About the company
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Program Director based in the United States.
This is a senior leadership opportunity overseeing a complex, high-visibility program supporting federal healthcare initiatives and the Centers for Medicare & Medicaid Services (CMS).
Responsibilities
- Own overall program and contract performance, including strategy, execution, compliance, quality, resource allocation, and delivery across multiple workstreams and teams.
- Direct multidisciplinary functions including PMO, security, infrastructure, help desk, data, business analysis, testing, vendor management, and related operational activities.
- Develop forward-looking strategies, roadmaps, and operational improvements that strengthen program maturity, scalability, efficiency, and adaptability.
- Serve as the primary senior liaison with CMS, maintaining proactive communication, negotiating priorities, clarifying requirements, resolving issues, and anticipating stakeholder needs.
- Oversee budgets, funds, resource utilization, billing, collections, and other financial operations while ensuring appropriate controls and compliance.
- Supervise technical and administrative professionals, including subordinate managers, while establishing performance expectations, schedules, work standards, and accountability.
- Monitor external partners, ensure quality and timely delivery, resolve issues, and maintain alignment with contractual and operational requirements.
- Oversee activities involving Salesforce, AWS, secure data exchanges, integrations, analytics, and systems supporting healthcare program operations.
- Strengthen data-driven capabilities, including risk identification and fraud, waste, and abuse detection, to improve program performance and mitigate emerging risks.
- Advance automation, streamlined processes, scalable frameworks, and operational best practices across program functions.
- Provide senior leadership with insights on policy developments, industry trends, competitive intelligence, resource requirements, risks, and strategic opportunities.
- Identify dependencies across initiatives, align program priorities with broader organizational objectives, and help optimize resource allocation and strategic execution.
- Ensure comprehensive program documentation and oversee training, webinars, communications, outreach materials, metrics reporting, and help desk analytics.
Requirements
- Bachelor’s degree with 20+ years of senior management experience overseeing large-scale, multi-task programs or projects in regulated environments.
- 15+ years of experience working with CMS programs, ACA risk adjustment operations, RADV, audit processes, and complex multi-vendor ecosystems.
- Advanced knowledge of Microsoft SQL Server, Python, Power BI, and Tableau, with the ability to leverage data and analytics for operational and strategic decision-making.
- Demonstrated experience managing technical and administrative teams, supervising managers, establishing standards, ensuring quality, and managing subcontractors.
- Excellent written, verbal, presentation, listening, and facilitation skills, with a strong track record of working with senior leaders and complex stakeholder groups.
- Ability to translate policy, technology, workforce, and operational developments into practical strategies, measurable improvements, and long-term program plans.
- Strong analytical judgment and the ability to identify risks, resolve complex issues, manage competing priorities, and make decisions in high-visibility environments.
- Ability to obtain the required Public Trust clearance.
- Must have lived in the United States for at least 3 of the past 5 years.
- Preferred: Experience with Salesforce, AWS, and related technologies.
- Preferred: PMP certification, including candidates currently working toward certification.
- Preferred: Lean Six Sigma Green Belt certification, including candidates currently working toward certification.
Conditions
- Salary: Expected annual compensation range of $161,500–$218,500, with actual compensation determined by experience, geographic location, and applicable contractual requirements.
- Work arrangement: Fully remote position with a standard 40-hour work week.
- Travel: Less than 10% travel expected.
- Healthcare: Multiple medical plan options, including plans with Health Savings Accounts, plus dental and vision coverage.
- Retirement: (incomplete in original)