Enhanced Care Management Program Manager

Pacific Health Group•State-Wide, NV

6d•Remote

About The Position

Pacific Health Group is seeking an Enhanced Care Management (ECM) Program Manager to lead its ECM program and support vulnerable populations with compassionate, person-centered care. The role guides regional teams in delivering care that improves outcomes and advances the company’s goal of closing health equity gaps across California. The Program Manager supervises Lead Care Managers across the hiring county and oversees program quality, member services, cross-functional partnerships, budgets, and growth initiatives. The role involves regular travel to county sites for in-person visits and staff engagement, as well as occasional evening and weekend availability. The position is fully remote apart from required travel and in-person work. The annual salary is $80,000–$85,000. Candidates must reside in the hiring state and meet the listed requirements, including a valid driver’s license, active auto insurance, a reliable personal vehicle, background screening, a skills assessment, and reliable technology and internet access.

Requirements

Bachelor’s or Master’s degree in Healthcare Administration, Public Health, Nursing, or a related field.
At least 5 years of healthcare management experience, including at least 3 years in care or case management.
At least 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.
Must reside within the hiring state.
Valid driver’s license and active auto insurance meeting state requirements.
Reliable personal vehicle for daily work use.
Successful completion of a background check, including an MVR.
Must be able to travel up to 60–70% within the county for in-person visits; the description also states regular travel of 65% to county sites in California.
Successful completion of a Testlify skills assessment.
Reliable working laptop for the first 21 days of employment, until a company-issued laptop is received.
Effective time-management skills.
Internet speed of at least 300 Mbps download and 25 Mbps upload.
Proficiency with technology, including documentation systems, case management platforms, and communication tools.
Willingness to work occasional evenings and weekends as needed.

Responsibilities

Mentor and guide Lead Care Managers across multiple counties.
Conduct weekly one-on-one meetings to address challenges, review caseloads, and provide coaching.
Lead weekly team meetings to share updates, review cases, and encourage collaboration.
Meet with staff in person regularly to maintain a 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 receive in-person visits and high-quality care.
Monitor documentation and support staff with challenging cases.
Implement strategies to improve member engagement and satisfaction.
Serve as liaison between the 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 and pilot initiatives such as telehealth.
Stay current on best practices and integrate improvements into the program.
Lead operational huddles and bi-weekly case conferences.
Develop mentorship programs and regional staff trainings.
Prepare quarterly performance reports and maintain stakeholder relationships.
Travel to county sites and conduct in-person visits.

Benefits

160 hours of paid time off (PTO).
12 paid holidays per year, including the employee’s birthday and one floating holiday granted after one year of employment.
4 paid volunteer hours per month.
Bereavement leave, including Fur Baby Bereavement.
90% employer-paid employee-only medical benefits.
FSA and Dependent Care Account.
401(k) with company match.
Monthly stipend.
Short-term and long-term disability and AD&D.
Employee Assistance Program (EAP).
Employee discounts via Great Work Perks and Perks at Work.
Quarterly in-person events.
Fully remote work.
Opportunities for professional development and internal growth.
Personal equipment stipend for the initial laptop period.