Program Manager
Core
Execute regulatory programs for subcontractor network adequacy, provider surveys, and compliance filings for Anthem Blue Cross.
Role type
Senior Program Manager (Regulatory & Compliance)
Builds
Regulatory deliverables, Corrective Action Plans, and network adequacy reports for healthcare members.
Domain
Healthcare / Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Program management, regulatory filing management, data analysis, stakeholder coordination, budget development, compliance monitoring
Preferred skills
Graduate degree, Project management certification
Technologies
DHCS APL systems, Title 28 CCR
Responsibilities
Manage yearly Subcontractor Network Certification (SNC) filing, oversee Provider Appointment Availability Survey (PAAS) and Provider After-Hours Survey (PAHS), monitor provider ratios and timely access, manage Corrective Action Plans and Alternate Access Standards, develop program budgets, coordinate training and assess program success.
Seniority
Senior, hands-on IC