Enhanced Care Management Program Manager
Pacific Health Group
full-time
Posted on:
Location Type: Remote
Location: Remote • California • 🇺🇸 United States
Visit company websiteSalary
💰 $80,000 - $90,000 per year
Job Level
Mid-LevelSenior
About the role
- Empower care teams to deliver exceptional service that transforms member lives
- Directly supervise and mentor Lead Care Managers across multiple assigned counties in California (Northern/Central regions)
- Conduct weekly one-on-one meetings with each staff member to provide individualized guidance, address challenges, and ensure alignment with program goals
- Facilitate weekly team meetings to promote collaboration, ensure consistent communication, address program updates, and foster team cohesion
- Meet in-person with each LCM within their region at least once per week or twice per month to maintain strong leadership presence, foster connection, and ensure program alignment
- Conduct regular performance evaluations and provide constructive feedback to optimize team performance
- Develop individualized professional development plans for each Lead Care Manager based on their strengths and growth areas, with quarterly check-ins to assess progress
- Establish comprehensive benchmarks and performance metrics for the ECM program
- Design and implement quality assurance protocols to monitor service delivery and member outcomes
- Develop standardized workflows and procedures to ensure consistency across counties
- Ensure Lead Care Managers conduct regular in-person visits with ECM members
- Monitor frequency and quality of member interactions through documentation reviews and ride-alongs
- Serve as liaison between the ECM program and healthcare partners, including hospitals, primary care providers, and community organizations
- Develop and manage program budget, including staffing, operational costs, and member support resources
- Identify opportunities to enhance program effectiveness through innovative approaches
- Create a cross-county peer learning community where Lead Care Managers can share best practices and problem-solve together
Requirements
- Master's, or Bachelor's degree in Healthcare Administration, Public Health, Nursing, or related field
- 5+ years of experience in healthcare management, with at least 3 years in care/case management services
- Minimum of 2 years of direct experience working in Enhanced Care Management programs or equivalent intensive care management initiatives
- Demonstrated understanding of ECM program requirements, populations of focus, and care management best practices specific to high-need Medicaid populations
- Previous supervisory experience managing teams across multiple locations
- Thorough understanding of care management principles and practices
- Strong knowledge of healthcare delivery systems and Medicaid/Medicare programs
- In-depth familiarity with California's ECM program structure, reporting requirements, and quality metrics
- Experience interpreting and implementing ECM policy guidance and requirements from the Department of Health Care Services
- Excellent analytical skills to evaluate program effectiveness and implement improvements
- Advanced proficiency in healthcare data analysis and quality improvement methodologies
- Exceptional leadership abilities with demonstrated success in team development
- Strong communication and interpersonal skills
- Ability to manage multiple priorities in a fast-paced environment
- Commitment to person-centered care and health equity
Benefits
- 160 Hours of Paid Time Off (PTO)
- 12 Paid Holidays per year, including your birthday and one floating holiday granted after 1 year of employment
- 4 Paid Volunteer Hours per Month to support causes you care about
- Bereavement Leave, including Fur Baby Bereavement
- 90% Employer-paid Employee-Only Medical Benefits
- FSA | Dependent Care Account
- 401(k) with Company Match
- Monthly Stipend
- Short-Term & Long-Term Disability | AD&D
- Employee Assistance Program (EAP)
- Employee Discounts via Great Work Perks and Perks at Work
- Quarterly In-Person Events
- Fully remote work within California
- Opportunities for professional development and internal growth
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
healthcare managementcare managementEnhanced Care Managementhealthcare data analysisquality improvement methodologiesperformance evaluationbudget managementprogram developmentworkflow designquality assurance protocols
Soft skills
leadershipmentoringcommunicationinterpersonal skillsanalytical skillsteam developmentcollaborationproblem-solvingtime managementcommitment to health equity
Certifications
Master's degreeBachelor's degree