Program Manager – PA Governance

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

📋 Description

• Identify avenues to enhance efficiency, elevate service levels, and ensure compliance with regulations and PA standards through improved, standardized operations and governance practices.

• Develop and implement strategies to capitalize on PA improvement opportunities, ensuring prioritization at the enterprise level, clear decision-making authority, and proper alignment of resources.

• Oversee multiple PA initiatives throughout the entire project lifecycle.

• Facilitate structured PA governance cycles by guaranteeing that initiatives are assessed, prioritized, approved, and sequenced appropriately.

• Leverage corporate and industry-standard project management and governance tools to effectively manage PA initiatives.

• Maintain comprehensive and precise documentation for the PA program.

• Compile, format, and verify review packets and governance decision materials for leadership evaluation.

• Coordinate and validate inputs from market, clinical, and subject matter experts (SMEs) for PA governance materials.

• Collaborate with analytics, medical economics, and operations teams to analyze financial and operational claims data.

• Ensure that ad-hoc PA requests are logged, monitored, prioritized, and either executed or formally deferred.

• Maintain a centralized repository for PA documentation, serving as the definitive source for governance artifacts.

• Provide strong leadership and communicate the status of the PA program and governance to stakeholders.

• Lead cross-functional governance and working sessions to achieve enterprise objectives and meet stakeholder expectations.

• Negotiate with stakeholders to secure resources, address cross-functional dependencies, and mitigate risks.

⛳️ Requirements

• Bachelor’s degree in Business Administration, Healthcare Administration, or a related field, or equivalent experience.

• A Master’s degree is preferred.

• Over 5 years of experience in project implementation, product, or program management.

• Experience in managed care or prescription benefit management is preferred.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K and stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work approach with options for remote, hybrid, field, or office schedules.