Pacific Health Group · 12 hours ago
Enhanced Care Management Program Manager - Northern California Region
San Jose, California, United States
Full-time
Onsite
Senior Level
5+ years expPacific Health Group is a healthcare organization focused on driving real change in care delivery. They are seeking an ECM Program Manager to lead the Enhanced Care Management program, ensuring vulnerable populations receive the necessary support and advocacy for healthier lives while overseeing regional teams and program quality.
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
Regular travel (50–60%) to county sites in California
Occasional evening or weekend availability for program initiatives
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
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