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Project Manager (Managed Care|Medicare|Medicaid)

Work from home Full-time role Hiring

Project Overview The role will support the Department of Health Care Services’ MC4 project, which focuses on federal managed care requirements and improvements for Medi-Cal members. The Project Manager will coordinate business, policy, compliance, and technology teams across workstreams involving health plan quality ratings, financial reporting standards, member experience surveys, provider network adequacy, appointment access, and public website transparency. The project also includes “secret shopper” surveys to assess appointment availability and verify provider information.

Key Responsibilities

Develop and maintain project plans, schedules, milestones, and workstream dependencies. Coordinate program teams, technical teams, vendors, and other stakeholders. Track risks, issues, assumptions, decisions, and action items; escalate concerns with clear recommendations. Facilitate meetings, document outcomes, and follow up with owners. Prepare executive presentations, steering committee materials, and status reports. Validate information with workstream leads and distribute materials before leadership meetings. Communicate leadership decisions and their impact to affected teams. Support process mapping, requirements coordination, and collaboration with Enterprise Technology Services. Track deliverables through review, approval, and completion. Desired Experience and Skills Management of complex projects involving multiple workstreams and stakeholder groups. Healthcare experience, particularly Medicaid, Medi-Cal, Medicare, or managed care. Strong planning, risk management, dependency tracking, and executive communication skills. Ability to turn detailed project information into clear leadership updates and recommendations. Experience collaborating with business, policy, compliance, and technology teams. Familiarity with Microsoft Project, Jira, Excel, PowerPoint, and Teams. Government or regulated-industry experience.

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