Member Care Advocate Manager

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Wellth

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

🔥 Funding within the last year

💰 $36M Series C - Wellth on 2025-08

Healthcare Insurance • SaaS • B2B

Wellth is a science-backed daily care motivation platform that engages people who struggle with care-plan adherence by delivering behavioral nudges and financial rewards via an app. It partners with Medicare Advantage plans, Medicaid programs, providers, employers and ACA marketplace organizations to improve medication adherence, increase screenings and appointments, lower high-cost utilization, and boost quality/star ratings while reducing overall cost of care.

📋 Description

• Oversee the MCA team's day-to-day operations while building the analytical and programmatic infrastructure that turns raw member engagement data into targeted, timely care interventions. • Own the four-phase operational cycle — Data Aggregation, Risk Stratification, Trend Detection & Gap Analysis, and Intervention — and be accountable for the team's contribution to measure closure rates. • Synthesize member data from the Wellth app highlight engine, Member Care Queues, supplemental data feeds (pharmacy, lab, claims), and partner health plan sources into a unified, advocate-ready view. • Monitor aggregate performance across priority HEDIS measures detect cohort-level or geography-level anomalies before they become measure-year liabilities.

🎯 Requirements

• 3+ years in case management, care coordination, digital health coaching or similar with at least 1–2 years in a lead or supervisory capacity. • Working knowledge of HEDIS measures, comfort translating measure specifications into operational protocols. • Experience managing or mentoring front-line care teams in a metrics-driven environment. • Strong analytical instincts: able to read a member cohort dashboard, identify outliers, and translate the finding into a concrete team action. • Excellent written and verbal communication — can write a clear outreach script and also present trend data to a health plan partner.

🏖️ Benefits

• Flexible working arrangements, supporting strong remote-first practices and tools with the option to work in our excellent gathering space in Marina Del Rey. • Robust paid time off and generous parental leave program. • Competitive salary & equity structure. • Health, dental, vision insurance, and FSA/HSA plans. • Ability to have a positive impact on people who need it most. • Support of a highly dedicated team focused on building the future of healthcare.