Program Manager IV – Duals Transformation

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Lead large-scale, cross-functional projects focused on implementation and process improvement.

• Supervise program planning, management, and execution, covering scope, schedule, and budget.

• Coordinate with project managers and business analysts across various departments, including Operations, Finance, and Benefit Operations.

• Develop executive dashboards, project status updates, and post-implementation analytics reports.

• Collaborate with the training team to create and deliver best practices and training materials.

• Prepare and present documents for the Program Steering Committee to executive leadership.

• Evaluate program risks, escalate issues as necessary, and formulate risk mitigation plans.

• Manage risks, budgets/forecasts, dependencies, and strategic analyses effectively.

• Create and implement integrated portfolio roadmaps, program plans, governance structures, business cases, and strategies for implementation.

• Translate strategic objectives and future-state designs into actionable programs, workstreams, deliverables, readiness requirements, and transition criteria.

• Establish expectations for work products, including owners, dependencies, due dates, and acceptance criteria.

• Monitor milestones, deliverables, risks, issues, assumptions, dependencies, decisions, and commitments.

• Integrate contributions from partners and drive execution through governance, documented commitments, decision management, and escalation.

• Lead activities related to implementation readiness, adoption, warranty, stabilization, outcome tracking, operational transition, and program closure.

⛳️ Requirements

• Must possess authorization to work in the U.S. without requiring employment-based visa sponsorship, now or in the future.

• A Bachelor’s degree in a related field or equivalent experience is mandatory.

• A minimum of 8 years of experience in Program or Project Management is required.

• Prior experience as a lead in a functional area, managing cross-functional teams on large-scale projects, or supervisory experience, including hiring, training, assigning work, and managing staff is essential.

• Proficiency in MS Office applications and project management tools is required.

• A Master’s degree is preferred.

• Experience in healthcare and/or managed care is preferred.

• PMP or PgMP certification is preferred.

• At least 6 years of program or project management experience is necessary.

• Proven experience leading complex healthcare transformations across functions, markets, products, or platforms is required.

• Demonstrated ability to build and execute portfolio roadmaps, program plans, governance, business cases, and implementation strategies.

• Capability to translate evolving strategies into work products, milestones, owners, dependencies, decisions, and measurable outcomes.

• Strong skills in executive communication, decision facilitation, risk management, escalation, and stakeholder engagement are essential.

• Working knowledge of Medicare, Medicaid, Duals, D-SNP, Care Management, integrated care, or health-plan operations is required.

• Direct experience with Duals or D-SNP is strongly preferred.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Additional incentive forms may be included in total compensation, subject to eligibility.