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Description

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

Qualifications

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 implementation, and data reporting.

+ Advanced skills in Microsoft Office, Visio, EPIC, Tapestry, and data visualization tools such as Tableau.

+ Ability to lead process improvements, track KPIs, and manage strategic initiatives across teams.

+ Excellent verbal and written communication skills and ability to work with all organizational levels.

+ Strong problem-solving and critical thinking abilities; able to manage multiple priorities and deadlines independently.

+ Experience coordinating audits, regulatory compliance, and internal performance improvement efforts.

+ Ability to translate business requirements into documentation, workflows, and test plans.

+ Demonstrated ability to build consensus and maintain strong working relationships with technical and non-technical teams.

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.