Clinical Programs Manager — HEDIS, CHW Billing

Roots Community Health Center; Oakland (CA); On-site; USD 95,000 - 140,000; Full time

Job summary

Roots Community Health Center is seeking a Clinical Programs Manager to oversee operational execution, cross-program integration, and quality performance of clinical initiatives. The role focuses on building systems for CHW Medi-Cal billing and service documentation while driving HEDIS-focused program improvements.

You will partner with Clinical Directors and Medical Leadership to ensure trauma-informed, patient-centered care and staff well-being across Roots sites.

Qualifications

• Bachelor’s degree required in Public Health, Healthcare Administration, Social Work or related field.
• Minimum 3–5 years of experience coordinating clinical/public health programs.
• Experience developing Medi-Cal/CHW billing workflows and billing compliance.
• Ability to build cross-functional, trauma-informed workflows.

Responsibilities

• Oversee the development, implementation, expansion, and integration of clinical initiatives across Roots sites.
• Design SOPs and accountability workflows to support CHW billing/revenue optimization.
• Train staff on CHW billing, documentation, and EHR requirements.
• Establish KPIs for CHW productivity, documentation timelines, and claim accuracy.
• Collaborate with Finance, Billing, Compliance, and Quality to ensure DHCS/Medicaid compliance and manage escalations.
• Lead quality optimization for HEDIS measures and population health initiatives.
• Manage resources, budgets, and outreach events; support partnerships and field activities.
• Provide supervision and mentorship to program coordinators and specialists; drive staff development.
• Ensure HIPAA compliance, data reporting, and contract/grant reporting.

Skills

Program Leadership

CHW Billing

HEDIS & Quality

Resource & Budget

Cross-Program Integration

Event & Outreach

Trauma-Informed Leadership

Cross-Cultural Communication

Education

Bachelor’s degree in Public Health/Healthcare Administration/Social Work

Master’s degree (MPH, MSW, MHA, MPA)

Tools

EMR/EHR

G-Suite

Microsoft Office

Data management tools

Job description

Roots Community Health Center is seeking a Clinical Programs Manager to oversee operational execution, cross-program integration, and quality performance of clinical initiatives. The role focuses on building systems for CHW Medi-Cal billing and service documentation while driving HEDIS-focused program improvements.

You will partner with Clinical Directors and Medical Leadership to ensure trauma-informed, patient-centered care and staff well-being across Roots sites.