Director, ECM Training & Quality
New
V
VyncaHealthcare Operations
At this time we are only considering applicants in the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Nevada, North Carolina, Oregon, Texas, Utah, and Washington, Pacific Time ZoneFull-TimeDirector
Salary145,000 - 160,000 USD per year
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Job Details
- Experience
- 7+ years of experience in healthcare operations; 3+ years of leadership experience
- Required Skills
- Data Analysis
Requirements
- 7+ years of experience in healthcare operations, care management, population health, managed care, or quality operations.
- 3+ years of leadership experience managing operational quality, audit, education, or performance improvement initiatives.
- Strong knowledge of CalAIM ECM requirements, Medi-Cal managed care operations, and health plan expectations.
- Demonstrated leadership in building clinical education, training program development, and quality improvement processes.
- Hands-on experience with regulatory compliance and at least one full accreditation cycle.
- Deep knowledge analyzing operational data, quality metrics, and performance trends.
- Strong written and verbal communication skills.
- Ability to collaborate effectively across geographically distributed, interdisciplinary care teams.
Responsibilities
- Design, implement, and lead the ECM operational quality management program across all health plans and ECM lines of business.
- Establish enterprise-wide quality standards, documentation expectations, and operational best practices.
- Lead organizational readiness for health plan, DHCS, and regulatory audits.
- Oversee internal audit programs focused on ECM documentation quality, workflow compliance, and regulatory adherence.
- Analyze quality trends, audit findings, and performance data to identify improvement opportunities.
- Develop and oversee onboarding, education, remediation, and competency programs for ECM staff.
- Establish ongoing education strategies aligned with audit trends, operational changes, and regulatory requirements.
- Lead and develop Quality, Audit, and Education team members.
- Partner cross-functionally with Clinical Operations, Compliance, People Operations, and Analytics.
- Serve as a strategic advisor regarding operational quality risks and process improvement.
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