Experienced Program/Project Manager to lead and support operational initiatives for a large health plan. This individual will manage complex, cross-functional projects spanning care delivery, operational model development, technology, member experience, process improvement, and transformation.
The ideal candidate is a hands-on project leader who can move comfortably between strategy and execution. They should be able to take a project from discovery and conceptual design through planning, implementation, and ongoing performance management while coordinating stakeholders. This role may either be an individual contributor or eventually manage project managers.
What You Will Work On
Key Responsibilities • Program & Project Management
• Lead complex projects and workstreams from initiation through implementation.
• Develop and maintain integrated project plans, milestones, dependencies, risks, issues, decisions, and deliverables.
• Establish appropriate governance, meeting cadence, escalation pathways, and executive reporting.
• Coordinate work across multiple functional areas and stakeholders to ensure alignment on priorities, timelines, ownership, and outcomes.
• Translate broad strategic objectives into actionable project plans and executable bodies of work.
Operational Workflow & Process Improvement• Assess existing operational workflows and identify gaps, dependencies, inefficiencies, and improvement opportunities.
• Design or refine future-state workflows that support clinical and operational objectives.
• Facilitate cross-functional working sessions to clarify roles, handoffs, business requirements, and operational impacts.
• Support implementation and adoption of redesigned processes and operating models.
• Identify opportunities to standardize approaches while accommodating appropriate regional or functional differences.
Strategy, Design & Transformation• Facilitate discovery sessions, stakeholder interviews, current-state assessments, gap analyses, and future-state design.
• Help develop strategic roadmaps, operating models, business requirements, implementation approaches, and solution options.
• Translate concepts and recommendations into structured implementation plans.
• Partner with leaders to evaluate opportunities, define priorities, and move initiatives from strategy through execution.
What You Will Bring
Required QualificationsSkillset is more important than industry experience, but preference is consultants have some healthcare background.
• Strong healthcare Program and/or Project Management experience.
• Strong stakeholder management skills with the ability to work across functions and organizational levels.
• Demonstrated ability to independently manage complex projects and multiple concurrent workstreams.
• Experience with strategic planning, business/process design, operational workflow improvement, or healthcare transformation.
• Strong project planning, risk/issue management, dependency management, governance, and executive reporting skills.
• Ability to facilitate complex discussions and convert ambiguous business problems into structured plans and deliverables.
• Excellent written and verbal communication, facilitation, and executive presentation skills.
• Ability to operate effectively in a highly matrixed healthcare environment.
Preferred ExperienceCare delivery / healthcare operations
Health plan operations
Workflow and process redesign
Performance improvement
Implementation planning
Operating model and organizational design
Healthcare strategy and roadmap development
Current-state / future-state assessments
Change management
Data, analytics, KPI development, and performance reporting
Member experience
What You Can Expect
- An inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies and qualities that set our team apart.
- Compensation commensurate with your qualifications, experience, and other factors including geographic location, market and operational factors.
- Total Rewards include: Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k) Savings Plan, Employee Stock Purchase Plan, Professional Development Program, Paid Time Off and Paid Sick Time (in geographies where legally required).
