Director, ECM Training – Quality

This is a fully remote position, open to applicants in Arizona, +10 more states.

📋 Description

• Design, implement, and oversee the ECM operational quality management program for all health plans and ECM lines of business.

• Establish quality standards across the enterprise, set documentation expectations, and promote operational best practices.

• Create standardized workflows and quality governance processes to enhance consistency among ECM teams.

• Develop scalable quality assurance frameworks that facilitate organizational growth and payer expansion.

• Collaborate with Clinical Operations leadership to align operational quality initiatives with care delivery objectives and member outcomes.

• Lead the organization’s preparedness for audits conducted by health plans, DHCS, and regulatory bodies.

• Oversee internal audit programs that focus on ECM documentation quality, workflow compliance, adherence to timeliness standards, and regulatory compliance.

• Create and maintain audit readiness scorecards, corrective action plans, and monitoring processes.

• Analyze trends in quality, audit findings, operational KPIs, and performance data to pinpoint areas for improvement.

• Develop and manage onboarding, educational, remediation, and competency programs for ECM personnel.

⛳️ Requirements

• A minimum of 7 years of experience in healthcare operations, care management, population health, managed care, or quality operations.

• At least 3 years of leadership experience in managing operational quality, audits, education, or initiatives aimed at performance improvement.

• Strong understanding of CalAIM ECM requirements, Medi-Cal managed care operations, and expectations of health plans.

• Proven leadership experience in developing clinical education, training programs, and quality improvement operational processes in dynamic or rapidly growing healthcare settings.

• Practical experience with regulatory compliance and involvement in at least one full accreditation cycle.

• Extensive knowledge in analyzing operational data, quality metrics, and performance trends to inform business decisions.

• Excellent written and verbal communication skills with the capability to convey complex clinical and regulatory concepts to diverse audiences.

• Ability to work collaboratively across geographically dispersed, interdisciplinary care teams.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Income protection benefits.

• Flexible PTO.

• Company holidays.

• 401k.

• Access to additional wellness benefits.