[Hiring] Program Director @Acentra Health, LLC

Role Description

Acentra Health is looking for a Program Director to join our growing NY Medicaid Provider Services Management team. As the New York Program Director/Account Manager for the Provider Services Management (PSM) program, you will provide strategic leadership and operational oversight for a complex provider enrollment and management program. You will be responsible for ensuring successful program execution, including delivery on schedule, within budget, and in accordance with contractual commitments and client expectations.

This role serves as a primary liaison between the client and internal teams, requiring strong relationship management, business acumen, and cross-functional leadership. You will coordinate program activities across operations, technology, project management, business analysis, testing, training, and other functional areas to ensure the delivery of high-quality services. You will also monitor performance, manage risks and issues, support continuous improvement, and ensure alignment with organizational standards and the client’s business objectives.

Preferred candidate will reside in NY or neighboring states

Responsibilities:

• Maintain accountability for meeting applicable contractual SLAs, including system functionality, staffing levels, issue resolution, reporting, and operational readiness.
• Coordinate cross-functional teams across provider enrollment operations, business analysis, project management, technology, testing, conversion, training, certification, architecture, and production support.
• Provide operational leadership for the transition from development and implementation into steady-state operations, ensuring appropriate readiness, staffing, procedures, documentation, and support processes are in place.
• Identify, assess, and resolve operational challenges, escalating issues appropriately and coordinating timely, practical solutions with internal teams, the client, and other vendors.
• Establish and maintain effective risk, issue, dependency, change, escalation, and decision-management practices.
• Lead program readiness activities, including implementation planning, operational readiness, go-live preparation, stabilization, continual improvement, and transition planning.
• Support CMS certification, MECT milestone reviews, IV&V activities, certification artifacts, audit readiness, and remediation activities as required.
• Oversee workforce planning and resource allocation, ensuring the program maintains qualified personnel and sufficient staffing to meet contractual and operational requirements.
• Prepare and present regular status reports, executive briefings, performance reviews, financial updates, and other program communications for internal leadership and client stakeholders.
• Develop and implement methods, procedures, and service-improvement initiatives that enhance provider and user experience, operational efficiency, quality, and program outcomes.
• Provide guidance and oversight to team members and functional leads responsible for specific program areas or delivery phases.
• Collaborate with Business Development and organizational leadership to support client growth, new business opportunities, expansions, and related proposals as requested.
• Ensure compliance with corporate policies, HIPAA and HITECH requirements, CMS requirements, applicable State and Federal regulations, security and privacy standards, and contractual obligations.

Qualifications

• Bachelor’s degree in business, healthcare administration, information technology, project management, or a related field preferred.
• 7 + years of experience managing complex healthcare, Medicaid, government, or technology programs of similar size and scope.
• 10 + years’ experience in managerial and leadership roles.
• Demonstrated experience managing the full system development life cycle, including planning, requirements, design, configuration, testing, implementation, stabilization, and operations.
• Experience managing provider enrollment, provider management, Medicaid Enterprise Systems, MMIS, or other healthcare administration programs.
• Demonstrated experience managing client relationships, contractual obligations, deliverables, budgets, risks, issues, staffing, and performance metrics.
• Experience working in a multi-vendor environment and coordinating with government agencies, system integrators, and other implementation partners.
• Demonstrated ability to lead cross-functional teams and operate effectively in a high-visibility, time-sensitive environment.
• Ability to pass required background checks and comply with applicable privacy, security, HIPAA, and data-access requirements.
• Ability to support operational readiness activities, UAT, implementation, production deployment, and other client-required activities.
• Ability/flexibility to travel to onsite meetings, and to client site as needed.

Requirements

• Project Management Professional (PMP) or other PMI certification, as well as master’s degree preferred.
• Knowledge of CMS certification, MECT/SMC, IV&V, Medicaid regulations, HIPAA, and applicable State and Federal requirements preferred.
• Knowledge of best practice in healthcare operations.
• Knowledge of metrics, productivity measures and reporting.
• Knowledge of contract development and implementation.
• Budget and financial skills.
• Competent communication skills (written and verbal and listening); uses appropriate interpersonal skills with a variety of stakeholders.

Benefits

• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts
• And more