Member Care Operations Specialist (iLCM)

Location: San Luis Obispo County, CA

Job Type: Full-Time

Salary: $58,000 – $68,000 per year

Language Requirement: Fluent in English (Spanish Preferred)

Join a Mission-Driven Team

At Esteem Health, we believe every person deserves to move from crisis to thriving. We’re a California-based behavioral health and telehealth company transforming how care is delivered to Medi-Cal families through data-driven, human-centered programs. Our Enhanced Care Management (ECM) model pairs two professionals—an Outbound Lead Care Manager and a Member Care Operations Specialist—who share responsibility for 100 members. Together, they guide families toward stability, self-development, and long-term well-being.If you’re organized, proactive, and passionate about helping people build better lives through structure, planning, and follow-through, this role is your opportunity to make an immediate and lasting difference.

About the Role

The Member Care Operations Specialist (iLCM) is the organizational engine behind each member’s success story. Working primarily from our local office or a remote desk environment, you serve as the control tower that keeps care plans, communications, and documentation running smoothly. You’ll partner closely with the Outbound LCM, who focuses on in-person support and addressing Social Determinants of Health (SDOH), while you lead the programmatic and personal development side of the member journey—helping families build structure, confidence, and momentum.Your superpower is turning plans into progress. You keep everyone aligned, ensure all details are documented, and make sure no step in a member’s care journey is missed.

Key Responsibilities

Operational Excellence: Develop and manage the daily “flight plan” for members, ensuring tasks, milestones, and follow-ups are executed with precision and care.
Digital Member Engagement: Communicate with members via phone, text, and Esteem’s digital platform to keep them connected, informed, and encouraged.
Support the Outbound LCM: Serve as their administrative and coordination partner—tracking SDOH needs, appointments, referrals, and program milestones.
Programmatic Development: Focus on the long-term growth side of each member’s journey by reinforcing personal development goals and tracking their progress toward stability and thriving.
Documentation & Compliance: Maintain thorough, accurate records in the EHR and ensure all work meets CalAIM and ECM standards.
Resource Coordination: Connect members to the right programs, community resources, and internal supports based on the established care plan.
Proactive Planning: Anticipate member needs and prepare next-step actions, enabling the outbound LCM to spend more time in the field delivering impact.
Team Collaboration: Participate in care team meetings, contribute ideas for improving systems, and provide data or reports that support the team’s performance goals.

What We’re Looking For

Experience in a regulated, structured, or data-driven industry such as healthcare, insurance, banking, or case management.
Strong administrative, organizational, and communication skills with the ability to manage a complex caseload.
Passion for helping others and a belief that well-planned systems can change lives.
Tech-savvy and comfortable using digital tools, EHR systems, and CRM platforms.
Familiarity with Medi-Cal or the CalAIM Enhanced Care Management (ECM) model (preferred but not required).
Fluent in English; Spanish fluency is a strong plus.

Why You’ll Love Working at Esteem Health

A mission-driven startup environment where every detail you organize makes a real human impact.
Supportive leadership and collaborative culture grounded in empathy and accountability.
Career growth opportunities in operations, program management, and leadership as we expand statewide.

Esteem Health is proud to be an equal-opportunity employer committed to building a diverse, mission-aligned team.

Job Type: Full-time

Pay: $58,000.00 - $68,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid sick time
Paid time off

Work Location: In person

Esteem Health Services PSC

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