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Program Manager, Quality Programs

San Francisco Health Plan

San Francisco Health Plan

Operations, Quality Assurance
San Francisco, CA, USA
Posted on Thursday, September 14, 2023

San Francisco Health Plan (SFHP) is currently seeking a Program Manager, Quality Programs. As a Program Manager, Quality Programs, you are responsible for developing, planning, implementing, and evaluating medium and large-sized projects and programs affecting San Francisco Health Plan (SFHP), its members, and its provider network. You will lead cross-departmental efforts to improve quality in health plan outcomes and operations. You will partner with providers to design and implement interventions aimed at improving quality outcomes and implementing interventions across the city of San Francisco.

You are also responsible for ensuring operational structures are in place to meet goals and objectives of state regulations (DMHC and DHCS), federal regulations (CMS) and National Committee for Quality Assurance (NCQA) Accreditation standards for health plans.


  • Provide program and project management while following SFHP’s Project Management Life Cycle standards. This includes:
  • Developing, planning, implementing, and evaluating (using quantitative and qualitative methods) programs and projects.
  • Regularly communicating to stakeholders, including facilitating meetings.
  • Independent decision-making on low and medium impact decisions and appropriate involvement of manager and other stakeholders on other decisions.
  • Producing, monitoring, and updating all documentations, which includes work plans, charters, budgets, meeting materials, policies/procedures, risk/decision logs, and presentations.
  • Adhering to program and project timelines.
  • Ensuring that programs, projects, and their documentation are in compliance with regulations.
  • Model leadership in continuous quality improvement - QI (i.e. PDSA model).
  • Provide leadership and guidance in several high-performing project teams, to ensure that project work is measurable, impactful, cost-effective, and consistent with organizational goals and objectives.
  • Participate in quality improvement (QI) work plan development, timely completion of work, and mid-term and long-term strategic planning of QI.


  • Bachelor’s degree in Business Administration, Public Health, Health Administration, or other relevant areas; or equivalent relevant work experience
  • Three years’ experience in project management or program management in health care operations or quality improvement. Prior experience as a program, project, or team lead preferred
  • Desired: Master’s degree in healthcare field; experience working in health care delivery system or at a health plan
  • Familiarity with the Model for Improvement, health care, managed care terminology, Medi-Cal preferred


  • Medical Plans: You’ll have a choice of medical plans, including options from Kaiser and Blue Shield of California. Employee-only coverage in the HMO plans is currently available at no cost and dependent coverage is heavily subsidized by SFHP.
  • Dental: You’ll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
  • Vision: Employee vision care coverage is available at no cost.
  • Time Off: 23 days of Paid Time Off and 12 observed company holidays.
  • Professional development: Opportunities for tuition reimbursement, professional license/membership.


Established in 1994, San Francisco Health Plan (SFHP) is an award winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 170,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. SFHP was designed by and for the residents it serves, and takes great pride in its ability to accommodate a diverse population that includes young adults, seniors, and people with disabilities.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.