Where Youll Work
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
One Community. One Mission. One California
Job Summary and Responsibilities
***This position is remote but will be expected to accommodate PST business hours.
Position Summary:
The Senior Program Manager of Operational Automation will lead the design implementation and optimization of enterprise-wide automation initiatives across managed care functional areas supported by the PHSO. This strategic role serves as a critical bridge between operations IT and business transformation accelerating performance through technology-enabled process redesign. The ideal candidate brings a strong command of automation frameworks EZCAP experience and deep familiarity with the complexities of delegated services including claims utilization management provider data and network operations.
Essential Functions may include:
- Enterprise Automation Strategy: Develop and operationalize an automation roadmap aligned to PHSO managed care objectives with focus areas including delegated operations quality analytics and care coordination.
- Program Execution: Lead the end-to-end delivery of automation initiatives including needs assessment business case development stakeholder alignment risk management and sustainment planning.
- EZCAP Automation Development: Collaborate with IT and business SMEs to design and implement workflow automations within EZCAP to improve efficiency reduce manual rework and streamline data handoffs.
- Process Design and Optimization: Identify high-impact manual processes across departments such as Claims UM Credentialing and Provider Data. Facilitate automation readiness assessments and future-state process modeling.
- Technology Integration and Vendor Partnership: Evaluate pilot and deploy automation technologies such as RPA low-code platforms and AI solutions in collaboration with IT. Manage vendor relationships to ensure successful delivery and scalability.
- Cross-Functional Collaboration: Serve as a strategic partner to business and technical leads ensuring automation goals are aligned with operational needs compliance requirements and technology infrastructure.
- Metrics and Reporting: Define KPIs and dashboards to measure the performance and ROI of automation programs. Provide regular updates and presentations to senior leadership on progress roadblocks and value realization.
- Governance and Compliance: Establish governance protocols to ensure all automation projects comply with internal policies DMHC/Knox-Keene regulations HIPAA and audit requirements.
Job Requirements
Minimum Qualifications:
- Minimum of 8 years in program or operations management with 5 years leading automation efforts in healthcare or delegated managed care settings.
- Bachelors degree in Business Administration Healthcare Administration Computer Science or related field.
- Experience with Business Process Automation (BPA) tools and processes
- Demonstrated experience working with EZCAP preferably with workflow automation or integration projects.
- Proficiency with RPA platforms (e.g. UiPath Automation Anywhere) business process mapping tools (e.g. Visio Lucidchart) and basic familiarity with scripting or low-code tools.
- Deep understanding of managed care operations and delegated functions (claims adjudication UM provider data etc.).
- Demonstrated ability to lead complex cross-functional projects with measurable outcomes and stakeholder engagement.
- Strong written and verbal communication skills with ability to translate technical solutions into business value.
Preferred Qualifications:
- Experience within a Management Services Organization (MSO) or Population Health enterprise preferred.
- Lean Six Sigma or process improvement certification preferred.
- Exposure to national platforms such as Innovaccer Epic Payer Platform or similar systems preferred.
- Masters degree in Business Administration Healthcare Administration Computer Science or related field preferred.
Required Experience:
Manager
Where Youll WorkDignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of option...
Where Youll Work
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
One Community. One Mission. One California
Job Summary and Responsibilities
***This position is remote but will be expected to accommodate PST business hours.
Position Summary:
The Senior Program Manager of Operational Automation will lead the design implementation and optimization of enterprise-wide automation initiatives across managed care functional areas supported by the PHSO. This strategic role serves as a critical bridge between operations IT and business transformation accelerating performance through technology-enabled process redesign. The ideal candidate brings a strong command of automation frameworks EZCAP experience and deep familiarity with the complexities of delegated services including claims utilization management provider data and network operations.
Essential Functions may include:
- Enterprise Automation Strategy: Develop and operationalize an automation roadmap aligned to PHSO managed care objectives with focus areas including delegated operations quality analytics and care coordination.
- Program Execution: Lead the end-to-end delivery of automation initiatives including needs assessment business case development stakeholder alignment risk management and sustainment planning.
- EZCAP Automation Development: Collaborate with IT and business SMEs to design and implement workflow automations within EZCAP to improve efficiency reduce manual rework and streamline data handoffs.
- Process Design and Optimization: Identify high-impact manual processes across departments such as Claims UM Credentialing and Provider Data. Facilitate automation readiness assessments and future-state process modeling.
- Technology Integration and Vendor Partnership: Evaluate pilot and deploy automation technologies such as RPA low-code platforms and AI solutions in collaboration with IT. Manage vendor relationships to ensure successful delivery and scalability.
- Cross-Functional Collaboration: Serve as a strategic partner to business and technical leads ensuring automation goals are aligned with operational needs compliance requirements and technology infrastructure.
- Metrics and Reporting: Define KPIs and dashboards to measure the performance and ROI of automation programs. Provide regular updates and presentations to senior leadership on progress roadblocks and value realization.
- Governance and Compliance: Establish governance protocols to ensure all automation projects comply with internal policies DMHC/Knox-Keene regulations HIPAA and audit requirements.
Job Requirements
Minimum Qualifications:
- Minimum of 8 years in program or operations management with 5 years leading automation efforts in healthcare or delegated managed care settings.
- Bachelors degree in Business Administration Healthcare Administration Computer Science or related field.
- Experience with Business Process Automation (BPA) tools and processes
- Demonstrated experience working with EZCAP preferably with workflow automation or integration projects.
- Proficiency with RPA platforms (e.g. UiPath Automation Anywhere) business process mapping tools (e.g. Visio Lucidchart) and basic familiarity with scripting or low-code tools.
- Deep understanding of managed care operations and delegated functions (claims adjudication UM provider data etc.).
- Demonstrated ability to lead complex cross-functional projects with measurable outcomes and stakeholder engagement.
- Strong written and verbal communication skills with ability to translate technical solutions into business value.
Preferred Qualifications:
- Experience within a Management Services Organization (MSO) or Population Health enterprise preferred.
- Lean Six Sigma or process improvement certification preferred.
- Exposure to national platforms such as Innovaccer Epic Payer Platform or similar systems preferred.
- Masters degree in Business Administration Healthcare Administration Computer Science or related field preferred.
Required Experience:
Manager
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