Senior Enhanced Care Management Lead - Remote CA

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

Benefits offered by this job

PTO (160 Hours)

12 Paid Holidays per year

401(k) with Company Match

Monthly Stipend

Fully remote work within California

Job summary

Pacific Health Group is seeking an ECM Program Manager to lead the Enhanced Care Management program across California. You will supervise Lead Care Managers, ensure quality and member services, and collaborate with hospitals and providers to improve transitions and reduce readmissions.

The role emphasizes budgeting, program growth, and data-driven evaluation with substantial travel within the hiring counties.

Qualifications

• Understanding of care management principles and healthcare delivery systems.
• Experience with Medicaid/Medicare ECM program requirements.
• Strong analytical skills and data-driven program evaluation.

Responsibilities

• Lead Lead Care Managers across multiple counties and provide coaching.
• Establish benchmarks, metrics, and QA processes for program performance.
• Oversee member services, visits, and documentation quality.
• Collaborate with hospitals, providers, and community orgs to optimize care transitions.

Skills

Care management principles

Healthcare delivery systems

Medicaid/Medicare ECM

Analytical skills

Leadership

Communication skills

Education

Bachelor’s/Master’s in Healthcare Administration

Job description

Pacific Health Group is seeking an ECM Program Manager to lead the Enhanced Care Management program across California. You will supervise Lead Care Managers, ensure quality and member services, and collaborate with hospitals and providers to improve transitions and reduce readmissions.

The role emphasizes budgeting, program growth, and data-driven evaluation with substantial travel within the hiring counties.