Sr Program Manager Operational Automation
- Bakersfield, CA
- $49.20-71.34 per hour
- Training
- Full-time
- 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.
QualificationsMinimum 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. OverviewThe purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.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.Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit .Map this locationLook for gyms, restaurants, doctors and schools in the area.No featured jobsNo recently viewed jobsYou have no saved jobsLoad moreFollow us on social mediaEqual OpportunityCommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.Read MoreCommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.