Pacific Health Group ยท 1 month ago
ECM Program Manager - Northern California Region
Santa Clara, CA
Full-time
Hybrid
Senior Level
$80K/yr - $90K/yr
5+ years expPacific Health Group is a healthcare organization focused on transforming care through connection. As an ECM Program Manager, you will lead the Enhanced Care Management program, ensuring vulnerable populations receive the necessary care and support while overseeing program quality, member services, and cross-functional partnerships.
Health CareHospitalMedicalTelehealth
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
Qualification
Required
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
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
Strong leadership and communication skills
Ability to manage multiple priorities in a fast-paced environment
Commitment to person-centered care and health equity
Must reside within/adjacent to the Northern/Central California counties assigned
Valid California Driver's License (Class C minimum) and personal, operable vehicle
Employment contingent on successful background and Motor Vehicle Report (MVR) checks
Benefits
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
Company
Pacific Health Group
Pacific Health Group delivers integrated Medi-Cal healthcare, behavioral health, and telehealth services tailored to individual needs.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Jennifer Guerguis
Co-Founder
Company data provided by crunchbase