UCLA Health
Program Manager, Managed Care Operations
- +2
- +4
- Los Angeles, California
- +2
- +4
- Los Angeles, California
À propos
UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the execution of key initiatives across departments including Quality Management, Appeals & Grievances, Credentialing, Member Services, Provider Relations, and Compliance. Under the guidance of the Assistant Director, you'll lead operational projects, coordinate process improvements, and drive performance monitoring efforts.
This position involves high-level collaboration with internal stakeholders and external partners, ensuring timely execution of deliverables, compliance with health plan requirements, and the implementation of cross-functional solutions that support strategic and financial goals.
In this role, you will:
- Oversee project planning, execution, and performance monitoring for departmental programs and initiatives; coordinate task completion across functional teams.
- Lead regulatory change implementation, mock audits, policy development, and internal quality reviews to support readiness and compliance.
- Analyze data and reporting trends to identify performance gaps and recommend process improvements; develop tools and documentation to support resolution.
- Manage communication strategies, project timelines, CRM process enhancements, and testing efforts in partnership with system and operations teams.
- Evaluate and improve current workflows, lead stakeholder meetings, and track project milestones while keeping leadership informed of progress and risks.
- Stay current on industry regulations, support UAT initiatives, and participate in strategic planning related to managed care operations.
Salary Range: $83,800 - $179,400 annually
Compétences idéales
- Quality Management
- Data Analysis
- Stakeholder Management
- Strategic Planning
Expérience professionnelle
- General Project Management
- Product Owner / Product Manager
Compétences linguistiques
- English