Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
Take on a key leadership role within a world-class, award-winning health system. Support positive patient experiences. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well as product owners/managers/directors to achieve project objectives and deliverables that include project schedule management, scope, IT and business resources, identification and mitigation of risks and issues to ensure successful completion of initiatives. You will:
- Direct large-scale, complex projects at a strategic business level
- Oversee significant, system-wide projects
- Ensure achievement of project commitments
- Develop the project charter, integrated project plan, resource plan, contingency plan, and related project management artifacts
- Lead the design, testing, planning, and implementation of complex projects
- Build, lead, and coach project teams throughout project lifecycles
- Continuously improves project management toolkits and methodologies
- Present reports that define plans, problems, and resolutions
- Identify opportunities and lead organizational change
We’re seeking a self-motivated, service-oriented, results-driven individual with:
- Bachelor’s Degree in Business Administration, Information Systems, Health Care or other related field required or equivalent work experience
- Minimum of 5 years’ experience in a Medicare or Managed Care environment managing enrollment, claims, premium billing or encounters project is required
- Minimum of 5 years’ experience with CMS processes in a Medicare or Managed Care environment required
- Project Management Professional certification is a plus
- Experience managing vendors to contractual requirements
- Knowledge of the health care model, capitation, and other managed care IPA and provider reimbursement methodologies
- Strong leadership, communication, and interpersonal skills
- Ability to analyze/organize complex federal and private insurance regulations
- Computer proficiency with Microsoft Office and project management tools
- Strong critical thinking, problem identification, resolution, and analytical skills
- Ability to adapt operational procedures to changing operational needs
- Ability to identify and implement methods and systems to improve efficiency
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 270 community clinics throughout Southern California. We’re also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
EMPLOYMENT SCAM ALERT:
UCLA Health Recruitment is currently being targeted by scam artists through external job board sites. Review some tips in order to avoid becoming targeted. El reclutamiento de salud de UCLA actualmente está siendo atacado por estafadores a través de sitios de juntas de trabajo externos. Revisar algunos consejos para evitar ser apuntado.
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VINCENT, Sr. CLS Specialist, Toxicology
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered
RENE
If you want to grow professionally, this is the right place for you.
ERA
We are family here. We support each other. We collect together.
ELIZABETH
It’s so diverse and inclusive here. There’s always the opportunity to share your thoughts. It's a place where you feel you belong.
JERRY
Your career path at UCLA Health will enable you to follow a myriad of avenues and turns. It opens up a wide variety of opportunities.
ORLANDO
There’s a togetherness and higher level of commitment to teamwork at UCLA Health. We are several groups and teams that work together with a common goal which is to improve our patients experience.
DAVID
UCLA Health walks the walk and talks the talk! It's an incredible feeling to work for an organization that always puts the patient first. I am honored to work in full alignment with the UCLA Health Mission and Vision.
DR. ISLA GARRAWAY
UCLA has incredible resources and a team science approach. The ability to work with collaborative teams and access the amazing resources around campus is the best part about being at UCLA.
RADU
UCLA is very diverse in its personnel as well as its many research fields studied
JENNA
UCLA Health provides so many opportunities to exchange ideas, share moments and grow. I have learned a lot about team management and relationship building.
SHARON
I was looking for a job to further my career and continue to improve and learn as a therapist.
TARO
I have been blessed to be surrounded by supportive colleagues who aspire me to be the best version of myself.