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Senior Program Manager

COPE Health Solutions

Downtown Los Angeles, CA

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JOB DETAILS
SKILLS
Best Practices, Billing, Budget Management, Communication Skills, Cross-Functional, Data Analysis, Documentation, Engineering Change Management, External Audit, Financial Compliance, Financial Management, Financial Trend Analysis, Forecasting, Health Plan, Healthcare Administration, Healthcare Providers, Internal Audit, Leadership, Maintain Compliance, Managed Care, Medi-Cal, National Committee for Quality Assurance (NCQA), Nursing, Operational Strategy, People Management, Performance Analysis, Performance Metrics, Performance Reviews, Presentation/Verbal Skills, Process Improvement, Profit & Loss, Progress Reports, Project Management Certification, Project Management Professional (PMP), Project Planning, Project/Program Management, Public Health, Quality Control, Quality Management, Quality Metrics, Regulations, Resource Management, Risk, Risk Analysis, Risk Management, Social Work, Standard Operating Procedures (SOP), Strategic Planning, Sustainability, Team Lead/Manager, Team Player, Time Management, Willing to Travel, Writing Skills
LOCATION
Downtown Los Angeles, CA
POSTED
30+ days ago
The Senior Program Manager provides strategic, operational, and regulatory oversight for the ECM Program. This role is responsible for ensuring program performance, quality outcomes, compliance, fiscal sustainability, and stakeholder engagement. The Senior Program Manager leads interdisciplinary teams and drives continuous quality improvement to achieve contractual and organizational goals. Promote growth of programs, performance, and people.
FLSA Status
Exempt
Salary Range
$80,000 - $90,000
Reports To
Director of ECM Operations
Direct Reports
Program Manager
Location
Onsite
Travel
Up to 10%
Work Type
Regular
Schedule
Full Time
Strategic Planning & Execution: 
  • Execute comprehensive program strategies, roadmaps, and detailed project plans to achieve business goals.
  • Develop and execute initiatives to improve enrollment, engagement, and retention.
Cross-Functional Leadership: 
  • Leads teams across various locations, managing resources, and ensuring collaborative execution.
Risk Mitigation & Quality Control: 
  • Proactively identifies risks, develops mitigation plans, and maintains quality standards.
  •  Identify growth opportunities and support program expansion efforts.
Budget & Resource Management: 
  • Oversee program budgets, financial forecasting, and resource allocation to ensure profitability and efficiency.
  • Monitor enrollment trends, billing, and revenue cycle performance.
  • Ensure program sustainability through performance monitoring and financial oversight.
Stakeholder Communication: 
  • Reports on development progress, providing updates to executive leadership and key stakeholders.
  • Serve as a liaison with contracted health plans and external partners.
  • Participate in joint operational committee (JOC) meetings and performance reviews.
Process Improvement: 
  • Analyzes performance metrics to identify areas for improvement and implements best practices.
  •  Direct the implementation and ongoing management of the ECM Program
Operational Oversight:
  • Supervise program managers and interdisciplinary care teams.
  • Develop, implement, and refine workflows, policies, and standard operating procedures. Ensure accurate and timely documentation on required platforms.
  • Maintain audit readiness and respond to internal and external audits.
Compliance and Regulatory Oversight:
  • Ensure adherence to DHCS ECM requirements and Medi-Cal regulations.
  • Oversee documentation standards and compliance practices.
  • Leaf team during MCP and State audits.
  • Provide leadership in reporting audit results and outcomes.
Required Qualifications  
Education: 
  • Bachelor’s degree in health administration, Public Health, Nursing, Social Work, or related field required.
  • Master’s degree or project management certification (e.g., PMP) preferred.
Experience: 
  • Proven experience in managing complex programs.
  • minimum of 5 years of leadership or supervisory experience in managed care.
  • Experience working with Medi-Cal or managed care population preferred.
    • Knowledge of ECM Model of Care strongly preferred.
Knowledge, Skills, and Abilities
Strong understanding of Population health and complex care management.
Experience with quality metrics, performance reporting, and data analysis.
  • Exceptional leadership, strategic thinking, risk management, and communication skills. 
  • Excellent written and verbal communication skills
  • Ability to collaborate across departments and with external stakeholders.
  • Proficiency in electronic documentation and reporting systems.
Working Conditions
  • Office based work environment.
  • 80% of travel requirements for meetings, site visits, satellite offices as required.
Benefits: 
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/. 
 
About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com. 
To Apply: 
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.

About the Company

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COPE Health Solutions