Program Manager IV, Disease Management

We are so glad you are interested in joining Sutter Health!

Organization:

Sutter Health Alliance - Valley

Position Overview:

The Program Manager IV is an experienced program management professional with expertise in delegated disease management and oversight of assigned population health programs. This position is responsible for managing Sutter Health Plan's portfolio of delegated disease management programs across multiple vendor partners, with accountability for program performance, member engagement, and regulatory/accreditation compliance.

Covered programs include, but are not limited to, Asthma, Diabetes, Diabetes Prevention Program, Obesity, Prenatal and High-Risk Maternity, and the Doula Care Program. Core responsibilities include tracking and monitoring member participation across all programs, reviewing and evaluating vendor-submitted reporting for accuracy and completeness, and ensuring that program deliverables meet contractual and regulatory requirements. The Program Manager IV also develops professional program performance reports for internal
and client audiences, conducts ongoing evaluations of program effectiveness, and identifies opportunities to improve vendor performance and member outcomes.

This role drives cross-functional collaboration with quality, population health, clinical, and operational departments to ensure delegated programs align with the health plan's quality improvement strategy and NCQA accreditation standards. Shared accountability includes achieving quality performance goals, program growth objectives, and service and financial performance targets across the delegated disease management portfolio.

Job Description:

EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.

• Bachelor's: Business Administration or related field
• MPH desired

TYPICAL EXPERIENCE:

• 8 years recent relevant experience
• 3 years of direct vendor management experience and 3 years of program management experience, either in a managed care or health plan setting is highly desired
• Program Management Professional (PgMP) certification strongly desired

• Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Visio, PowerPoint, Outlook, Teams) and project management applications (e.g., Microsoft Project or equivalent); ability to develop and maintain complex workplans, track deliverables, and produce polished documentation and executive-level presentations independently is highly desired

SKILLS AND KNOWLEDGE:

• Knowledge and understanding of strategic planning, including group facilitation and plan development
• Knowledge and understanding of business plan development, including qualitative and quantitative research and analysis
• Well-developed communication and interpersonal skills
• Ability to interact with a wide variety of internal and external customers, including patients, physicians, payors

 

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $114,774.40 to $172,161.60 / annual salary

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.