Program Manager, Senior

HITEC

Long Beach (CA)

Hybrid

USD 120,000 - 170,000

Full time

3 days ago
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Job summary

HITEC in Long Beach, CA is seeking a Senior Program Manager for the Clinical Quality Analytics team to lead the planning and execution of annual HEDIS audit operations. You will act as the primary operational liaison to external HEDIS audit firms and drive the timely completion of audit roadmaps and information requests.

We value leaders who think critically, build high-performing teams, and deliver results with integrity.

Qualifications

  • Bachelor's degree or equivalent with four years of relevant experience if no degree.
  • 5+ years of program/project management experience with cross-functional deliverables.
  • Familiarity with enterprise PM tools and portfolio management.
  • Strong analytical, problem-solving, organizational, and communication skills.
  • HEDIS reporting and NCQA audits experience preferred.
  • Experience coordinating virtual HEDIS onsite audits and data exchanges preferred.
  • Knowledge of health plan clinical quality operations preferred.
  • PMP or related certification preferred; not required.

Responsibilities

  • Lead planning and execution of annual HEDIS audit operations.
  • Serve as primary liaison to external HEDIS audit firms.
  • Drive timely completion of audit roadmaps and information requests.
  • Coordinate onsite audits and cross-functional deliverables.
  • collaborators to balance in-office and hybrid work requirements.

Skills

Stakeholder comms
Cross-functional leadership
Risk management
Analytical thinking
Written communication
Verbal communication
Project management

Education

Bachelor's degree or equivalent with four years' experience

Job description

Your Role

The Clinical Quality Analytics team oversees clinical quality measurement, HEDIS reporting, and related data and audit operations that support quality performance, accreditation, and regulatory requirements. Reporting to the Director of Clinical Quality Analytics, the Senior Program Manager will lead the planning and execution of annual HEDIS audit operations. This role serves as the primary operational liaison to external HEDIS audit firms and drives timely completion of audit roadmaps, information requests, onsite activities, and cross-functional deliverables.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience
  • Bachelor's degree or high school diploma/GED with four additional years of relevant experience in lieu of a degree.
  • At least 5 years of prior relevant experience in program or project management experience, including ownership of complex cross-functional deliverables, milestone tracking, risk management, and stakeholder communication.
  • Solid understanding of project and resource management, business acumen, and experience working in complex delivery environments; familiarity with enterprise project or portfolio management tools.
  • Strong analytical, problem-solving, organizational, and written and verbal communication skills; ability to independently drive action and influence stakeholders without direct authority.
  • Experience with HEDIS reporting and NCQA HEDIS compliance audits, particularly serving as a liaison to external HEDIS audit firms, strongly preferred.
  • Experience coordinating virtual HEDIS onsite audits, audit roadmaps, audit information requests, and secure data exchanges preferred.
  • Knowledge of health plan clinical quality operations, supplemental data source processes, and audit documentation practices preferred.
  • PMP or other relevant project management certification preferred; not required.

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

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