Enhanced Care Management Program Manager

Pacific Health Group; California (MO); On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

160 Hours of Paid Time Off (PTO)

12 Paid Holidays per year

4 Paid Volunteer Hours per Month

90% Employer-paid Employee-Only Medical Benefits

401(k) with Company Match

Opportunities for professional development

Job summary

A leading healthcare organization in San Jose, California is seeking an ECM Program Manager to lead the Enhanced Care Management program. The role involves overseeing teams, ensuring quality member services, and driving program innovation. The ideal candidate will have significant experience in healthcare management and a commitment to health equity. This position offers a salary range of $80,000 - $90,000 and comprehensive benefits including 160 hours of PTO, health insurance, and opportunities for professional development.

Qualifications

• 5+ years in healthcare management, including 3+ years in care/case management.
• 2+ years managing Enhanced Care Management or intensive care management programs.

Responsibilities

• Lead and supervise Lead Care Managers across multiple counties.
• Monitor staff performance and implement quality assurance protocols.
• Ensure members receive high-quality care through in-person visits.
• Collaboration with hospitals, providers, and community organizations.
• Develop and manage program budgets and resources.

Skills

Leadership

Communication

Analytical skills

Care management principles

Education

Bachelor’s or Master’s in Healthcare Administration, Public Health, Nursing, or related field

Job description

ECM Program Manager

Pacific Health Group | Transforming Care Through Connection

At Pacific Health Group, we’re more than just a healthcare organization—we’re driving real change. As an ECM Program Manager, you’ll lead our Enhanced Care Management program, making sure vulnerable populations get the care, support, and advocacy they need to live healthier, more stable lives. You’ll guide regional teams to deliver compassionate, person-centered care that improves outcomes and supports our mission to close health equity gaps across California.

Role Overview

This position is all about leadership, program oversight, and innovation. You’ll supervise Lead Care Managers across Santa Clara County, northern and central California, ensuring the team has the support and resources needed to succeed. You’ll oversee program quality, member services, cross-functional partnerships, budgeting, and program growth initiatives. Your work will directly impact the lives of high-need populations while strengthening Pacific Health Group’s reputation for excellence in care.

Key Responsibilities

Team Leadership & Supervision

• Mentor and guide Lead Care Managers across multiple counties.
• Conduct weekly one-on-ones to address challenges, review caseloads, and provide coaching.
• Lead weekly team meetings to share updates, review cases, and encourage collaboration.
• Meet in-person with staff regularly to maintain strong leadership presence.

Program Development & Quality Assurance

• 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.

Member Services Oversight

• Ensure members are receiving in-person visits and high-quality care.
• Monitor documentation and provide support for challenging cases.
• Implement strategies to improve member engagement and satisfaction.

Cross-Functional Collaboration

• Serve as liaison between 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.

Budget & Resource Management

• Develop and manage program budgets, allocate resources efficiently, and track expenditures.
• Adjust staffing and resources based on member needs and program priorities.

Program Innovation & Growth

• Identify opportunities to enhance program effectiveness.
• Pilot new initiatives such as telehealth to expand access to care.
• Stay current on best practices and integrate improvements.

Additional Examples

• Lead operational huddles and bi-weekly case conferences.
• Develop mentorship programs and regional trainings for staff.
• Prepare quarterly performance reports and maintain stakeholder relationships.

Qualifications

Education & Experience

• Bachelor’s or Master’s in Healthcare Administration, Public Health, Nursing, or related field.
• 5+ years in healthcare management, including 3+ years in care/case management.
• 2+ years managing Enhanced Care Management or intensive care management programs.

Knowledge & Skills

• 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.

Personal Attributes

• Strong leadership and communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Commitment to person-centered care and health equity.

Working Conditions

• Regular travel (65%) to county sites in California.
• Occasional evening or weekend availability for program initiatives.

Compensation

• Pay: $80,000 - $90,000 annual salary

• Must reside within Santa Clara County
• Valid California Driver’s License (Class C minimum) and personal, operable vehicle.
• Employment contingent on successful background and Motor Vehicle Report (MVR) checks.

Benefits & Perks

• 160 Hours of Paid Time Off (PTO)
• 12 Paid Holidays per year, including your birthday and one floating holiday granted after 1 year of employment
• 4 Paid Volunteer Hours per Month to support causes you care about
• Bereavement Leave, including Fur Baby Bereavement
• 90% Employer-paid Employee-Only Medical Benefits
• FSA | Dependent Care Account
• 401(k) with Company Match
• Monthly Stipend
• Short-Term & Long-Term Disability | AD&D
• Employee Assistance Program (EAP)
• Employee Discounts via Great Work Perks and Perks at Work
• Quarterly In-Person Events
• Fully remote work within California
• Opportunities for professional development and internal growth