Program Manager VI, Manager Population Health Management, Medicaid Quality Strategy

Oversees the delivery of large-scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions with responsibility and accountability for achieving program outcomes from initiation to close-out in an extended or open-ended time frame. Drives the completion of the work of multiple program teams by evaluating providing feedback on internal and/or external resources and team composition. Proactively monitors, identifies, and mitigates risks, issues, and trigger events across multiple, interdependent programs by developing mitigation plans and strategies. Monitors compliance of program activities by ensuring program plans and team members adhere to relevant policies and procedures. Ensures the alignment, buy-in, engagement, and support of diverse program stakeholders. Reviews vendor performance levels, provides direction on service improvements or revisions to strategy, and facilitates contract negotiations with vendors.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides actionable feedback to others, including upward feedback to leadership; influences, mentors, and coaches team members. Practices self-leadership; creates, evaluates, and responds to the strengths and weaknesses of self and unit or team members. Leads the adaptation to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Fosters open dialogue amongst team members.


• Drives the execution of multiple work streams by identifying member and operational needs; translates business strategy into actionable business requirements; develops and updates new procedures and policies. Gains cross-functional support for objectives and priorities; determines and carries out processes and methodologies; solves highly complex issues; escalates and resolves issues as appropriate; sets standards and measures progress. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; influences the completion of project tasks by others.


• Oversees the delivery of large-scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions with responsibility and accountability for achieving program outcomes from initiation to close-out in an extended or open ended time frame. Analyzes, integrates, and manages program plans for the most complex program initiatives which include scope identification and management, schedules, inter-dependencies, and resource forecasts. Manages and monitors the program financials of large, high profile, dynamic program initiatives. Monitors program performance to ensure programs effectively deliver maximum long term value or benefit to the organization, and makes adjustments as needed in an uncertain environment where scope may be fluid. Leads program activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the program. Assists in the establishment and management of proper program management practices in regard to allocation of resources, schedules and task assignments. This role may perform project management duties in addition to program management responsibilities.


• Drives the completion of the work of multiple program teams. Evaluates internal and/or external resources and provides feedback on team composition based on the alignment of team member skills and program demands. Creates and communicates a clear vision of program goals and objectives to the team. Provides guidance and feedback to team members.


• Proactively monitors, identifies, and mitigates program risks, issues, and trigger events across multiple interdependent programs by developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.


• Monitors adherence of program activities to policies and procedures by ensuring program plans and team members follow KP, departmental, and/or business line policies and procedures.


• Ensures the alignment, buy-in, engagement and support of diverse program stakeholders by building and maintaining relationships as well as communicating appropriately with internal customers, third party vendors, executive management, and business leaders; and clarifying accountability and authority across stakeholders. Identifies and works closely with key stakeholders based on their level of influence and decision making and ensures all appropriate stakeholders are represented and included. Determines program goals, influences the prioritization of deliverables, coordinates all business processes (e.g. program change management, communication) and facilitates decisions necessary for program delivery by partnering with program sponsors and/or review boards. Communicates tough issues to stakeholders while maintaining an independent opinion, providing recommendations, delivering formal presentations, and providing reports to executive audiences. Engages with executive stakeholders to identify long term value to the organization and define success.


• Reviews vendor performance to provide direction for service improvements or revisions to strategy. Partners with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. Facilitates contract negotiations with vendors, and reviews and resolves issues with vendor invoices.