GENERAL SUMMARY: Under minimal supervision, the Program Manager will lead various business and system related projects of a highly complex nature for the organization. Programs may include a group of related projects, based on the size and strategic alignment. The program manager will support Corporate Divisions and Departments in achievement of their strategic goals by assisting in the timely and cost-effective delivery of all projects with a professional, motivated, and customer-focused manner. The Program Manager is a strategic advisor and analytics leader who shapes the departmental and organizational analytics agenda. This person sets standards for KPI tracking, dashboard design, and analytics governance, while mentoring analysts at all levels and fostering a data-informed culture. The Program Manager applies advanced statistical methods, deep domain expertise, and exceptional communication skills to deliver insights that influence critical business and clinical decisions. PRINCIPLE DUTIES AND RESPONSIBILITIES:
Uses skills in ideation, facilitation, strategic planning and relationship management to bring together multiple teams in the organization and create the overall vision, strategy alignment, scope, roadmap, business case, and cohesive plan for executing the assigned program. Maintains program metrics, milestone charts, roadmap, schedule, and reporting on project health and progress against goals. Manages the program team and supports technical and vendor teams as applicable. Develops program success KPIs, ensures program-level value is being realized, and leverages reporting mechanisms to monitor performance. Manages timing, quality, and financial results of programs from start to finish, to meet customer needs and ensure winning performance of the product and the services provided. Primary point of communication with strong cross-functional stakeholder management skills for business and IT partners for the assigned program; maintaining strong partnerships and ensuring timely and accurate communication of program updates. Leverages program documentation and action-oriented behavior to navigate ambiguity and seek clarity as priorities change. Manages risks and issues within the program and escalates to senior leadership as required. Promotes individual professional growth and development; serves as mentor and a resource to less experienced project managers. Leverages creative, "out-of-the-box" thinking to develop original solutions to overcome roadblocks and meet or exceed project requirements and expectations. Manages post implementation support and provides post implementation project review. Support procurement processing of RFPs, Vendor Contracting, Purchase Orders, and other contract-related artifacts. Leads Agile processes and ceremonies, including stand-up meetings, backlog grooming, retrospectives and story mapping. Acts as a subject matter expert providing project management methodology consulting to program team members. Manages the program budget, including the review of financial reports, invoices, trends, and forecasts. Source and prepare complex datasets across multiple systems to support enterprise analytics initiatives. Apply advanced SQL, statistical analysis, and forecasting to inform strategic decisions. Set standards for dashboard and report design; create high-level executive visualizations that influence decision-making. Lead the creation of reports and presentations for senior leadership; translate complex analytics into business recommendations. Apply statistical concepts as needed to create deep insights. Documents process flows, relevant data flows and ensure they are monitored for accuracy and quality. Able to make decisions with little coaching or supervision. Makes recommendations for improving data assets and platforms, drives enterprise solutions to improve data quality and accessibility. Routinely participates in webinars and other educational resources to enhance understanding of current developments in healthcare environment and provides training on existing tools to all stakeholders as needed. Acts as a mentor to other team members and provides constructive feedback as necessary.
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's degree in Business Administration, Project Management, Information Technology, Computer Science, Healthcare Administration, or related field, required. Master's Degree, preferred. At least five (5) years of experience in healthcare delivery, project management, and running large projects of a complex nature, required. Minimum of Two (2) years of experience in technology related areas, including application development or new product implementation, required. Two (2) years of experience using data to drive business decisions, preferred. Two (2) years of managed care/insurance related business, preferred. Experience with agile delivery methodologies (i.e. Scrum, Scrum at Scale), preferred. Effective oral and written communication and interpersonal skills. Strong presentation skills. Must be able to work autonomously with strong task management skills. Expert user of Microsoft Excel, PowerPoint and other Microsoft Office products. Write basic SQL to extract data from any data asset and databases. Able to use data visualization tools such as Power BI, Tableau, Qlik etc. Able to apply basic statistical methods. Understanding of project management concepts and processes. Strategic thinking with a strong grasp of health insurance markets, products, and trends. In-depth knowledge of health insurance operations, claims, population health management, actuarial processes, risk adjustment strategies, and regulatory compliance.
CERTIFICATIONS/LICENSURES:
Project Management Institute Certification, preferred. Scrum Master Certification, preferred.
Additional Information
- Organization: HAP (Health Alliance Plan)
- Department: ASSOC VP FINANCE
- Shift: Day Job
- Union Code: Not Applicable
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