Program Manager III, Risk Adjustment and Health Plan Surveys

2 days ago


Sacramento, California, United States Sutter Health Full time
Job Title: Program Manager III, Risk Adjustment and Health Plan Surveys

Sutter Health is seeking a highly skilled Program Manager III to lead our Risk Adjustment and Health Plan Surveys team. As a key member of our organization, you will be responsible for developing, managing, and executing regulatory and accreditation Quality programs of varying complexity.

Key Responsibilities:
  • Develop and manage programs to ensure high-quality and compliant results
  • Effectively communicate goals, objectives, and responsibilities to internal and external stakeholders
  • Manage day-to-day operations of assigned programs, ensuring timely and accurate delivery of results
  • Collaborate with internal departments on analytics and data submissions to state and federal agencies
  • Develop and implement policies, standard work, processes, and workflows to ensure effective and efficient operations and compliance with applicable standards, laws, and regulations
  • Oversee and coordinate the preparation of internal and external reports through gathering, analyzing, and summarizing program effectiveness data and information
  • Identify areas in need of improvement and work with stakeholders to propose solutions
  • Support Legal, Finance, Compliance, and relevant business areas to ensure smooth oversight of processes
Requirements:
  • Equivalent experience will be accepted in lieu of the required degree or diploma
  • Bachelor's degree in Business Administration, Healthcare Management, or related field
  • 5 years of recent relevant experience in program management in a healthcare or health plan setting
  • Experience with risk adjustment program management, health plan regulatory and accreditation surveys, and Lean, Process Improvement, and/or Project Management
  • Advanced proficiency in MS Excel and Data Visualization Platforms (i.e. Tableau, Power BI)
What We Offer:
  • Competitive salary range: $48.72 to $73.08 per hour
  • Comprehensive benefits package
  • Opportunity to work with a leading healthcare organization

Sutter Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment.



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