Senior Program Manager - Market Performance

SCAN Health Plan • Long Beach, CA

20d • Remote

About The Position

The Senior Program Manager - Market Performance supports the development, implementation, and ongoing management of initiatives designed to improve market and provider performance across the organization. This role partners with Market Performance leaders, Provider Relations, Analytics, and functional subject matter experts to coordinate performance improvement programs, perform market research, develop reporting and insights, monitor key performance indicators, and drive execution and project coordination of strategic initiatives. The Senior Program Manager plays a critical role in translating performance strategies into operational plans, ensuring consistent implementation across markets, tracking outcomes, and helping to identify opportunities for improvement in quality, growth, member experience, provider performance, access to care, and affordability. The Senior Program Manager is responsible for overseeing and managing multiple projects within the Market Performance Center of Excellence. This individual will lead cross-functional teams, develop project plans, monitor progress, and ensure that projects are completed on time and within budget. Senior Program Managers also communicate with stakeholders, identify risks, and implement strategies to mitigate challenges. They play a key role in driving organizational success and achieving strategic objectives.

Requirements

• Bachelor's Degree or equivalent experience.
• 5+ years of experience in healthcare operations, provider network management, managed care, value-based care, consulting, population health, or related industries.
• Experience managing complex cross-functional projects and enterprise initiatives.
• Experience supporting performance improvement programs and operational excellence efforts.
• Knowledge of Medicare Advantage, provider networks, healthcare delivery systems, or health plan operations.
• Experience using data and analytics to identify business opportunities and support decision-making.
• Demonstrated ability to develop reports, presentations, dashboards, and executive-ready materials.
• Experience collaborating with provider organizations, health systems, delegated entities, or healthcare stakeholders.
• Strong understanding of project management methodologies and change management principles.
• Experience supporting technology implementations, business process redesign, or operational transformation initiatives.
• Proven ability to manage multiple priorities in a fast-paced environment.
• Excellent written and verbal communication skills, including executive-level presentation development.
• Strong organization, prioritization, and project management capabilities.
• Strong analytical and quantitative skills with the ability to interpret complex data.
• Ability to influence stakeholders and drive execution without direct authority.
• Proven ability to manage multiple initiatives simultaneously and meet deadlines.
• Ability to synthesize market intelligence, competitive insights, provider performance data, and operational considerations into clear recommendations and business cases.
• Experience developing scalable processes, playbooks, and operating procedures.
• Advanced proficiency with reporting, dashboarding, and performance monitoring tools.
• Advanced Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams) are required.

Nice To Haves

• Curious about AI and its power to transform how we operate and serve our members.

Responsibilities

• Coordinate and manage initiatives that improve market and provider performance across quality, growth, member experience, access to care, risk adjustment, and cost management.
• Assist in translating strategic objectives into actionable workplans, timelines, and deliverables.
• Partner with General Managers, Provider Relations, performance subject matter experts and Analytics teams to create dashboards, scorecards, and reporting tools that track market and provider performance.
• Monitor performance trends and identify emerging risks and opportunities for improvement.
• Assist in developing, maintaining, and updating standardized playbooks, best practices, and operational procedures.
• Ensure consistent application of performance improvement methodologies across markets.
• Partner with General Managers and Provider Relations to support provider engagement activities, performance reviews, training programs, and improvement initiatives.
• Help develop provider-facing reports, presentations, and performance materials.
• Manage complex projects involving multiple stakeholders and business functions.
• Facilitate meetings, track milestones, manage risks, and ensure successful completion of key deliverables.
• Conduct research and analysis related to network performance, provider engagement, market dynamics, competitive intelligence, and operational effectiveness.
• Develop recommendations based on data and performance findings.
• Coordinate market assessments, opportunity analyses, and business case development for prospective markets, provider segments, and growth opportunities.
• Assist with initiatives related to market expansion evaluations, provider service model enhancements, operational improvements, and other strategic projects.
• Coordinate implementation activities and monitor progress against goals.
• Monitor vendor deliverables, performance metrics, and project outcomes.
• Support development and delivery of training, communications, and change management activities that enable successful adoption of new programs, processes, and tools.
• Promote operational consistency and knowledge sharing across markets.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Benefits

• Base salary range: $125,400 to $181,419 per year
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

What This Job Offers

• Job Type: Full-time
• Career Level: Senior