Program Manager, Enhanced Care Management

Health Plan of San Mateo • CA

89d

About The Position

The Program Manager – Multifaceted Populations is responsible for collaborating with internal and external stakeholders to develop, oversee, and enhance Enhanced Care Management (ECM) and Community Supports programs for HPSM’s CalAIM members. They provide operational and relationship support for contracted providers and vendors, focusing on ensuring quality, accessibility, sustainability, and integration. This role emphasizes supporting ECM providers, including but not limited to those serving HPSM’s justice-involved member population.

Requirements

• Bachelor’s degree in business administration, public health, health care management, or public policy required.
• Five (5) to seven (7) years of experience as a program/project manager.
• Master’s Degree (MBA, MPH, or MPP) preferred.
• Experience with CalAIM, correctional health, and justice-involved populations preferred.
• Advanced project and program management skills, including independent execution and cross-functional coordination.
• Advanced verbal and written communication skills, with the ability to engage clearly and effectively across audiences and organizational levels.
• Advanced quality improvement/process improvement techniques skills.
• Intermediate proficiency with Microsoft Office applications for reporting and analysis.
• Intermediate skills in designing, conducting, and interpreting research and evaluation activities.
• Extensive knowledge of social determinants of health and public health policy issues.
• Extensive knowledge of interpersonal dynamics and relationship-building strategies.
• Working knowledge of financial principles, quantitative analysis, and contracting processes.
• Working knowledge of organizational behavior with a focus on achieving results.
• Working knowledge of both quantitative and qualitative research and evaluation methods.
• Extensive knowledge of regulatory and accrediting body requirements for Medicaid.
• Ability to work cooperatively with others and support team decisions.
• Ability to adapt to changes in requirements and priorities.

Nice To Haves

• Experience with CalAIM, correctional health, and justice-involved populations preferred.

Responsibilities

• Manage programs from initiation through delivery and monitor for continuous improvement.
• Plan, execute, and evaluate program initiatives to improve performance, delivering results to a wide range of audiences.
• Apply an iterative approach to process development and implementation, continuously refining strategies based on feedback and outcomes.
• Utilize critical thinking and creative problem-solving skills to proactively respond to dynamic and rapidly evolving program landscapes.
• Continuously align program goals with departmental and enterprise-wide objectives.
• Function as the main point of contact with external partners and internal stakeholders to support collaboration and program delivery.
• Lead onboarding and serve as primary liaison with external partners and vendors.
• Educate and work with external partners to identify innovations that improve outcomes.
• Participate in cross-functional business planning to support initiatives focused on member care and compliance.
• Function as an organizational subject matter expert on CalAIM Enhanced Care Management and Community Supports operations, regulatory environment, and financial structure.
• Utilize key performance indicator dashboards to assess and communicate program impact.
• Support development and implementation of process improvements and best practices by leading collaborative workgroups.
• Align stakeholders to deliverables, help contributors be accountable for deliverables, and escalate concerns as needed.
• Adhere to work performance norms and attendance expectations.
• Perform other duties as assigned.

What This Job Offers

• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 101-250 employees