Senior Manager, Enhanced Care Management and Community Supports

Reporting to the Director of Care Management, the Senior Manager, Enhanced Care Management & Community Supports will oversee the operation of the CalAIM Enhanced Care Management (ECM) and Community Supports (CS) benefits. You will help implement new ECM populations of focus and Community Supports, as part of a whole-system, person-centered delivery system reform to improve quality of care to members.

Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office.

Salary: $130,000 to $150,000 per year

WHAT YOU WILL DO:

• Help develop and execute short-term strategies for implementation of the ECM and CS benefits and contribute to long-term strategies for whole-person and whole-system care for high-need members.
• Responsible for the overall project coordination, including planning and sequencing work, setting milestones and deadlines, assigning responsibilities, facilitating cross-functional workgroups, monitoring progress, and reporting project status.
• Drive contracting, coordination, onboarding and management of ECM/CS network and programs.
• Represent SFHP in external events and collaborations with community-based organizations, government agencies, and other local partners
• Support consistent operational compliance and timely reporting to satisfy and exceed state and federal standards.
• Contribute to planning and implementation phases of new or enhanced benefits, or pilots that will improve implementation of CalAIM.
• Provide direct oversight and guidance to the ECM & CS staff, thereby creating a high-performing team through coaching individuals to set and exceed personal and department goals, providing opportunities for staff in self-learning and skill development and promoting a healthy team atmosphere.

WHAT YOU WILL BRING:

• Bachelors' degree in policy, administration, healthcare or related field, or equivalent work experience.
• 3 to 5 years of experience in leadership or management
• 3 to 5 years of related experience collaborating with external partners to achieve shared goals. Experience in delivery and implementation of large-scale health plan initiatives.
• Knowledge of Health Plan primary functions of Medi-Cal and CalAIM.
• Knowledge of Health Plan or Integrated Delivery system models of case management and care coordination best practices.

WHAT WE OFFER:

• Health Benefits
  
  
  
  • Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
  • Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
  • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
  
  
  
  
• Retirement - Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
• Time off - 23 days of Paid Time Off (PTO) and 13 paid holidays.
• Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT SFHP:

Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.

#LI-Hybrid

(Hybrid remote/in-office)

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