Program-Manager, Project-Manager, Healthcare-Program-Manager Jobs

Job Summary

Provides subject matter expertise and support for program management activities. Supports programmatic business needs across department and/or cross-functional areas, including programs design, implementation, administration, governance, workflow analysis, process improvements, vendor management, policy and playbook development and maintenance, best practices, resource allocations and special projects for the Medicare line of business.

Job Duties

• Oversees the design, implementation, delivery, and ongoing operations of respective business program(s) and services.
  • Supports end-to-end program delivery by establishing goals, scope, and success measures aligned with organizational priorities.
  • Develops and maintains governance frameworks to ensure consistent, compliant, and effective program management practices.
  • May oversee financial stewardship of program budgets - ensuring proper prioritization and alignment of resources to achieve desired outcomes.
  • Partners with executive sponsors and functional leaders to ensure program objectives are met and value is realized across business units.
  • Drives performance measurement and reporting, including dashboards, key performance indicators (KPIs), and post-implementation reviews to track outcomes and identify opportunities for continuous improvement.
  • Ensures well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program(s).
  • Collaborates with legal, compliance, information technology (IT), and other cross-functional teams to ensure governance standards are upheld.
  • Tracks performance metrics and ensures value realization from deployed solutions.
  • Coordinates recurring meetings to support governance framework and decision-making processes.
  • Oversees portfolio management and/or initiative-specific programmatic changes and project management.
  • Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices, etc.
  • Routinely reviews program collateral to ensure current and accurate reflection of business needs.
  • Promotes consistency in planning, communication, and execution across initiatives.
  • Champions organizational change management by ensuring effective stakeholder engagement, communication, and adoption of new processes or technologies.
  • Maintains and evolves program documentation, playbooks, and best practices to reflect current business needs and lessons learned.
  • Identifies opportunities/gaps and provides recommendations on program enhancements to applicable leaders.
  • Creates business requirements documents (BRDs), test plans, requirements traceability matrices, user training materials and other related documentation.
  • Generates and distributes required business/programmatic reporting.
  • Facilitates special functional/departmental projects.
  • May provide specialized training and support to new and existing staff as needed.

JOB QUALIFICATIONS

REQUIRED QUALIFICATIONS:

• At least 5 years of progressive program and/or project management experience, with increasing levels of responsibility in a complex, matrixed organization, or equivalent combination of relevant education and experience.
  • Experience leading medium-scale or multi-functional programs within healthcare, managed care, or a similar regulated environment.
  • Operational process improvement and change management experience.

• Project management experience/skills.

• Data analysis skills/experience.

• Strong organizational and time-management skills.
  • Proven ability to manage multiple projects simultaneously with competing priorities.
  • Experience managing budgets and resource plans for business/strategic initiatives.
  • Ability to work cross-collaboratively across a highly matrixed organization.
  • Strong verbal/written/presentation communication skills, and ability to influence at all levels of the organization.
  • Advanced Microsoft Office suite (including Excel, PowerPoint, Project, and Visio), and applicable software programs proficiency.

Preferred Qualifications

• Project Management Professional (PMP), Six Sigma Green Belt and/or Black Belt certification.
  • Health care/managed care experience

• Jira experience

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Originally posted on Himalayas

This is a fully remote position and the candidate can be located anywhere in the US.

Position Purpose: The Program Manager IV is responsible for all aspects of the planning and delivery of strategic programs and complex, large-scale enterprise-wide projects to execute defined requirements and meet company strategic objectives. This role provides leadership, direction, and hands-on support to matrixed teams to ensure the successful completion of complex integration initiatives. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT

• Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.
• Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project.
• Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation.
• Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.
• Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.
• Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.
• Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.

Supplemental Responsibilities and Core Work Products:

The Program Manager IV personally develops and manages the program structure and artifacts required to:

• Build and execute the integrated portfolio roadmap, including priorities, sequencing, scope, delivery plans, milestones, commitments, and outcome measures.

• Translate strategy and approved future-state designs into programs, workstreams, deliverables, implementation plans, readiness requirements, and operational-transition criteria.

• Establish work-product expectations, owners, contributors, dependencies, due dates, and acceptance criteria with accountable business and functional leaders.

• Maintain integrated tracking of milestones, deliverables, risks, issues, assumptions, dependencies, decisions, and commitments.

• Integrate partner contributions and drive execution through influence, governance, documented commitments, decision management, and escalation.

• Develop governance structures, executive updates, and decision and escalation briefs that communicate progress, program health, risks, dependencies, recommendations, and actions needed.

• Develop business cases, funding requests, resource and capability requirements, and supporting QAI, AOP, Planview, and other approved portfolio documentation with Finance and accountable partners.

• Partner with the aligned Senior Process Improvement Manager to translate approved process designs into implementation plans, readiness criteria, adoption activities, controls, and outcome measures.

