CARE MANAGEMENT DISTRICT MANAGERLocation: Southfield, MI (Headquarters) - Minimal travel to EPIC Health clinic locations required
Employment Type: Full-Time
Schedule: 8:00 AM - 4:00 PM or 9:00 AM - 5:00 PM or 10:00 AM - 6:00 PM
Reports To: Director of Care Management
The District Manager oversees operations for programs including:- Chronic Care Management (CCM)
- Principal Care Management (PCM)
- Advanced Primary Care Management (APCM)
- Transitional Care Management (TCM)
- Behavioral Health Integration (BHI)
- Collaborative Care Management (CoCM)
- Remote Patient Monitoring (RPM)
- Remote Therapeutic Monitoring (RTM)
- Other current and future CMS-approved care management programs
WHAT YOU'LL DOOPERATIONAL LEADERSHIP- Execute the strategic vision established by the Director of Care Management.
- Lead implementation and adoption of new care management programs, workflows, and operational initiatives.
- Coordinate implementation activities with clinic leadership and operational teams.
- Monitor implementation progress and resolve operational barriers.
- Provide feedback and recommendations to support continuous improvement.
OPERATIONS MANAGEMENT- Ensure consistent execution of approved workflows, SOPs, and organizational policies.
- Conduct routine operational reviews to evaluate productivity, workflow compliance, patient engagement, and program performance.
- Monitor KPIs, KRIs, dashboards, and operational scorecards.
- Develop and implement corrective action plans to address operational gaps.
- Promote consistency and standardization across assigned clinics and districts.
PROVIDER & CLINIC ENGAGEMENT- Build strong relationships with providers, Medical Directors, Business Administrators, Care Management Supervisors, and clinic leaders.
- Drive provider participation and engagement in care management programs.
- Support change management, workflow optimization, and operational coaching.
- Resolve issues affecting provider efficiency, patient access, and care coordination.
FINANCIAL & OPERATIONAL PERFORMANCE- Drive achievement of operational, productivity, enrollment, reimbursement, and financial goals.
- Monitor documentation quality and revenue cycle performance.
- Identify opportunities to improve efficiency and optimize resources.
QUALITY, COMPLIANCE & RISK MANAGEMENT- Support Quality Assurance (QA) and Quality Control (QC) initiatives.
- Conduct operational audits and monitor regulatory compliance.
- Develop corrective action plans for compliance and operational deficiencies.
- Escalate significant regulatory, operational, or patient safety concerns when appropriate.
LEADERSHIP & TEAM DEVELOPMENT- Coach, mentor, and support Care Management Managers and operational leaders.
- Assist with onboarding, competency validation, leadership development, and continuing education.
- Foster a culture of accountability, collaboration, continuous improvement, and patient-centered care.
PERFORMANCE & TECHNOLOGY- Monitor district performance against organizational goals and quality metrics.
- Conduct routine business reviews with clinic leadership.
- Support implementation of new technologies, EHR workflows, automation tools, dashboards, and patient registries.
- Assist with workflow validation, user acceptance testing (UAT), and technology adoption.
WHAT YOU BRINGREQUIRED QUALIFICATIONS- Bachelor's degree in Healthcare Administration, Nursing, Business Administration, Public Health, or a related field.
- 5+ years of progressive healthcare operations leadership experience.
- Experience implementing and managing CMS care management programs.
- Experience in ambulatory care, value-based care, population health, or primary care operations.
- Strong knowledge of CMS reimbursement methodologies, quality reporting, and regulatory requirements.
PREFERRED QUALIFICATIONS- Master's degree (MBA, MHA, MPH, MSN, or related field).
- Experience leading multi-site healthcare operations.
SKILLS & COMPETENCIES- Healthcare operations leadership
- Population health and value-based care
- Financial and operational management
- Regulatory compliance
- Process improvement and change management
- Project management
- Healthcare analytics and strategic planning
- Leadership development and team coaching
- Cross-functional collaboration
- Excellent communication, analytical, and problem-solving skills
WHAT WE OFFER- Competitive compensation
- Medical, Dental, and Vision Insurance
- 401(k) Retirement Plan
- Paid Time Off and Holiday Pay
- Professional development and advancement opportunities
- Supportive, collaborative, and mission-driven work environment
READY TO MAKE AN IMPACT?If you're passionate about healthcare operations, value-based care, and leading high-performing teams, we'd love to hear from you.
Apply today and help shape the future of care management at EPIC Health.Visit www.epichs.org to learn more.
