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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing Enhanced Care Management programs, overseeing clinical operations, and ensuring compliance with regulatory requirements. Proven ability to lead diverse teams, develop strategic initiatives, and drive business results through effective P&L management.
Highest-signal resume keywords
Enhanced Care Management ExperiencePeople Management ExperienceP&L ResponsibilityManaged Care Programs UnderstandingRemote Workforce Supervision
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementProgram DevelopmentQuality AssuranceData ManagementCrisis ManagementStaff TrainingKPI DevelopmentClaims SubmissionEHR ReportingBusiness Problem Resolution
Soft Skills
CollaborationAdaptabilityLeadershipCommunicationCultural Competence
Tools & Technologies
Microsoft ApplicationsGoogle ApplicationsEHR Systems
Industry Keywords
CalAIM ComplianceHealthcare OperationsPatient CareClient ExperienceRegulatory Requirements
About the role
Key responsibilities & impact- Direct and oversee operations of Vynca’s Enhanced Care Management program
- Develop, implement, supervise, and manage the Enhanced Case Management Program
- Supervise Clinical Managers, Clinical Consultants, Lead Care Managers, and support staff
- Refine and implement program policies, procedures, standard operating procedures, and workflows
- Oversee day-to-day ECM operations, assessments, intakes, care planning, crisis management, and transition plans
- Ensure CalAIM contract goals, objectives, regulatory requirements, data requirements, and SLAs are met
- Maintain records and billing requirements to required standards
- Oversee staffing and staff training
- Run EHR reports as needed
- Oversee claims submission, denials, and receipt of payments
- Represent the organization with the public, local businesses, employers, health plans, vendors, and regulators
- Provide ECM reports to management and managed care plans
- Develop strategic messaging and address patient objections
- Manage quality assurance programs and client experience
- Develop KPIs aligning team performance with business objectives
- Manage P&L and report business results in monthly operations reviews
- Resolve complex business problems and pivot as needed
- Collaborate with department leaders, business development, and clinical operations on referral management and patient onboarding
- Support the VP of Clinical Operations in developing strategies for improved health outcomes, patient care, and cost of care
- Model Vynca’s core values and ensure staff understand the organization’s values and mission
- Travel occasionally for leadership meetings, staff training, job duties, and company events
Requirements
What you’ll need- Bachelor's Degree required or an equivalent combination of education and experience
- 5+ years of people management experience in a similar environment
- Remote workforce and/or multi-site supervisory experience required
- 3+ years of care management experience required
- Experience with Enhanced Care Management programs highly preferred
- Strong understanding of managed care programs highly preferred
- Proven, results-driven business leader with P&L responsibility experience
- Proficient with Microsoft and Google applications, plus general computer literacy
- Strong adaptability to work collaboratively and cross-functionally in a remote environment
- Must have access to reliable internet connection
- Ability to work with complex and multifaceted tasks and systems
- Experience working with culturally, ethically, sexually, and socio-economically diverse populations
- Experience working with multidisciplinary teams
- Willing and able to travel a minimum of quarterly for leadership and team meetings, including staff training
- Willing and able to support Pacific Time core business hours (Monday-Friday, 8:30am-5pm)
- Must be legally authorized to work in the United States
- Background check required prior to employment
- Employees in patient, client, or customer-facing roles must be vaccinated against influenza
Benefits
Comp & perks- Medical, dental, and vision insurance
- Income protection benefits
- Flexible PTO
- Company holidays
- 401k
- Access to other wellness benefits
- Bonus
