Job SummaryThe Business Program Manager leads complex, enterprise-wide initiatives that support Consumer Markets growth and new market expansion. This role is responsible for developing and executing integrated program plans, ensuring organizational readiness, and driving alignment across business, operational, regulatory and technology teams. The Program Manager serves as the strategic program lead for Consumer Markets new market expansion initiatives, including ACA and Medicare market launches, ensuring projects achieve intended business outcomes through effective governance, risk management, stakeholder engagement, cross-functional coordination, and organizational readiness.
Key Responsibilities- Lead strategic program governance with executive leadership through clear reporting, decision support, and issue escalation.
- Develop and manage integrated implementation plans that include business readiness, operational, regulatory, and technology activities.
- Drive accountability among workstream leaders by proactively identifying gaps, challenging assumptions, and facilitating timely resolution of issues impacting delivery.
- Lead successful execution of new market launches, product implementations, and enterprise initiatives to achieve defined milestones, readiness criteria and business outcomes.
- Identify and manage cross-functional dependencies, risks, downstream impacts, and operational barriers that could affect implementation success across multiple workstreams.
- Coordinate cross-functional teams including Product Development, Operations, Network, Compliance, Finance, Marketing, Sales, Customer Service, and Technology.
- Serve as a strategic thought partner to business leaders by understanding organizational objectives and ensuring work remains aligned with expected business outcomes.
- Partner with leaders to establish launch readiness criteria and ensure all requirements are completed before implementation.
- Analyze complex and ambiguous business challenges, determine required actions, and bring structure and clarity to evolving initiatives while recommending actionable solutions.
- Connect information across functions and initiatives to identify downstream impacts, hidden dependencies, and operational risks that may affect launch readiness and business outcomes.
- Facilitate stakeholder engagement and maintain alignment on priorities, timelines, and expected outcomes.
- Develop expertise in state-specific regulatory, operational, and market requirements and ensure those requirements are incorporated into implementation plans and launch activities.
- Manage project budgets, schedules, resources, vendor relationships, and overall program performance.
- Prepare and present executive-level communications, dashboards, and governance materials, decisions requiring leadership action, and risk mitigation strategies.
Qualifications- Required Bachelor's Degree or equivalent
- Preferred Master's Degree or equivalent
- 5 years of relevant experience in related field Required
- Health Insurance Experience Required
- Experience in a project management role that adheres to Project Management Institute (PMI) principles and practices, and which includes: leading multiple moderately-sized project teams of eight or more team members within a matrix organization; supervising or leading resources directly or indirectly in a cross-functional team environment; and projects in multiple technologies and/or business functions Preferred
- CRT-Project Management Professional (PMP) - PMI Project Management Institute preferred Or
- CRT-Program Management Professional (PgMP) - UNKNOWN Unknown preferred
Preferred Qualifications- Master's degree.
- PMP (Project Management Professional) or PgMP (Program Management Professional) certification.
- 7+ years of health plan experience, ideally Medicare Advantage, Medicaid, or ACA products.
- Experience leading health plan implementations, market expansions, product launches, or enterprise transformation initiatives.
- Demonstrated success managing complex programs with multiple stakeholders and competing priorities.
- Proven ability to operate effectively in highly ambiguous environments and drive results where processes and requirements are still evolving.
- Strong executive presence with experience presenting to senior leadership.
- Exceptional problem-solving, critical-thinking, and systems-thinking abilities.
- Ability to influence without direct authority and hold cross-functional teams accountable for commitments and deliverables.
How Corewell Health cares for you- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Primary LocationSITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department NameConsumer Markets Product Leadership - PH Managed Benefits
Employment TypeFull time
ShiftDay (United States of America)
Weekly Scheduled Hours40
Hours of Work40
Days WorkedMonday-Friday
Weekend FrequencyN/A
