AltaMed Health Services · 9 hours ago
Program Manager, Health Plan Delegation Oversight
Montebello, CA
Full-time
Hybrid
Senior Level
$104K/yr - $130K/yr
5+ years expAltaMed Health Services is dedicated to providing exceptional healthcare and is seeking a Program Manager for Health Plan Delegation Oversight. This role is responsible for ensuring compliance and enhancing Health Plan operations by overseeing delegated functions and collaborating with cross-functional teams to improve monitoring processes.
FitnessHealth CareWellness
Responsibilities
Overseeing delegated functions for AHN’s Restricted Knox-Keene licensed Medi-Cal Health Plans
Managing corrective action plans (CAPs) and mitigating compliance risks
Collaborating with cross-functional teams to improve monitoring processes, ensuring alignment with regulatory agencies like DHCS, DMHC, and CMS
Leading efforts to identify performance risks, implement process improvements, and drive continuous enhancements to sustain compliance and operational efficiency across delegated functions
Qualification
Required
Bachelor's degree in Healthcare Management, Public Health, Business, Health Administration, or related field required or 5 years of relevant experience
Minimum of 5 years of healthcare experience in designing and implementing compliance programs, focusing on Medicaid/Medi-Cal plans and regulatory adherence
Minimum of 5 years of experience in healthcare consulting, delivering scalable solutions in dynamic environments, and recognized as a strong collaborator across teams and functions
Experience in creating executive reports and analyzing data with tools like Microsoft Office, SharePoint, Smartsheet, Tableau, and Alteryx
Preferred
Master's Degree in Healthcare Management, Public Health, Business, Health Administration, or related field preferred
Benefits
Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
Flexible Spending Accounts
Commuter Flexible Spending
Career Advancement & Development opportunities
Paid Time Off & Holidays
Paid CME Days
Malpractice insurance and tail coverage
Tuition Reimbursement Program
Corporate Employee Discounts
Employee Referral Bonus Program
Pet Care Insurance
Company
AltaMed Health Services
AltaMed is one of the nation’s largest community health networks.
5001-10000 employees
H1B Sponsorship
AltaMed Health Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (5)
2023 (10)
2022 (5)
2021 (2)
2020 (5)
Funding
Current Stage
Late StageTotal Funding
$0.05MKey Investors
Latino Community FoundationSoutheast Los Angeles (SELA) CollaborativeExact Sciences
2025-01-14Grant
2024-03-06Grant
2023-07-26Grant· $0.05M
Leadership Team
Castulo de la Rocha
President & CEO
Efrain Talamantes
Chief Operating Officer
Recent News
HealthCareIT News
2025-11-19
exactsciences.com
2025-01-20
Company data provided by crunchbase