Program Manager bei RADcube, LLC

Description

Job Description:

As the Senior Program Manager, you will be responsible for leading SENDPRO. You will manage and oversee workstreams including internal development, testing, vendor management, and Managed Care Entity (MCE) communications. You and the SENDPRO Program Team will deliver implementation of the EDI solution, maintain continuity of operations during cutover from the legacy system, and ensure SENDPRO meets its objectives to improve Encounter Data quality and enhance Managed Care Entity performance management. This position is aligned with the agency’s commitment to proactively improve data quality and increase completeness and compliance. You will participate and lead a high visibility technology initiative, providing escalation management, assessing risks, anticipating bottlenecks, and balancing business needs against technical constraints. The candidate should be comfortable with both program management and project management duties.

Duties and Responsibilities:

Serve as the Senior Program/Project Manager; coordinate tasks, workgroups, and deliverables amongst SENDPRO team members and stakeholders.

Define and execute program/project goals, priorities, and performance metrics, to ensure alignment with the agency's priorities.

Support all phases of release management and implementation, including design, development, testing and deployment.

Manage external vendors/system implementors to hold them accountable for their service delivery.

Use program/project management best practices, methodologies, and tools to achieve program/project objectives and drive efficiency.

Manage timelines for deliverables based on deadlines negotiated with program/project stakeholders.

Led program governance structures to inform, strategize, and confirm decisions.

Prepare and deliver briefings to executives, including change requests for scope, timeline, and/or cost.

Identify program risks, issues, and dependencies; develop and execute mitigation plans.

Monitor program performance including vendor performance, contract management, milestone tracking, and financial cost management.

Lead 25+ team members, including business, technical, and vendor staff.

Foster culture of collaboration, innovation, and continuous improvement within the SENDPRO team and across relevant stakeholders.

Adapt to shifting priorities and timelines.

Engage with key stakeholders to understand their needs and ensure their alignment with program/project objectives.

Manage stakeholder expectations, resolve conflicts, and facilitate consensus among diverse groups with competing priorities.

Complete activities to ensure compliance with clients program administration requirements.

Prepare program/project status reports for Executive Steering Committee and external reporting, including CMS (Centers for Medicare & Medicaid Services).

Manage financial processes for MassHealth projects; provide updates for Leadership and the Annual IT Capital process.

Qualifications: Minimum experience/skills:

Bachelor's or Graduate degree in relevant field (e.g., Computer Science, Engineering, Science, Healthcare Management, Public Health, Business Administration, or Health Policy) or equivalent experience.

5-7 years of experience in program and project management, preferably in healthcare or financial services setting.

5-7 years of experience in leading complex, technical, cross-organizational programs and/or projects, including data warehousing, data transformation, analytics, and systems integration. Experience leading programs/projects with budget over $1M.

Experience leading programs/projects of 20+ staff, including vendor contractors.

Demonstrated track record of delivering technical programs through Software Development Lifecycle, from initialization to operationalization.

Demonstrated experience utilizing project management principles and practices.

Strong problem-solving skills; experience identifying, analyzing, and resolving complex problems through structured processes.

Proven ability to communicate effectively with both business and technical stakeholders.

Proven ability to lead effective meetings and work sessions, with all levels of staff and leadership.

Knowledge of Microsoft Office Suite of Products (Word, PowerPoint, Excel, Project).

Preferred Experience/Skills:

Familiarity with agile principles and practices along with experience in working in an agile environment and strong understanding of the Software Development Lifecycle.

Familiarity with Medicaid Encounter Data and T-MSIS (Transformed Medicaid Statistical Information System).

Ability to clearly articulate project or program needs to accomplish goals.

Strong customer service orientation with the ability to understand customer needs.

Strong relationship building capabilities with a focus on partnership.

Comfortable with ambiguity and conflicting information.

Familiarity with projects involving cloud platforms.

Experience working in a government healthcare agency, other public sector environment, health plan or provider settings.

Familiarity with the Massachusetts health care landscape, including key healthcare stakeholders such as payers, providers, and consumer representatives.

Project Management Professional (PMP) Certification.