Program Manager- Health Plan (Remote)

At UPMC Health Plan, delivering a best-in-class member experience is rooted in operational excellence, regulatory compliance, and effective management of complex healthcare processes. The Complaints & Grievances (C&G) department operates at the intersection of compliance, operations, and technology, where program execution, system functionality, and process performance directly impact member outcomes, regulatory performance, and audit readiness.

The Program Manager is responsible for developing, implementing, managing, and evaluating strategic initiatives that support the Complaints & Grievances operation. This role serves as a business lead and system owner for C&G-related programs, technology solutions, and operational initiatives, ensuring alignment with CMS, NCQA, contractual, and organizational requirements. The Program Manager partners with operational, compliance, technical, and business stakeholders to drive process improvements, manage projects, support regulatory com...