Enhanced Care Management Program Manager - Santa Clara/Alameda County

Pacific Health Group

4d•Remote

About The Position

The Enhanced Care Management Program Manager will lead the Enhanced Care Management program, ensuring vulnerable populations receive the necessary care, support, and advocacy for healthier, more stable lives. This role involves guiding regional teams to deliver compassionate, person-centered care, improving outcomes, and contributing to the mission of closing health equity gaps across California. The position focuses on leadership, program oversight, and innovation, supervising Lead Care Managers and overseeing program quality, member services, cross-functional partnerships, budgeting, and program growth.

Requirements

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.
Experience with Medicaid/Medicare programs and ECM program requirements.
Strong analytical skills and experience in data-driven program evaluation.
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.
Occasional evening or weekend availability for program initiatives.
Must reside within Santa Clara/Alameda County
Valid California Driver’s License (Class C minimum) and personal, operable vehicle.
Employment contingent on successful background and Motor Vehicle Report (MVR) checks.

Responsibilities

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.
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.
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.
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.
Adjust staffing and resources based on member needs and program priorities.
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.

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