Program Manager, Managed Care Operations

General Information

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Work Location: Los Angeles, USA Onsite or Remote Flexible Hybrid Work Schedule Monday-Friday, 8:00am-5:00pm PST Posted Date 05/01/2025 Salary Range: $83800 - 179400 Annually Employment Type 2 - Staff: Career Duration indefinite Job # 23076

Primary Duties and Responsibilities

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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

Job Qualifications

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We’re looking for a strong, organized program leader with:

• Bachelor’s degree in a related field or equivalent experience required.
• Minimum 5 years of experience managing healthcare projects or programs (IPA, medical group, or health plan setting preferred), required.
• Experience with health plan operations, project management, policy i