• Lead implementation readiness, adoption, warranty, stabilization, outcome tracking, transition to operational ownership, and program closeout.

Education/Experience: Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred.

License/Certification: Project Management Professional (PMP) or Program Management Professional (PgMP) preferred

Supplemental Preferred Qualifications (in addition to the standard Education/Experience requirements above)

• 6+ years of program or project management experience.

• Experience leading complex healthcare transformation across functions, markets, products, or platforms.

• Proven ability to personally build and execute portfolio roadmaps, program plans, governance, business cases, and implementation strategies.

• Ability to turn evolving strategy into work products, milestones, owners, dependencies, decisions, and measurable outcomes.

• Hands-on individual contributor who leads through influence in a complex, matrixed organization.

• Strong executive communication, decision facilitation, risk management, escalation, and stakeholder skills.

• Working knowledge of Medicare, Medicaid, Duals, D-SNP, Care Management, integrated care, or health-plan operations; direct Duals or D-SNP experience strongly preferred.

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Originally posted on Himalayas

Company :

Job Description :

GENERAL OVERVIEW

As a Program Manager you will operate with a high degree of autonomy to lead high-stakes, multi-million-dollar implementations that directly drive the organization’s government business growth. This role is pivotal in launching, scaling, and optimizing our Medicare, Medicaid, and D-SNP (Dual Eligible Special Needs Plan) portfolios, requiring a deep, nuanced understanding of the complex regulatory, operational, and financial landscapes unique to government-sponsored healthcare.

You will independently define, execute, and deliver complex, enterprise-level programs within strict scope, quality, time, and budget constraints. Serving as the linchpin for cross-functional collaboration, you will align clinical, compliance, provider network, actuarial, and IT teams to manage intricate interdependencies across multiple workstreams. Leveraging your mastery of government program complexities, you will proactively navigate shifting CMS and state-level guidelines, data privacy mandates, and risk factors. Additionally, you will lead and influence a matrixed team of professionals and contractors, ensuring seamless execution that expands our market footprint and delivers high-quality, compliant care to vulnerable populations.

ESSENTIAL RESPONSIBILITIES

• Work with management to assemble project teams and work groups to produce deliverables required to achieve the objectives of a defined corporate program. Lead project managers and work group leaders in the development and maintenance of comprehensive plans for a defined corporate program.
• Organize, direct and coordinate cross-functional activities to focus corporate resources on the successful delivery and implementation of the desired results for a defined corporate program and/or strategic initiative.
• Work with the executive sponsor of a corporate program (VP or higher), and other management as required to achieve the objectives of a defined corporate program. Acquire detailed understanding of the business objectives for an assigned area.
• Monitor and evaluate the progress, alignment and financial “health” of a cross-functional group of projects and related activities which together, constitutes a defined corporate program. Direct corrective action as needed to maintain the viability of the program. If required - Report to the executive team/sponsor/steering committee on the progress, business impacts and strategies around the program(s).
• Assess risks that might jeopardize successful achievement of the desired results of a program, develop risk mitigation strategies and tactics, and implement risk mitigation plans.
• As needed - Partners with procurement to develop and execute strategies related to the service/asset contracts.
• As needed - Manages the vendor to the responsibilities outlined in the contract and statement of work.
• Other duties as assigned or requested.

EDUCATION
Minimum

• High School Diploma / GED

EXPERIENCE

Minimum

• 7 -10 years of work experience in project management or
• 7-10 years of work experience delivering business solutions using information technology

LICENSES/CERTIFICATIONS

Required

• None

SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees?

No

WORK ENVIRONMENT

Is Travel Required?

Yes

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies

Note: Job duties and responsibilities support separation of duties across multiple users

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Originally posted on Himalayas

JOB DESCRIPTION

Job Summary

Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable.

Job Duties

• Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices, playbooks and best practices for respective program.
• Manages program budget, as applicable, supporting project prioritization.
• Collaborates with Legal, Compliance, and Information Security to ensure governance standards are upheld.
• Tracks performance metrics and ensures value realization from deployed solutions.
• Coordinates recurring meetings to support governance framework and decision-making processes, as needed.
• At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management.
• Collaborates with key stakeholders to support dissemination and adoption of program guardrails, processes, best practices and other collateral.
• Routinely reviews program collateral to ensure current and accurate reflection of business needs.
• Identifies opportunities/gaps and provides recommendations on program enhancements to respective leadership team.
• Responsible for creating business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
• Generates and distributes standard reports on schedule.

JOB QUALIFICATIONS

REQUIRED QUALIFICATIONS:

• At least 4 years of Program and/or Project management experience, or equivalent combination of relevant education and experience.
• Operational Process Improvement experience.
• Managed Care experience, preferably in a shared service, CoE or matrixed environment.
• Experience with Microsoft Project and Visio.
• Strong presentation and communication skills.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Originally posted on Himalayas