Program Manager

Elevance Health•Woodland Hills, CA

2d•Hybrid

About The Position

This role is responsible for successful execution of the following programs: The yearly Subcontractor Network Certification (SNC) filing (DHCS APL 23‑006). The Provider Appointment Availability Survey (PAAS) (DMHC APL 25‑014; DHCS APL 25‑006) The Provider After‑Hours Survey (PAHS) (DHCS APL 25‑006; Title 28, CCR §1300.67.2.2). This role oversees analysis, improvement initiatives, regulatory filings, and ongoing compliance related to Anthem Blue Cross subcontractor network adequacy requirements. Responsibilities include monitoring time or distance, provider ratios, timely access, managing Corrective Action Plans and Alternate Access Standards; and completing quarterly SNC updates and other regulatory deliverables. The Program Manager is responsible for the development and ongoing management of one or more multi-year external client facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client facing program.

Requirements

Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Graduate degree preferred.
Project management certification preferred.

Responsibilities

Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise in response to day to day external client facing business issues.
Researches applicable subject matter practices and remains aware of industry trends.
Manages external client facing relationships and partners with corporate and regional business areas.
Coordinates training related to external client facing program; develops program success measures and performs periodic assessments of program success.