Operations Manager

Full Circle Health Network; California (MO); Hybrid; USD 105,000 - 120,000; Full time

Benefits offered by this job

Remote/hybrid work

Competitive salary

Equal Opportunity Employer

Job summary

Full Circle Health Network is seeking an Operations Manager to oversee the Partnership Health Plan contract with providers across the California network. You will develop and monitor operational workflows, evaluate outcomes, and support providers in delivering services under the contract.

You will collaborate with leadership to expand partnerships with additional Managed Care Plans while balancing strategic oversight with hands-on execution, provider support and cross-functional coordination.

Qualifications

• Bachelor’s degree from an accredited college or university.
• Three (3) years of experience in healthcare operations, managed care or provider network management.
• Strong understanding of Medi-Cal, CalAIM and Managed Care Plan contracting.
• Proven ability to translate complex regulatory and contractual requirements into operational workflows.
• Exceptional organizational and project management skills.

Responsibilities

• Lead implementation of the Partnership Health Plan contract with providers.
• Translate contract requirements into clear operational workflows and processes.
• Ensure compliance with state, federal and health plan regulations.
• Serve as the primary contact for providers participating in the Partnership Health Plan contract.
• Develop and track key performance indicators (KPIs) to monitor contract success.

Skills

Strategic thinking

Project management

Analytical skills

Communication skills

Cross-functional collaboration

Education

Bachelor’s degree

Tools

Electronic health records

Job description

Work Location Requirement: Candidate must reside in California.

Travel Requirement: Occasional travel may be required.

Company Overview

FCHN is an integrated network of nonprofit, nationally accredited providers delivering coordinated community-based services to vulnerable children, individuals and families across California.

FCHN exists to ensure more Californians can access culturally congruent and trauma-informed care from a high-quality network of community-based organizations addressing whole-person and whole-family needs.

Our core activities include:

Serve as a single contracting vehicle for community-based providers to enroll in Medi-Cal managed care plan networks.

Reduce administrative burden so providers can focus on serving clients.

Improve coordination between providers across systems through technology infrastructure, training and administrative practice support.

FCHN embraces the population health vision of CalAIM and is closely affiliated with the California Alliance of Child and Family Services.

Position Summary

The Operations Manager will play a critical role in the successful implementation and ongoing management of the Partnership Health Plan contract with providers across the network.

This individual will develop and oversee operational workflows, monitor contract performance, evaluate outcomes and support providers in delivering services under the contract. The Operations Manager will also collaborate with leadership to assess opportunities to expand partnerships with additional Managed Care Plans.

This role requires a strong background in healthcare operations, deep understanding of Medi-Cal and Managed Care Plan requirements and the ability to balance strategic oversight with hands-on operational execution, provider support and cross-functional coordination.

Key Responsibilities

Contract Implementation & Management

Lead implementation of the Partnership Health Plan contract with providers.

Translate contract requirements into clear operational workflows and processes.

Ensure compliance with state, federal and health plan regulations.

Provider Support & Relationship Management

Serve as the primary contact for providers participating in the Partnership Health Plan contract.

Provide ongoing technical assistance, training and operational guidance.

Troubleshoot and resolve provider issues timely and collaboratively.

Performance Monitoring & Reporting

Develop and track key performance indicators (KPIs) to monitor contract success.

Analyze provider performance data and identify areas for improvement.

Prepare reports and dashboards for leadership, providers and Managed Care Plans.

Operational Development

Design and refine workflows to improve efficiency and provider experience.

Collaborate with cross-functional teams to support system integration and process improvements.

Evaluate contract successes and identify best practices to scale across the network.

Expansion & Strategic Growth

Support leadership in evaluating opportunities to onboard additional Managed Care Plans.

Develop operational readiness plans for new contracts and services.

Ensure smooth transitions during expansion to new payors or programs.

Essential Functions

Exercise independent judgment and discretion in implementing and managing operational workflows associated with health plan contracts and provider participation.

Translate contractual, regulatory and program requirements into practical operational processes and implementation plans.

Monitor contract and provider performance, analyze operational data, identify trends or barriers and recommend improvements.

Provide operational guidance, technical assistance, training and problem resolution to participating providers.

Coordinate across internal departments and external stakeholders to support system integration, contract implementation, provider readiness and continuous improvement.

