Access to Care Program Manager

PacificSource is a health insurance and managed care organization committed to equitable, community-focused healthcare solutions. The Access to Care Program Manager oversees provider network access, regulatory reporting, and compliance initiatives across assigned networks. This role manages state and federal reporting, network adequacy monitoring, stakeholder engagement, and cross-functional collaboration to ensure regulatory adherence and optimize healthcare access performance.

PacificSource is seeking an Access to Care Program Manager to oversee provider network access, regulatory compliance, and reporting functions across assigned healthcare networks. This role ensures adherence to state and federal network adequacy requirements while driving cross-functional collaboration and data-informed decision-making to support healthcare access and performance improvement initiatives.

Responsibilities:
- Manage network access monitoring and reporting to state and federal agencies
- Establish tools and processes to meet regulatory reporting and monitoring requirements
- Interpret regulatory requirements and provide guidance to cross-functional teams
- Analyze network access data, identify trends, and develop disruption and gap analyses
- Respond to regulatory inquiries and coordinate corrective action or improvement plans
- Lead cross-departmental committees to develop mitigation strategies and regional access plans

Requirements:
- Bachelor’s degree in healthcare administration, business, clinical field, or related discipline
- Minimum of 5 years of experience in healthcare, managed care, or public health
- Experience with Medicaid, Medicare, and managed care health plans
- Strong analytical, technical writing, and regulatory interpretation skills
- Proficiency in Microsoft Word, Excel, and PowerPoint
- Demonstrated ability to lead cross-functional teams and manage multiple priorities

Benefits:
- Competitive salary range based on qualifications and experience
- Collaborative and mission-driven organizational culture
- Opportunities to advance health equity initiatives
- Remote work flexibility with limited travel requirements

This role requires strong regulatory knowledge, stakeholder communication, and data analysis capabilities to ensure network adequacy and compliance across healthcare programs.