Program Manager III
Core
Leads complex, cross-functional programs and strategic initiatives supporting Utilization Management operations across Medicaid and Marketplace lines of business.
Role type
Senior Program Manager (Healthcare Operations)
Builds
Operational performance, regulatory alignment, and service quality for Medicaid and Marketplace health plans.
Domain
Healthcare / Managed Care / Utilization Management
Required skills
Cross-functional program leadership, strategic initiative management, regulatory compliance, project lifecycle management, stakeholder negotiation, resource allocation, budget management, risk mitigation, cross-functional meeting facilitation, functional and technical program knowledge
Preferred skills
Master's degree in Business Administration or Healthcare Administration, managed care experience, prescription benefit management experience
Technologies
Corporate and industry standard project management tools
Responsibilities
Identify opportunities to increase efficiency and improve service levels while ensuring regulatory compliance; Develop strategies to realize improvement opportunities and ensure organizational prioritization; Manage multiple projects through full lifecycle including requirements gathering, planning, resource management, and closure; Provide leadership and communicate project status to stakeholders via executive summaries and presentations; Negotiate with stakeholders to secure resources and mitigate risks; Lead cross-functional meetings to meet company objectives.
Seniority
Senior, hands-on IC
