VP, Care Management & Navigation

About Webster Equity Partners

Position Summary

Key Relationships

Responsibilities & Strategic Goals

• This is a zero-to-one build. The VP owns the design, launch, and scaling of the Care Coordination and Benefits Navigation offering - from operating model and workflows through staffing, technology, and performance measurement - and is accountable for taking it from concept to a functioning, measurable business.
• Design the end-to-end operating model. Build member intake, assessment, segmentation, care planning, navigation, referral, follow-up, and case-closure workflows from a blank page, scoped to Medicare Advantage, Medicaid, and D-SNP populations.
• Build the operating infrastructure. Author the playbooks, SOPs, scripts, decision trees, and clinical and non-clinical escalation protocols the team will run on.
• Stand up staffing and capacity. Define care coordinator and navigator staffing, caseload, and capacity models, and hire and train the initial team against them.
• Establish performance infrastructure from day one. Build training, certification, quality assurance, and performance management programs, along with the KPIs and outcomes measurement the business will be run on.
• Define the technology footprint. Set the case management and technology requirements needed to run the operation, including any build-versus-buy decisions.
• Own member engagement. Design the outreach and engagement strategies that drive participation in navigation and care coordination services.
• Take the offering to launch and scale. Sequence the build so the business moves from concept to live operation, then scales staffing, process, and technology against real client volume - with client reporting and unit economics in place from the start.

Essential Qualifications

• 10+ years of healthcare operations experience, including direct ownership of care coordination, care management, member navigation, or population health programs.
• Strong working knowledge of Medicare Advantage, Medicaid, and/or D-SNP populations and the health-plan operating environment they sit within.
• Demonstrated experience building or significantly scaling a healthcare service operation - not solely managing an operation someone else designed.
• Track record developing workflows, SOPs, staffing and capacity models, training and certification programs, quality assurance, and performance metrics from a limited or non-existent starting point.
• Strong understanding of member engagement and outreach in a health-plan or care-coordination context.
• Comfortable moving fluidly between strategy and hands-on execution - this role will not have a large team to delegate to at launch.
• A genuine builder mindset: energized by creating something from a blank page rather than optimizing an existing operation.

Compensation

• Compensation for this role will be determined based on the selected candidate's experience and qualifications .
• Health Care Plan (Medical, Dental & Vision)
• Annual Performance Bonus
• Retirement Plan (401k, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off (Vacation, Sick & Public Holidays)
• Family Leave (Maternity, Paternity)
• Short Term & Long Term Disability
• Work From Home
• Wellness Resources