Program Manager, Managed Care Operations

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

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.