Lead ECM Program Manager - Remote

Pacific Health Group; Clearlake (CA); On-site; USD 80,000 - 85,000; Full time

Benefits offered by this job

PTO 160 hours

12 Paid Holidays per year

4 Paid Volunteer Hours per Month

401(k) with Company Match

Medical Benefits (Employer-paid 90% CF

Monthly stipend

Fully remote work within California

Job summary

Pacific Health Group is seeking an ECM Program Manager to lead Enhanced Care Management across California, overseeing Lead Care Managers, program quality, and member services with a commitment to health equity and outcomes.

You will supervise teams, drive process improvements, manage budgets, and collaborate with hospitals and community partners to expand access and ensure high-quality care for high-need populations.

Qualifications

• 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 (ECM) or intensive care management programs.

Responsibilities

• 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.
• 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.
• 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.
• 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.
• Develop and manage program budgets, allocate resources efficiently, and track expenditures.
• Adjust staffing and resources based on member needs and program priorities.
• 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.
• Lead operational huddles and bi-weekly case conferences.
• Develop mentorship programs and regional trainings for staff.
• Prepare quarterly performance reports and maintain stakeholder relationships.

Skills

Care management principles

Medicaid/Medicare knowledge

Data-driven evaluation

Leadership & communication

Education

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

Job description

Pacific Health Group is seeking an ECM Program Manager to lead Enhanced Care Management across California, overseeing Lead Care Managers, program quality, and member services with a commitment to health equity and outcomes.

You will supervise teams, drive process improvements, manage budgets, and collaborate with hospitals and community partners to expand access and ensure high-quality care for high-need populations.