ECM Operations Lead: Care Coordination & Compliance

copehealthcareconsulting; Sacramento (CA); On-site; USD 73,000 - 87,000; Full time

Benefits offered by this job

Wellness stipend

Paid parental leave

Comprehensive insurance

Job summary

COPE Health Solutions is seeking an ECM Supervisor in California to oversee daily ECM operations, provide leadership, training, and care coordination oversight.

You will ensure documentation, billing submissions, data integrity, and collaboration across teams while promoting quality, privacy, and compliance.

Qualifications

• Bachelor’s or master’s degree in a health-related field is preferred.
• 2+ years of supervisor/leadership experience preferred.
• Valid driver’s license with reliable vehicle and car insurance.
• Ability to travel up to 50%.

Responsibilities

• Supervises ECM team members with guidance, training, and development.
• Manages day-to-day operations of ARC CM/ECM platform ensuring availability and performance.
• Identifies bottlenecks and improves department efficiency.
• Maintains ECM policies, procedures, and standards.
• Leads care coordination workflows and staff onboarding.
• Oversees MCP reporting and manages provider portal access.
• Maintains data privacy and PHI compliance.

Skills

Supervision

Leadership

Training

Staff development

Communication

Education

Bachelor’s or Master’s degree in health-related field

Job description

About the Position

The ECM Supervisor is responsible for overseeing the daily operations, administration, and support of the Enhanced Care Management (ECM) team. This role provides leadership through staff training, mentoring, case consultation, and care coordination oversight to ensure the delivery of high-quality, patient-centered services. The ECM Supervisor promotes adherence to organizational policies, regulatory requirements, and documentation standards while supporting continuous quality improvement initiatives. Additionally, the position is responsible for monitoring workflow efficiency, ensuring accurate and timely documentation and billing submissions, maintaining data integrity, and fostering collaboration across interdisciplinary teams to improve health outcomes for ECM members.

Position Details

FLSA Status:Exempt
Salary Range:$73,310–$86,997 annually
Reports To: Regional Program Manager
Direct Reports:Yes
Location:On-site – Sacramento, CA
Travel:Up to 70%
Work Type:Regular
Schedule:Full-Time

Key Responsibilities

• Supervises and leads ECM team members, providing guidance, training, performance management, and professional development.
• Manage day-to-day operations of ARC CM/ECM platform, ensuring system availability, security, and performance.
• Evaluated daily operational bottlenecks and made independent procedural decisions that increased overall department efficiency.
• Maintain ECM policies, procedures, and standards.
• Serve as the primary resource and subject matter expert for ECM operations, providing leadership and direction to care team staff. Coach and mentor team members on care coordination workflows, pre and post enrollment engagement documentation standards, and care planning requirements. Identify opportunities for process improvement, recommend best practices, and support staff in delivering high-quality, culturally responsive care that aligns with organizational goals and ECM program requirements.
• Oversee and ensure timely completion of all Managed Care Plan (MCP) required reporting and serve as the administrator for provider portal access, maintenance, and user management.
• Excellent communication and interpersonal skills to effectively collaborate with diverse stakeholders.
• Manage highly sensitive HR and executive information, ensuring data integrity and strict privacy compliance such as:

1. Reviewing and addressing employees and clients’ concerns that involve private information.
2. Deciding how to handle situations involving protected health information (PHI), personnel matters, or compliance issues.
3. Escalating issues when necessary while maintaining confidentiality.

• Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
• Promote growth of team members in areas of patient-centered care, education, and cross-organizational care.
• Trains new team members and provides ongoing staff development instruction.
• Conveys all questions and concerns of team regarding clients and plan of care to managers and clinical consultants.
• Lead onboarding, orientation, and training of staff.
• Assign incoming patient referrals and monitor volume of referrals assigned to staff.
• Ensure employees have the needed tools and resources to achieve goals and ensure compliance.
• Work closely with Regional Program Managers on day-to-day program operations.
• Collaborate with Regional Program Managers on team productivity and outreach tracking.

Required Qualifications

• Bachelor’s and/or master’s degree in a health-related field is preferred
• 2 + years of supervisor/leadership experience preferred
• Must have valid driver’s license with reliable vehicle and car insurance
• Ability to travel up to 50%

Benefits

As a firm passionate about healthcare, we are deeply committed to the health and wellness of our team members. We offer comprehensive and affordable insurance plans for employees and their families, along with a variety of additional benefits, including a yearly wellness stipend and paid parental leave.

Learn more about our benefits:
https://copehealthsolutions.com/careers/why-cope-health-solutions/

About COPE Health Solutions

COPE Health Solutions is a national, tech-enabled services firm powering success for health plans and providers participating in risk arrangements. Our comprehensive, NCQA-certified population health management platform and highly experienced team bring deep expertise, proven tools, and established processes to improve financial performance and quality outcomes for payers and providers.

COPE Health Solutions helps de-risk the transition to advanced value-based payment models while improving quality and financial performance for providers, health plans, and self-insured employers.

For more information, visithttps://copehealthsolutions.com/.

To Apply

To apply for this position or learn more about career opportunities at COPE Health Solutions, visit:
https://copehealthsolutions.com/careers/open-positions/