Director, ECM Training & Quality

Vynca • San Mateo, CA

1d • $145,000 - $160,000 • Remote

About The Position

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day. At Vynca, our mission is to provide comprehensive care for more quality days at home.

The Director, ECM Training & Quality is responsible for building and leading the operational quality infrastructure supporting Enhanced Care Management (ECM) programs across all markets and health plan partnerships. This role will report directly to the Senior ECM Director and be instrumental in designing, building, and operationalizing the organization’s quality, audit readiness, and education functions from the ground up. This is a highly hands-on leadership role requiring a builder mindset. The Director, ECM Training & Quality will not only establish the long-term vision and strategy for operational quality and workforce education, but will also actively develop the foundational processes, workflows, audit programs, onboarding structures, reporting mechanisms, and quality standards that support scalable ECM operations.
As an early architect of this function, the Director, ECM Training & Quality will be expected to operate strategically while remaining deeply involved in day-to-day execution, including audit oversight, workflow development, training design, quality trend analysis, corrective action planning, and cross-functional operational problem solving. This leader will play a critical role in creating the infrastructure necessary to support rapid organizational growth, payer expansion, regulatory readiness, and operational consistency across distributed ECM teams.
The Director, ECM Training & Quality will directly manage and develop the ECM Education & Training Specialist while building a scalable quality and education department capable of supporting organizational growth and evolving operational complexity. This leader will establish team structure, operational priorities, quality governance processes, and performance expectations for the function. The Director, ECM Training & Quality partners closely with Clinical Operations, People Operations, Compliance, Training, Analytics, and Executive Leadership to improve documentation quality, reduce audit risk, standardize workflows, strengthen staff competency, and drive operational excellence across programs serving high-acuity and vulnerable populations.
This role is ideal for a leader who thrives in fast-paced, evolving environments and is energized by building scalable programs, creating structure from ambiguity, and developing high-performing operational quality functions from inception through maturity.

Requirements

• 7+ years of experience in healthcare operations, care management, population health, managed care, or quality operations
• 3+ years of leadership experience managing operational quality, audit, education, or performance improvement initiatives
• Strong knowledge of CalAIM ECM requirements, Medi-Cal managed care operations, and health plan expectations
• Demonstrated leadership experience in building clinical education, training program development, and quality improvement operational processes in fast-paced or high-growth healthcare environments
• Hands-on experience with regulatory compliance and at least one full accreditation cycle
• Deep knowledge analyzing operational data, quality metrics, and performance trends to drive business decisions
• Strong written and verbal communication skills with the ability to translate complex clinical and regulatory concepts for diverse audiences
• Must be able to collaborate effectively across geographically distributed, interdisciplinary care teams

Nice To Haves

• Clinical leadership background (RN, LVN, LCSW, LMFT, or similar)
• Experience supporting ECM, care coordination, Medicaid/Medi-Cal, or vulnerable population programs strongly preferred
• Experience with quality management systems, audit tools, or healthcare reporting platforms
• Lean Six Sigma or operational excellence experience preferred
• Experience supporting remote and field-based workforce models preferred

Responsibilities

• Design, implement, and lead the ECM operational quality management program across all health plans and ECM lines of business
• Establish enterprise-wide quality standards, documentation expectations, and operational best practices
• Develop standardized workflows and quality governance processes to improve consistency across ECM teams
• Build scalable quality assurance frameworks that support organizational growth and payer expansion
• Partner with Clinical Operations leadership to align operational quality initiatives with care delivery goals and member outcomes
• Lead organizational readiness for health plan, DHCS, and regulatory audits
• Oversee internal audit programs focused on ECM documentation quality, workflow compliance, timeliness standards, and regulatory adherence
• Develop and maintain audit readiness scorecards, corrective action plans, and monitoring processes
• Identify operational and compliance risks proactively and implement mitigation strategies
• Partner closely with Compliance and Clinical leadership regarding evolving CalAIM ECM requirements and payer expectations
• Support responses to external audit findings, remediation plans, and operational follow-up initiatives
• Analyze quality trends, audit findings, operational KPIs, and performance data to identify improvement opportunities
• Lead operational quality improvement initiatives aimed at improving documentation accuracy, timeliness, productivity, and member engagement outcomes
• Develop and maintain quality dashboards and operational reporting tools for leadership review
• Standardize quality metrics and operational performance expectations across ECM teams
• Drive continuous improvement initiatives in partnership with Operations and Clinical leadership teams
• Develop and oversee onboarding, education, remediation, and competency programs for ECM staff
• Establish ongoing education strategies aligned with audit trends, operational changes, payer updates, and regulatory requirements
• Partner with managers to identify skill gaps and training needs across clinical and non-clinical care management teams
• Ensure training programs support operational consistency, quality improvement, and employee readiness
• Oversee development of SOPs, workflow guides, reference materials, and operational education content
• Lead and develop Quality, Audit, and Education team members
• Partner cross-functionally with Clinical Operations, Compliance, People Operations, Analytics, and Executive Leadership
• Serve as a strategic advisor regarding operational quality risks, trends, and process improvement opportunities
• Support organizational scaling efforts through operational infrastructure development and process standardization
• Foster a culture of accountability, operational excellence, continuous learning, and quality improvement

Benefits

• Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.
• Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.
• Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed