Special Programs Manager II - Health Services

Inland Empire Health Plan•Rancho Cucamonga, CA

3d•$91,250 - $120,910•Hybrid

About The Position

Under the direction of department leadership, the Special Programs Manager II manages the initiation, planning, development, and monitoring of Special Programs implementations to ensure accuracy, timely delivery, and fiscal sustainability. The role serves as a liaison among functional departments so projects and issues are tracked, updated, and reported on schedule, and provides expertise in release management and interdepartmental issue response and resolution. Assignments generally involve medium-to-high priority and complexity and may include technology deployments and communications with managers, directors, chiefs, external organizations, and providers. Work may relate to population health, departments reporting to the Vice President, or enterprise-wide strategic initiatives. The position provides research, analytical support, and project management for issue resolution, regulatory changes, strategic projects, policies, configurations, and processes. It manages projects and issues involving business, regulatory, and technology deployments, including budgets and resource coordination. The role also supports audits, vendor engagements, policy reviews, risk mitigation, project deliverables, and special company-wide initiatives. It contributes to IEHP’s Quality Program goals, including HEDIS, CAHPS, and NCQA Accreditation, and incorporates process efficiencies and LEAN methodologies into project practices. This position follows a hybrid schedule: remote on Mondays and Fridays, and onsite Tuesday through Thursday in Rancho Cucamonga, California. The listed annual pay range is USD $91,249.60 to $120,910.40.

Requirements

At least five years of relevant experience.
Master’s degree from an accredited institution, or a relevant certification in lieu of the degree, such as PMP, PgMP, CBAP, or PMI-PBA.
Experience in program and project management.
Expert experience with machine learning, statistics, and informational retrieval.
Ability to develop plans and knowledge of and experience applying standard project management practices.
Strong knowledge of project management and cross-organization coordination.
Understanding of and sensitivity to a multicultural environment and community.
Strong interpersonal, project management, and issue management skills.
Proficiency with spreadsheet, database, and word-processing applications.
Excellent writing, interpersonal communication, and organizational skills.
Ability to support a culture of collaboration.
Patience, attention to detail, and ability to work in a changing, fast-paced environment.
Strong ability to translate data into meaningful and actionable information.

Responsibilities

Provide research, analytical support, and project management for issue resolution, regulatory changes, strategic projects, policies, configurations, and processes supporting business operations and departments reporting to the Vice President.
Manage medium-to-large complexity and medium-to-high priority projects and issues, including business, regulatory, and technology deployments; manage project budgets and obtain resources and agreements from functional areas, vendors, providers, and consultants.
Coordinate, prepare, and monitor assigned projects, documentation, and reports.
Liaise among functional departments to ensure projects and issues are tracked, updated, and reported on schedule.
Support external vendors in planning and implementing initiatives, developing contracts and board write-ups, and managing vendor service agreement terms through engagement completion.
Assist the department with planning, developing, and submitting audit responses.
Monitor work plans and initiatives to ensure interventions are completed to mitigate risks and issues.
Assist with annual reviews of Policies and Procedures, including gap analyses, collaboration with subject matter experts to update or create documents, and uploading documents to source management areas.
Assist with responses and completion of deliverables.
Capture process efficiencies developed through projects and incorporate LEAN methodologies into project practices.
Support departments reporting to the Vice President on special company-wide projects and initiatives as needed.
Determine program resource requirements and procedure resources.
Gather budget details and conduct analysis for special projects or issue resolution as requested by department leadership.
Lead or assist with developing Requests for Proposals for external products or services when required.
Perform other duties needed to support successful Health Plan operations and department business needs.