Job Overview
Location
Remote - United States
Job Type
Full-time
Category
Human Resources
Date Posted
June 4, 2026
Full Job Description
📋 Description
- • Supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff to ensure effective delivery of the Enhanced Care Management (ECM) program
- • Refine and implement program policies and procedures aligned with contractual and regulatory requirements
- • Oversee day-to-day operations of the ECM program to ensure consistent service delivery and compliance
- • Ensure all ECM contract goals, objectives, SLAs, and performance metrics are met and exceeded
- • Maintain compliance with all regulatory and data reporting requirements for ECM programs, including CalAIM
- • Ensure electronic and physical records, billing practices, and documentation standards meet organizational and legal requirements
- • Oversee assessments, intakes, care planning, crisis management, and transition plans for patients with complex needs
- • Direct and ensure comprehensive staff training programs are developed and executed
- • Generate and analyze EHR reports to monitor program performance and inform decision-making
- • Oversee claims submission, denial management, and payment receipt processes to ensure financial accuracy and timeliness
- • Represent the organization in meetings with health plans, regulatory bodies, vendors, local businesses, and community stakeholders
- • Prepare and deliver reports to management and managed care plans regarding ECM program outcomes and metrics
- • Manage CalAIM program performance and ensure successful execution of all service level agreements
- • Design and implement standard operating procedures and workflows to optimize department efficiency
- • Develop strategic messaging to communicate the company’s value proposition and address patient objections
- • Manage quality assurance programs to enhance client experience and care outcomes
- • Establish and monitor KPIs that align team performance with business objectives
- • Manage P&L for the ECM program and present accurate financial results during monthly operations reviews
- • Apply analytical and creative problem-solving to address business challenges and adapt quickly to changing priorities
- • Collaborate with business development and clinical operations teams to streamline referral management and patient onboarding
- • Model and reinforce the company’s core values of Excellence, Compassion, Curiosity, and Integrity across all team interactions
- • Perform other related duties as assigned
🎯 Requirements
- • Bachelor’s Degree, highly preferred
- • 5+ years of people management experience
- • 3+ years of care management experience
- • Experience with Enhanced Care Management programs, highly preferred
- • Proven experience with P&L responsibility
- • Proficiency with Microsoft and Google applications and general computer literacy
🏖️ Benefits
- • Remote work environment with occasional required travel for training and meetings
- • Opportunity to work with a mission-driven team focused on improving care for individuals with complex needs
- • Employment eligibility verification through E-Verify upon hire
- • Influenza vaccination requirement for patient-facing roles (with consideration for religious or medical accommodations)
- • Equal opportunity employer committed to diversity, inclusion, and compliance with federal, state, and local laws
- • Background screening, including potential drug or health screenings, required prior to employment
Skills & Technologies
About Vynca
VyncaCare is a healthcare services and technology company focused on serious illness management. They work with healthcare providers, health plans, and risk-bearing organizations to deliver palliative care, advance care planning, care coordination, symptom management, and supportive care services. Their model combines virtual and in-person care, with interdisciplinary teams who help patients and families facing complex, chronic, or life-limiting illnesses. They aim to improve quality of life, reduce unnecessary hospital visits, and make serious illness care more accessible, especially at home.
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