Enhanced Care Management Program Manager

• Mentor and guide Lead Care Managers across multiple counties.

• Mentor and guide Lead Care Managers across multiple counties.
• Conduct weekly one-on-ones to address challenges, review caseloads, and provide coaching.
• Lead weekly team meetings to share updates, review cases, and encourage collaboration.
• Meet in-person with staff regularly to maintain strong leadership presence.

• Establish benchmarks and metrics to track program performance.

• Establish benchmarks and metrics to track program performance.
• Implement quality assurance protocols and standardized workflows.
• Monitor staff performance and use data to identify trends and improvement opportunities.

• Ensure members are receiving in-person visits and high-quality care.

• Ensure members are receiving in-person visits and high-quality care.
• Monitor documentation and provide support for challenging cases.
• Implement strategies to improve member engagement and satisfaction.

• Serve as liaison between ECM program and hospitals, providers, and community organizations.

• Serve as liaison between ECM program and hospitals, providers, and community organizations.
• Collaborate with data and compliance teams to track outcomes and maintain regulatory standards.
• Strengthen partnerships to improve care transitions and reduce hospital readmissions.

• Develop and manage program budgets, allocate resources efficiently, and track expenditures.

• Develop and manage program budgets, allocate resources efficiently, and track expenditures.
• Adjust staffing and resources based on member needs and program priorities.

• Identify opportunities to enhance program effectiveness.

• Identify opportunities to enhance program effectiveness.
• Pilot new initiatives such as telehealth to expand access to care.
• Stay current on best practices and integrate improvements.

• Lead operational huddles and bi-weekly case conferences.
• Develop mentorship programs and regional trainings for staff.
• Prepare quarterly performance reports and maintain stakeholder relationships.

• Bachelor’s or Master’s in Healthcare Administration, Public Health, Nursing, or related field.

• Bachelor’s or Master’s in Healthcare Administration, Public Health, Nursing, or related field.
• 5+ years in healthcare management, including 3+ years in care/case management.
• 2+ years managing Enhanced Care Management or intensive care management programs.

• Understanding of care management principles and healthcare delivery systems.

• Understanding of care management principles and healthcare delivery systems.
• Experience with Medicaid/Medicare programs and ECM program requirements.
• Strong analytical skills and experience in data-driven program evaluation.

• Strong leadership and communication skills.

• Strong leadership and communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Commitment to person-centered care and health equity.

• Regular travel (65%) to county sites in California.

• Regular travel (65%) to county sites in California.
• Occasional evening or weekend availability for program initiatives.

• Pay : $80,000 - $85,000 annual salary

• Must reside within hiring county

• Valid California Driver's License and active auto insurance meeting CA requirements
• Reliable personal vehicle for daily work use
• Successful completion of background check (including MVR)
• Must be able to travel up to 60-70% within the county to conduct in person visits
• Must successfully complete a Testlify skills assessment
• Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issued laptop is received
• Must have effective Time Management skills
• Must have internet speed of - 300+ mbps download and 25+mbps upload
• Must be proficient in technology, including documentation systems, case management platforms, and communication tools
• Must be willing to work occasional evenings and weekends as needed.

• 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