Sr Program Manager Operational Automation

***This position is remote, but will be expected to accomodate PST business hours.

Position Summary:

The Senior Program Manager of Operational Automation will lead the design, implementation, and optimization of enterprise-wide automation initiatives across managed care functional areas supported by the PHSO. This strategic role serves as a critical bridge between operations, IT, and business transformation, accelerating performance through technology-enabled process redesign. The ideal candidate brings a strong command of automation frameworks, EZCAP experience, and deep familiarity with the complexities of delegated services, including claims, utilization management, provider data, and network operations.

Essential Functions may include:
- 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.

Minimum 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.

The 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.

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