Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
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.
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VINCENT, Sr. CLS Specialist, Toxicology
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered
RENE
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ERA
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ELIZABETH
It’s so diverse and inclusive here. There’s always the opportunity to share your thoughts. It's a place where you feel you belong.
JERRY
Your career path at UCLA Health will enable you to follow a myriad of avenues and turns. It opens up a wide variety of opportunities.
ORLANDO
There’s a togetherness and higher level of commitment to teamwork at UCLA Health. We are several groups and teams that work together with a common goal which is to improve our patients experience.
DAVID
UCLA Health walks the walk and talks the talk! It's an incredible feeling to work for an organization that always puts the patient first. I am honored to work in full alignment with the UCLA Health Mission and Vision.
DR. ISLA GARRAWAY
UCLA has incredible resources and a team science approach. The ability to work with collaborative teams and access the amazing resources around campus is the best part about being at UCLA.
RADU
UCLA is very diverse in its personnel as well as its many research fields studied
JENNA
UCLA Health provides so many opportunities to exchange ideas, share moments and grow. I have learned a lot about team management and relationship building.
SHARON
I was looking for a job to further my career and continue to improve and learn as a therapist.
TARO
I have been blessed to be surrounded by supportive colleagues who aspire me to be the best version of myself.
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