[Hiring] Program Manager @Health Plans Inc

Role Description

The Program Manager (PgM) oversees a portfolio of related projects and initiatives (a program), ensuring they collectively deliver strategic business value and outcomes across the enterprise. The PgM drives program strategy, alignment, and governance while guiding and influencing project teams on scope, schedule, financials, dependencies, and quality standards. The PgM serves as a hands-on driver and architect of delivery; actively shaping how projects fit together within the program, anticipating downstream/upstream impacts, using leadership skills to remove barriers and keep work moving. The PgM facilitates cross-functional collaboration, manages inter-project risks and impacts, and ensures transparent communication with stakeholders and leadership. The PgM brings value by uncovering synergies across projects and programs, fostering strong cross-team collaboration, and leveraging data to guide decision-making and drive continuous process improvement.

Duties and Responsibilities

• Provide strategic program leadership by overseeing governance, prioritization, and resource allocation across multiple project portfolios to ensure alignment with organizational goals, budgets, and schedules.
• Identify synergies and interdependencies across projects and business areas by researching, investigating, and conducting deep discovery and analysis to surface connections, manage cross-project risks, and guide teams toward integrated, enterprise-wide solutions.
• Act as an architect of the program’s delivery approach by mapping how projects interrelate, identifying cross-functional impacts and dependencies, and proactively driving resolution when intersections create conflicts, risks, or competing priorities.
• Develop, maintain, and communicate program roadmaps, including program-level plans, schedules, budgets, and documentation that support transparency, alignment, and long-term planning.
• Leverage data-driven insights to support decision-making, establish meaningful metrics, and monitor value realization, ensuring the program delivers expected business benefits and supports continuous improvement.
• Foster a culture of accountability, innovation, and excellence by collaborating with project managers, cross-functional teams, and leaders to improve processes, enhance delivery practices, and support organizational maturity.
• Influences without authority, effectively guiding internal teams, external partners, and technical resources to ensure successful delivery across all program initiatives.
• Builds strong relationships and navigates organizational dynamics to drive alignment and outcomes.
• Champions robust change management practices to support stakeholder readiness, adoption, and sustained use of program outcomes—ensuring the program delivers its intended value and measurable business benefits.
• Develops and maintains comprehensive program reporting, including dashboards, status reports, and analytics that provide transparent visibility into progress, risks, and value delivery.
• Applies standardized project and program management tools, frameworks, and methodologies in partnership with project managers, project teams, and leadership to ensure consistent execution across the portfolio.
• Delivers concise, executive-ready communications, synthesizing complex information into clear insights for senior leadership, governance forums, and key stakeholders.

Qualifications

• Bachelor’s degree in business administration, information technology or a related field.
• Project management certification, or specialized training by PMI or project methodology (agile, AI-augmented project management, etc.)
• Recent experience (within the last 2 years) in health insurance/managed care or third-party administration environments.
• Minimum 4 years of hands-on project leadership (IT and/or business) across the full lifecycle.
• Experience with MS Project, Smartsheet, Jira, Confluence, Planner, or similar PM/BA toolsets.

Skills, Knowledge, and Abilities

• Demonstrated experience in organizational change management and willingness to vocalize change management concepts and mindset.
• Bias for action and a strong sense of ownership; takes initiative, drives decisions to closure, and moves work forward even amid ambiguity.
• Relentless follow-through; tracks commitments, escalates and unblocks issues, and ensures cross-functional teams deliver against agreed outcomes and timelines.
• Data and analytics literacy to inform decision-making and program outcomes.
• Excellent written and verbal communication skills; comfortable interacting with executives, managers, SMEs, and external partners.
• Proficiency with Microsoft Office (Word, Excel, PowerPoint).
• Service orientation; strong interpersonal and customer-facing skills.
• Integrity, ethical practice, and confidentiality.
• Strong problem solving, facilitation, and influencing without authority.
• Organization, self-motivation, and sound decision-making under time constraints.

Access to Protected Health Information (PHI)

This position requires the employee to handle PHI for duties related to enrollment and eligibility issues. Access to PHI includes the MBS claim system, eligibility files, and any other source necessary to complete client enrollment. Policies and procedures will be strictly adhered to, ensuring PHI is protected as required by the HIPAA Privacy Rule.

Privacy and Security Responsibilities

Responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information. Must follow HIPAA security policies and procedures affecting your job and report any suspected or actual violation or breach.

Reasonable Accommodation

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position.

Working Environment/Physical Demands

The work environment characteristics and physical demands described here are representative of those an employee may encounter while performing the duties of this job. The noise level in the work environment is moderate. The employee may occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to sit, walk, speak, or hear. The employee is frequently required to use hands or feel or handle items as well as reach with hands and arms. The employee is occasionally required to stand.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.