Program Director

Job description

Accountabilities Program leadership: Own overall program and contract performance, including strategy, execution, compliance, quality, resource allocation, and delivery across multiple workstreams and teams. Operational oversight: Direct multidisciplinary functions including PMO, security, infrastructure, help desk, data, business analysis, testing, vendor management, and related operational activities. Strategic planning: Develop forward-looking strategies, roadmaps, and operational improvements that strengthen program maturity, scalability, efficiency, and adaptability. CMS partnership: Serve as the primary senior liaison with CMS, maintaining proactive communication, negotiating priorities, clarifying requirements, resolving issues, and anticipating stakeholder needs. Financial and administrative management: Oversee budgets, funds, resource utilization, billing, collections, and other financial operations while ensuring appropriate controls and compliance. People leadership: Supervise technical and administrative professionals, including subordinate managers, while establishing performance expectations, schedules, work standards, and accountability. Vendor and subcontractor management: Monitor external partners, ensure quality and timely delivery, resolve issues, and maintain alignment with contractual and operational requirements. Technology and data operations: Oversee activities involving Salesforce, AWS, secure data exchanges, integrations, analytics, and systems supporting healthcare program operations. Program integrity and analytics: Strengthen data-driven capabilities, including risk identification and fraud, waste, and abuse detection, to improve program performance and mitigate emerging risks. Continuous improvement: Advance automation, streamlined processes, scalable frameworks, and operational best practices across program functions. Strategic advisory: Provide senior leadership with insights on policy developments, industry trends, competitive intelligence, resource requirements, risks, and strategic opportunities. Cross-functional integration: Identify dependencies across initiatives, align program priorities with broader organizational objectives, and help optimize resource allocation and strategic execution. Documentation and communications: Ensure comprehensive program documentation and oversee training, webinars, communications, outreach materials, metrics reporting, and help desk analytics. Requirements Education and experience: Bachelor’s degree with 20+ years of senior management experience overseeing large-scale, multi-task programs or projects in regulated environments. CMS expertise: 15+ years of experience working with CMS programs, ACA risk adjustment operations, RADV, audit processes, and complex multi-vendor ecosystems. Technical proficiency: Advanced knowledge of Microsoft SQL Server, Python, Power BI, and Tableau, with the ability to leverage data and analytics for operational and strategic decision-making. Leadership: Demonstrated experience managing technical and administrative teams, supervising managers, establishing standards, ensuring quality, and managing subcontractors. Stakeholder management: Excellent written, verbal, presentation, listening, and facilitation skills, with a strong track record of working with senior leaders and complex stakeholder groups. Strategic capability: Ability to translate policy, technology, workforce, and operational developments into practical strategies, measurable improvements, and long-term program plans. Problem-solving: Strong analytical judgment and the ability to identify risks, resolve complex issues, manage competing priorities, and make decisions in high-visibility environments. Public Trust: Ability to obtain the required Public Trust clearance. Residency requirement: Must have lived in the United States for at least 3 of the past 5 years. Preferred: Experience with Salesforce, AWS, and related technologies. Preferred: PMP certification, including candidates currently working toward certification. Preferred: Lean Six Sigma Green Belt certification, including candidates currently working toward certification. Benefits Salary: Expected annual compensation range of $161,500–$218,500, with actual compensation determined by experience, geographic location, and applicable contractual requirements. Work arrangement: Fully remote position with a standard 40-hour work week. Travel: Less than 10% travel expected. Healthcare: Multiple medical plan options, including plans with Health Savings Accounts, plus dental and vision coverage. Retirement: 401(k) plan with employer matching and pre-tax/post-tax contribution options. Paid time off: Vacation, sick, personal, and holiday leave, with typically 15 days of paid leave plus 10 paid holidays for new employees, prorated where applicable. Family support: Paid parental and family leave, including up to 160 hours of paid family leave in a rolling 12-month period for eligible employees. Additional protection: Short- and long-term disability, life insurance, accidental death and dismemberment, critical illness, personal accident, and business travel insurance options. Career growth: Access to AI-powered career development resources, learning opportunities, and internal mobility support. Culture: Supportive, innovation-focused environment with opportunities to work on high-impact government and healthcare programs. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1 This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Program Director based in the United States. This is a senior leadership opportunity overseeing a complex, high-visibility program supporting federal healthcare initiatives and the Centers for Medicare & Medicaid Services (CMS).The role carries end-to-end accountability for program performance, strategic direction, financial management, compliance, and operational execution.You will lead multidisciplinary teams spanning program management, security, infrastructure, data, help desk, business analysis, and testing.The position combines executive stakeholder management with hands-on oversight of vendors, subcontractors, technology, and delivery operations.Working in a cybersecurity-conscious and FedRAMP-certified environment, you will help strengthen data-driven capabilities, automation, and program integrity.You will also act as a strategic advisor, identifying emerging risks, opportunities, technologies, and process improvements that can enhance mission outcomes.This fully remote role offers the opportunity to influence large-scale government programs while collaborating with senior leaders and diverse stakeholders.