Associate Program Director of CalAIM Job Type :

Full-Time Location :

Playa Del Rey ,

CA Schedule:

Monday-Friday | 8:00 AM-4:30

PM Work Arrangement :

Remote Travel:

One office visit per quarter to offices in Sacramento, San Diego, Los Angeles, and Orange County Job Summary We are seeking an experienced Associate Program Director of CalAIM to oversee and support CalAIM and community-based programs. This role will partner with the Program Director to ensure compliance, quality service delivery, positive outcomes, and effective team performance while collaborating with healthcare providers, managed care plans, and community partners. Roles & Responsibilities Oversee day-to-day CalAIM programs, including Enhanced Care Management (ECM) and Community Supports. Provide clinical and administrative supervision, coaching, and performance management to multidisciplinary staff. Monitor enrollment, productivity, KPIs, billing accuracy, and outcome measures. Develop and implement program policies, workflows, and standard operating procedures. Monitor compliance with CalAIM, Medi-Cal, HIPAA, DHCS, state, federal, and payer requirements. Conduct chart reviews, quality assurance audits, utilization reviews, and documentation oversight. Support program audits, corrective action plans, and continuous quality improvement initiatives. Collaborate with finance and billing teams to ensure accurate documentation and reimbursement. Assist with budget monitoring, resource allocation, and operational planning. Build relationships with healthcare providers, managed care plans, community-based organizations, and local stakeholders. Represent the organization at community meetings, CalAIM trainings, conferences, and stakeholder events. Provide crisis consultation and clinical guidance for complex cases. Promote trauma-informed, culturally responsive, and person-centered care. Education, Licensure, and Experience Active, unrestricted California license as an LCSW, LMFT, or LPCC. Master's degree in Social Work, Marriage and Family Therapy, Counseling, Psychology, or another behavioral science field eligible for California licensure. 3-5 years of supervisory or management experience in behavioral health, healthcare, care management, homeless services, or related social services. Experience managing multiple managed care plans. Experience with CalAIM, Enhanced Care Management, Community Supports, and/or Medi-Cal programs. Knowledge of care coordination models, clinical documentation, quality assurance, utilization review, and regulatory compliance. Experience with program development, contract compliance, performance metrics, and quality improvement. Experience with accreditation standards, DHCS requirements, and managed care organizations. Proficiency with EHR systems, Microsoft Office, data reporting, and medical billing processes. Preferred Qualifications Certification or training in trauma-informed care, motivational interviewing, or other evidence-based practices. Core Competencies Clinical Leadership Program Management Team Development and Supervision Quality Assurance and Compliance Strategic Planning Budget and Resource Management Community Partnership Development Data-Driven Decision Making Conflict Resolution Cultural Humility and Trauma-Informed Care Communication and Collaboration Ethical Practice and Professional Integrity Benefits Medical Dental Vision 401(k) PTO Sick Time For more information, please reach out to Lara Clark at 469-294-9475 or lara.clark@protouchstaffing.com.