<p>General Information</p> <p>Press space or enter keys to toggle section visibility</p> <p>Work Location: Los Angeles, USA</p> <p>Onsite or Remote</p> <p>Flexible Hybrid</p> <p>Work Schedule</p> <p>Monday-Friday, 8:00am-5:00pm PST</p> <p>Posted Date</p> <p>05/12/2025</p> <p>Salary Range: $83800 - 179400 Annually</p> <p>Employment Type</p> <p>2 - Staff: Career</p> <p>Duration</p> <p>Indefinite</p> <p>Job #</p> <p>24059</p> <p>Primary Duties and Responsibilities</p> <p>Press space or enter keys to toggle section visibility</p> <p>UCLA Health is seeking a Program Manager to join the Managed Care Operations team. Reporting to the Assistant Director, this role supports operational programs, strategic initiatives, and compliance-driven projects across multiple functional areas including Quality Management, Appeals & Grievances, Credentialing, Member Services, Provider Relations, and Compliance.</p> <p>You will lead cross-functional initiatives, oversee process improvements, and serve as a key liaison to internal and external stakeholders. The Program Manager will manage timelines, resolve issues, and ensure operational activities align with health plan requirements and departmental goals.</p> <p>In this role, you will:</p> <ul> <li>Manage and execute projects related to process improvement, performance monitoring, policy development, and regulatory implementation across multiple operational areas. </li><li>Oversee day-to-day operational tasks, develop tools to improve efficiency, resolve issues, and monitor progress toward department performance targets. </li><li>Coordinate reporting and data analysis to identify trends, ensure timely delivery of metrics, and support strategic planning and compliance efforts. </li><li>Collaborate with system teams on CRM enhancements, UAT testing, training implementation, and business documentation (e.g., workflows, test plans, user guides). </li><li>Lead departmental audits, mock reviews, and quality assurance programs while tracking risks and implementing corrective actions as needed. </li><li>Drive internal communication strategies and manage project timelines, meeting agendas, and follow-through on action items. </li><li>May conduct research and manage projects related to regulatory changes. </li></ul> <p>Salary Range: $83,800 - $179,400/annually</p> <p>Job Qualifications</p> <p>Press space or enter keys to toggle section visibility</p> <p>We're seeking a results-driven leader with:</p> <ul> <li>Bachelor's degree in a related area, or equivalent experience required. </li><li>Minimum 5 years of experience managing healthcare projects or programs (IPA, medical group, or health plan preferred). </li><li>Strong background in managed care operations, project management, , and performance monitoring. </li><li>Proficiency in Microsoft Office Suite, Visio, EPIC, Tapestry, and data tools like Tableau. </li><li>Exceptional communication and presentation skills with the ability to lead cross-functional collaboration. </li><li>Strong critical thinking, problem-solving, and organizational abilities. </li><li>Ability to interpret complex regulations, improve workflows, and manage competing priorities with minimal supervision. </li><li>Demonstrated skills in initiative, problem identification, resolution, and analytical skills. </li><li>Experience coordinating UAT (user acceptance testing) efforts and supporting CRM optimization preferred. </li><li>Demonstrated ability to influence stakeholders and manage change in a fast-paced, regulated environment. </li></ul> <p>As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.</p>