Care Management Operations Specialist

Partners in Care Foundation In; San Fernando (CA); On-site; USD 60,000 - 85,000; Full time

Job summary

Partners in Care Foundation is seeking a Care Management Operations Coordinator to support daily operations of the Care Management programs, ensuring compliant, high-quality service delivery and effective cross-team communication.

The role emphasizes data management, billing reconciliation support, and collaboration with internal teams and external partners to improve healthcare outcomes. Detail-oriented, organized, and customer-focused candidates will excel.

Qualifications

• Bachelor’s degree preferred in business, health administration, social work, human services, or related field.
• Minimum of 2 years’ experience in healthcare, social service programs, or clinical/behavioral health and office settings.
• Experience with data and metrics analysis preferred.
• Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
• Experience with Salesforce and/or other health system software/portals preferred.

Responsibilities

• Support daily operations for Care Management programs, including outreach campaigns, direct referrals, enrollment outcomes, retention, and workflow management.
• Input and manage referral information in internal data systems; follow up on referral disposition in databases and payor platforms.
• Monitor project progress, alert supervisor to workflow delays, and assist in resolving operational issues.
• Collaborate with internal teams, external vendors, customers (i.e. managed care plan staff) and clients (i.e. members) to ensure quality service delivery and compliance.
• Assist with billing reconciliation, external vendor invoicing, and data entry.
• Participate in team meetings, trainings, and program-related activities.
• Maintain accurate records, reports, and documentation for accountability and compliance.
• Provide excellent customer service to internal and external stakeholders, addressing inquiries and escalating issues as needed.
• Suggest process improvements using analytics and actively participate in implementing approved changes.
• Ensure standards and requirements are met through quality assurance activities.
• Other duties as assigned by the Care Management Operations Supervisor.
• Strong attention to detail and follow-through.
• Excellent organizational, verbal, and written communication skills.
• Ability to multitask, work under pressure, and adapt to changing priorities.
• Team player with a collaborative mindset.
• Strong data entry and computer skills.
• Knowledge of community-based programs and resources.
• Ability to work independently within established guidelines and checklists.

Skills

Data analysis

Communication

Attention to detail

Team collaboration

Multitasking

Customer service

Microsoft Office

Education

Bachelor's degree preferred

Tools

Salesforce

Excel

Job description

Partners in Care Foundation is seeking a Care Management Operations Coordinator to support daily operations of the Care Management programs, ensuring compliant, high-quality service delivery and effective cross-team communication.

The role emphasizes data management, billing reconciliation support, and collaboration with internal teams and external partners to improve healthcare outcomes. Detail-oriented, organized, and customer-focused candidates will excel.