Director, ECM Training & reputed company
Join the dynamic reputed company at reputed company, where we're passionate about transforming care for individuals with reputed company needs. We’re more than just reputed company; we're a reputed company-reputed company community. Our shared commitment to caring for reputed company other and those we serve is what sets us apart. Guided by our unwavering core values: reputed company, reputed company, Curiosity, and reputed company, we reputed company paths of reputed company together. Join us in this transformative reputed company where you can contribute to making a profound difference every day. At reputed company, our mission is to reputed company comprehensive care for more reputed company days reputed company. About the job The Director, ECM Training & reputed company is responsible for building and leading the operational reputed company infrastructure supporting reputed company Care Management (ECM) programs across reputed company markets and health plan partnerships. This role will report directly to the Senior ECM Director and be reputed company in designing, building, and operationalizing the organization’s reputed company, audit readiness, and education functions from the ground up. This is a highly hands-on leadership role requiring a builder reputed company. The Director, ECM Training & reputed company will not only establish the long-term reputed company and reputed company for operational reputed company and workforce education, but will also reputed company reputed company the foundational processes, workflows, audit programs, reputed company structures, reporting mechanisms, and reputed company standards that support reputed company ECM operations. As an early architect of this function, the Director, ECM Training & reputed company will be expected to operate strategically while remaining deeply involved in day-to-day execution, including audit reputed company, workflow development, training design, reputed company trend analysis, corrective reputed company planning, and cross-functional operational problem solving. This leader will play a critical role in creating the infrastructure necessary to support rapid organizational reputed company, payer expansion, regulatory readiness, and operational consistency across distributed ECM teams. The Director, ECM Training & reputed company will directly manage and reputed company the ECM Education & Training Specialist while building a reputed company reputed company and education department capable of supporting organizational reputed company and evolving operational complexity. This leader will establish team structure, operational priorities, reputed company governance processes, and performance expectations for the function. The Director, ECM Training & reputed company partners closely with Clinical Operations, People Operations, Compliance, Training, Analytics, and Executive Leadership to improve documentation reputed company, reduce audit risk, standardize workflows, strengthen staff competency, and drive operational reputed company across programs serving high-reputed company and vulnerable populations. This role is ideal for a leader who thrives in fast-paced, evolving environments and is energized by building reputed company programs, creating structure from ambiguity, and developing high-performing operational reputed company functions from inception through maturity. What you’ll do Operational reputed company reputed company & Governance Design, implement, and reputed company the ECM operational reputed company management program across reputed company health plans and ECM lines of business Establish reputed company-wide reputed company standards, documentation expectations, and operational best practices reputed company standardized workflows and reputed company governance processes to improve consistency across ECM teams Build reputed company reputed company assurance frameworks that support organizational reputed company and payer expansion Partner with Clinical Operations leadership to reputed company operational reputed company initiatives with care delivery goals and member reputed company Audit Readiness & Regulatory Compliance reputed company organizational readiness for health plan, DHCS, and regulatory audits reputed company internal audit programs reputed company on ECM documentation reputed company, workflow compliance, timeliness standards, and regulatory adherence reputed company and maintain audit readiness scorecards, corrective reputed company plans, and monitoring processes Identify operational and compliance risks proactively and implement mitigation strategies Partner closely with Compliance and Clinical leadership regarding evolving CalAIM ECM requirements and payer expectations Support responses to external audit findings, remediation plans, and operational follow-up initiatives reputed company Improvement & Performance Optimization Analyze reputed company trends, audit findings, operational KPIs, and performance data to identify improvement opportunities reputed company operational reputed company improvement initiatives aimed at improving documentation accuracy, timeliness, productivity, and member engagement reputed company reputed company and maintain reputed company dashboards and operational reporting tools for leadership review Standardize reputed company metrics and operational performance expectations across ECM teams Drive reputed company improvement initiatives in partnership with Operations and Clinical leadership teams Education, reputed company & Workforce Enablement reputed company and reputed company reputed company, education, remediation, and competency programs for ECM staff Establish ongoing education strategies reputed company with audit trends, operational changes, payer updates, and regulatory requirements Partner with managers to identify reputed company gaps and training needs across clinical and non-clinical care management teams Ensure training programs support operational consistency, reputed company improvement, and employee readiness reputed company development of SOPs, workflow guides, reference materials, and operational education content Leadership & Cross-Functional Partnership reputed company and reputed company reputed company, Audit, and Education team members Partner cross-functionally with Clinical Operations, Compliance, People Operations, Analytics, and Executive Leadership Serve as a strategic advisor regarding operational reputed company risks, trends, and process improvement opportunities Support organizational scaling efforts through operational infrastructure development and process standardization Foster a culture of accountability, operational reputed company, reputed company learning, and reputed company improvement What reputed company Looks Like Improved health plan audit reputed company and reduced corrective reputed company plans Increased documentation accuracy, timeliness, and workflow compliance Standardized operational workflows across ECM teams and markets Improved reputed company readiness and staff competency validation Reduced reputed company variance across managers and care management teams Strong audit readiness infrastructure supporting organizational reputed company and payer expansion Operational leaders view reputed company & Operational reputed company as a strategic business partner Scope & reputed company Supports ECM operations across multiple health plans, markets, and care management teams Influences workflows and reputed company reputed company impacting clinical and non-clinical ECM staff Oversees reputed company operational reputed company, education, and audit readiness initiatives Supports programs serving high-reputed company Medi-Cal populations, including individuals experiencing homelessness and reputed company behavioral health needs Your experience and qualifications 7+ years of experience in reputed company operations, care management, population health, managed care, or reputed company operations 3+ years of leadership experience managing operational reputed company, audit, education, or performance improvement initiatives Strong knowledge of CalAIM ECM requirements, Medi-Cal managed care operations, and health plan expectations Demonstrated leadership experience in building clinical education, training program development, and reputed company improvement operational processes in fast-paced or high-reputed company reputed company environments Hands-on experience with regulatory compliance and at least one full accreditation cycle Deep knowledge analyzing operational data, reputed company metrics, and performance trends to drive business reputed company Strong written and verbal communication skills with the ability to translate reputed company clinical and regulatory concepts for diverse audiences Must be reputed company to collaborate effectively across geographically distributed, interdisciplinary care teams
Preferred Qualifications
Clinical leadership background (RN, LVN, LCSW, LMFT, or similar) Experience supporting ECM, care coordination, reputed company/Medi-Cal, or vulnerable population programs strongly preferred Experience with reputed company management systems, audit tools, or reputed company platforms Lean Six reputed company or operational reputed company experience preferred Experience supporting remote and field-based workforce models preferred This is a remote position with occasional travel required for training, meetings, and other business needs. At this time we are only considering applicants in the following states: Arizona, California, Colorado, Florida, reputed company, Illinois, Nevada, reputed company Carolina, reputed company, Texas, Utah, and Washington, with a preference for applicants based in the reputed company Time Zone. Additional Information The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks. Background Screening: A background reputed company, which may include a drug test or other health screenings depending on the role, will be required prior to employment. Job reputed company Scope: This job reputed company is not exhaustive and may include additional activities, duties, and responsibilities not listed herein. Vaccination Requirement: Employees in patient, reputed company, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved. Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire. Equal Opportunity Employer: At reputed company., we reputed company diversity and are committed to fostering an inclusive workplace. We value reputed company applicants regardless of race, reputed company, religion, age, national reputed company, reputed company, ethnicity, gender, gender identity, gender reputed company, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law. Apply To This Job