounds and needs of Texas Medicaid members.
Career Growth and Learning Opportunities
At careerzynith, we believe that investing in our people is investing in our mission. As a Senior Manager, you will have access to:
- Structured leadership development programs designed to prepare you for director-level and executive roles.
- Continuing education support, including license renewals, certification reimbursement, and tuition assistance.
- Mentorship opportunities with senior clinical and operational leaders across the organization.
- Cross-functional project leadership exposure to broaden your strategic and operational skill set.
- Participation in innovation pilots and quality improvement initiatives that shape the future of care delivery.
Work Environment and Culture
careerzynith fosters a remote-first, results-oriented work environment where every team member is empowered to do their best work. Our culture is built on the foundation of our Heart At Work Behaviors — a set of guiding principles that emphasize empathy, accountability, collaboration, and continuous improvement. We celebrate diversity in all its forms and believe that a wide range of perspectives makes our team stronger and our care better.
As a remote employee based in Texas, you will benefit from flexible scheduling, collaborative virtual engagement, and the autonomy to manage your workload in a way that supports both productivity and personal wellbeing. Our team members consistently report high levels of engagement, pride in their work, and a strong sense of connection to our shared mission.
Compensation and Benefits
careerzynith offers a competitive compensation package designed to attract and retain top clinical leadership talent. The typical pay range for this position reflects base compensation for full-time roles within the assigned job grade, with the final offer dependent on experience, education, geography, and other relevant factors. This position is eligible for the careerzynith Health bonus program, commission opportunities, and short-term incentive plans.
Our comprehensive benefits package typically includes:
- Comprehensive medical, dental, and vision insurance.
- 401(k) retirement plan with company match.
- Paid time off, holidays, and volunteer days.
- Parental leave and family-building support.
- Mental health and wellness programs.
- Professional development reimbursement and certification support.
How to Apply
If you are a licensed clinical professional with a passion for leading care management teams, driving quality outcomes, and making a measurable difference in the lives of Medicaid members, we invite you to apply to join careerzynith. This is more than a job — it is an opportunity to lead with purpose, grow your career, and help shape the future of healthcare in Texas.
Bring your heart, your expertise, and your vision to careerzynith. We are ready to welcome the next great leader to our team.
Apply for this job