We are seeking an experienced and dynamic Senior Manager for our UCLA Health Medicare Advantage Plan Delegation Oversight Program to monitor the performance of contracted entities, including Independent Physician Associations (IPA) and other vendors. This pivotal role ensures compliance with regulatory guidelines, adherence to operational standards, and continuous performance improvement to optimize member experiences and drive operational excellence.

You will:

• Oversee the performance of delegated entities to ensure alignment with regulatory requirements and operational standards

• Leverage data analysis to identify risks, inefficiencies, and areas for improvement, implementing corrective action plans as necessary

• Coordinate with health plan departments such as utilization management, claims, health services, network management, and compliance to address performance gaps and streamline processes

• Manage audit readiness efforts and maintain performance dashboards to monitor key metrics and performance indicators (KPIs)

• Lead and mentor a team of professionals, fostering a culture of accountability, collaboration, and continuous improvement

• Drive operational excellence by leveraging best practices, fostering collaboration, and contributing to the strategic direction of the Medicare Advantage Plan

Salary Range: $83,800-$179,400/annually