Develop and maintain reports, dashboards, key performance indicators, workflows and other operational documentation.

Support organizational expansion into additional Managed Care Plans, payors, programs or services through readiness planning and implementation coordination.

Maintain compliance with organizational policies, confidentiality requirements and applicable federal, state, contractual and health plan requirements.

Prioritize multiple assignments, manage competing deadlines and support organizational objectives in a dynamic work environment.

Perform other related duties consistent with position responsibilities.

Required Qualifications

Bachelor’s degree from an accredited college or university.

Three (3) years of experience in healthcare operations, managed care or provider network management.

Strong understanding of Medi-Cal, CalAIM and Managed Care Plan contracting.

Proven ability to translate complex regulatory and contractual requirements into operational workflows.

Exceptional organizational and project management skills.

Strong analytical skills with experience in performance monitoring and reporting.

Excellent communication and relationship management skills.

Ability to work independently and collaboratively.

Knowledge, Skills & Abilities

Strategic and operational thinking.

Problem-solving and decision-making.

Provider and stakeholder engagement.

Compliance and regulatory knowledge.

Adaptability and growth mindset.

Exceptional verbal and written communication skills.

Ability to analyze referral patterns, provider capacity, performance data and operational information.

Strong time management and task tracking.

Practical problem-solving in operational and provider workflows.

Cross-functional team collaboration.

Proficiency with electronic health records, case management systems, reporting tools and communication platforms.

Strong commitment to compliance and confidentiality.

Core Competencies

Communication Skills: Exceptional verbal and written communication to engage clients and collaborate with partners.

Analytical Thinking: Ability to analyze referral patterns, provider capacity, performance data and operational information to inform decisions.

Organizational Skills: Strong time management and task tracking for timely documentation and follow-up.

Problem-Solving: Responsive to challenges in operational and provider workflows, offering practical solutions.

Adaptability and Flexibility: Comfortable navigating changing systems, priorities and client needs.

Project Management: Capable of managing operational implementation and coordination with minimal supervision.

Team Collaboration: Works effectively within cross-functional teams and provider networks.

Technical Proficiency: Competent using electronic health records, case management systems, reporting tools and communication platforms.

Compliance and Confidentiality: Adheres strictly to privacy laws, regulations, contractual requirements and company policies.

Expected Hours

This is an exempt position. Employees are expected to be available during regular business hours Monday through Friday and work the hours necessary to fulfill position responsibilities, including additional time as needed to meet business and operational requirements.

Supervisory Responsibilities

This position exercises supervisory authority as delegated by management and in accordance with FCHN policy and applicable law.

This position may be performed in the Sacramento office and/or a remote or hybrid work environment based on organizational and business needs. The role includes administrative, analytical, operational, project management, provider support and communication responsibilities requiring regular use of a computer, virtual meeting platforms and organizational systems.

Work Location & Home Office Requirement

The employee must reside in California, maintain a suitable work environment for the assigned remote or hybrid arrangement and comply with FCHN work location, confidentiality, technology and security requirements.

Physical Demands

This position requires the ability to sit for extended periods, use a computer and standard office equipment, communicate via phone and video conferencing and participate in meetings and operational activities as needed.

The employee must be able to perform essential functions with or without reasonable accommodation. The position may require lifting and moving equipment or materials up to 15 pounds.

Compensation

Salary Range: $105,000–$120,000

Final compensation will be determined based on experience, qualifications, internal equity and organizational budget considerations.

Why Join FCHN?

At FCHN, you will help shape healthcare operations and provider partnerships that strengthen access to community-based care throughout California. You will work across providers, health plans, technology, operations and leadership to support successful implementation of CalAIM and managed care initiatives.

FCHN is an Equal Opportunity Employer committed to maintaining a diverse, inclusive and respectful workplace. Qualified applicants will receive consideration for employment without regard to any characteristic protected by applicable federal, state or local law.

Reasonable Accommodation

FCHN provides reasonable accommodations to qualified individuals with disabilities and for sincerely held religious beliefs in accordance with applicable law. Applicants requiring accommodation during the application or interview process may contact Human Resources.

Background and Reference Checks

Any offer may be contingent upon successful completion of job-related reference checks and other lawful pre-employment screenings. Any criminal history inquiry or background check will be conducted only after a conditional offer and in accordance with the California Fair Chance Act and other applicable laws.