Clinical Programs Manager

Roots Community Health Center•Oakland, CA

1d•$75,000 - $80,000

About The Position

Under the direction of the Director of Clinical Programs, Quality, and Learning, the Clinical Programs Manager oversees the operational execution, cross-program integration, quality performance, and sustainability of Roots’ clinical initiatives. The role designs, builds, and maintains systems and accountability structures for Community Health Worker (CHW) Medi-Cal billing and service documentation. The manager develops and implements clinical programs aligned with Healthcare Effectiveness Data and Information Set (HEDIS) measures, manages program resources, supports community outreach events, and promotes cross-departmental integration to deliver cohesive, trauma-informed care across Roots sites. The position also supervises assigned Program Coordinators and Specialists and supports compliance, data collection, reporting, and funding activities.

Requirements

Bachelor’s degree in Public Health, Healthcare Administration, Social Work, Nursing, or a related field.
Minimum 3 to 5 years of experience managing or coordinating clinical, public health, or community health programs.
Minimum 2 years of direct staff supervision experience in a community health center or FQHC, community clinic, or nonprofit organization.
Demonstrated experience developing and implementing Medi-Cal/CHW billing workflows and billing compliance.
Demonstrated background in HEDIS quality measure tracking and quality improvement interventions.
Valid California Driver’s License with a clean driving record and reliable transportation.
Proficiency in EMR/EHR systems, G-Suite, Microsoft Office Suite, and data management tracking tools.
Willingness and availability to work a flexible schedule, including evenings and weekends for community outreach events as needed.
Ability to plan, organize, manage, and scale complex clinical programs, HEDIS initiatives, and cross-functional teams in a fast-paced community health environment.
Deep knowledge of CHW scope of practice, Medi-Cal CHW billing rules, EHR documentation workflows, and systems for service monetization.
Expertise in clinical quality metrics, population health strategies, and using clinical data to improve performance and patient outcomes.
Experience managing budgets and resources and ensuring grant deliverable compliance.
Ability to build collaborative workflows across medical, behavioral, CHW, housing, and social services teams.
Hands-on experience coordinating event logistics, community outreach, and field-based health screening or education events.
Ability to foster a compassionate, trauma-informed workplace culture emphasizing health equity, non-judgmental advocacy, and staff well-being.
Strong written and verbal communication skills and commitment to serving low-income, unsheltered, and racially diverse communities.

Nice To Haves

Master’s degree such as an MPH, MSW, MHA, or MPA.

Responsibilities

Manage the development, implementation, expansion, refinement, and cross-program integration of clinical initiatives, including Asthma, Respiratory Health, Harm Reduction/HIV, and Complex Care/Housing, across Roots sites.
Develop strategies and workflows that integrate clinical and community-based programs, establish referral pathways, and support a seamless continuum of care.
Work with Clinical Directors and Medical Leadership to improve patient outcomes and address emerging health disparities.
Promote trauma-informed, compassionate program delivery that considers patient needs and staff wellness.
Design, implement, and maintain systems, standard operating procedures, and accountability workflows for Medi-Cal CHW benefit billing and revenue optimization.
Train, onboard, and audit staff on CHW billable activity documentation, coding guidelines, care management logs, and EHR charting requirements.
Establish performance indicators and accountability metrics for CHW productivity, documentation timelines, and claim submission accuracy.
Partner with Finance, Billing, Compliance, and Quality teams to address billing rejections, improve CHW benefit utilization, and ensure compliance with applicable requirements.
Develop, integrate, and monitor clinical programs intended to improve HEDIS measures.
Partner with Quality and Data teams to analyze population health data, identify HEDIS performance gaps, and develop targeted interventions and outreach campaigns.
Translate HEDIS targets into daily workflows and care panel priorities for Coordinators, Specialists, and CHWs.
Manage, allocate, and monitor clinical program resources, staffing, materials, and specialized clinical assets in alignment with utilization needs and budgets.
Assist Program Coordinators with program budgets, grant deliverables, and contract expenditures.
Provide field-based management and logistical support for community outreach events, health fairs, and weekend or evening field initiatives.
Build and maintain partnerships with local emergency departments, health systems, housing providers, and community-based organizations.
Supervise, mentor, coach, and manage the performance of assigned Program Coordinators and Specialists.
Make and recommend personnel decisions, including recruitment, hiring, performance reviews, professional development, and performance improvement plans.
Plan and facilitate team meetings, interdepartmental case reviews, and continuous learning opportunities.
Oversee timely and accurate data collection, EHR entry, and reporting to meet contract, grant, and internal performance requirements.
Ensure teams follow HIPAA, patient privacy laws, consent protocols, and shared care guidelines.
Support leadership with funding proposals, grant renewals, and clinical program compliance reports.
Perform other related duties or clinical services within the area of licensure, if applicable, as assigned.