Strategic Program Manager, Medicaid P&L

Hawaii Medical Service Association

$90K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree and six years of related experience in Medicaid/managed care, healthcare operations, program performance, finance, or analytics.
  • Three years of experience leading complex projects and developing business recommendations.
  • Strong analytical and project management skills; ability to communicate complex information clearly and concisely to leadership.
  • Working knowledge of regulated program requirements and documentation standards.
  • Good working knowledge of Microsoft Office applications to include Word, Excel, PowerPoint, and Outlook.

Responsibilities

  • Leads program-level financial performance routines such as budget tracking and corrective actions.
  • Develops business cases and assessments for Medicaid initiatives.
  • Supports forecast inputs through structured monitoring of operational drivers.
  • Coordinates with cross-functional teams to translate insights into actionable plans.
  • Creates executive-ready dashboards and summaries for decision-making.
  • Designs and manages cross-functional initiatives that improve efficiency and performance.
  • Mentors analysts/PM resources, reinforcing standards for documentation and accountability.

Benefits

  • Opportunity to lead strategic Medicaid initiatives.
  • Cross-functional collaboration with diverse teams.
  • Emphasis on mentorship and professional development.
  • Involvement in initiatives that align with regulatory requirements.
  • Focus on continuous improvement and performance outcomes.
Full Job Description
  • Financial Performance Management & Business Planning
    • Leads program-level financial performance routines (budget tracking, variance drivers, and corrective action plans).
    • Develops business cases and financial impact assessments for Medicaid initiatives.
    • Supports forecast inputs through structured monitoring of operational and programmatic drivers.
    • Coordinates with Finance, Actuarial, Provider Ops, Health Mgmt, Compliance, and IT to translate insights into action.
    • Creates executive-ready dashboards, summaries, and decision materials.
  • Performance Optimization Initiatives
    • Designs and manages cross-functional initiatives that improve affordability, efficiency, and performance outcomes.
    • Applies continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness.
  • External / Contract Alignment Support
    • Ensures initiatives and investments align with CMS/DHS/MQD requirements and QUEST priorities; supports documentation for audits/reviews as needed.
  • Mentorship & Capability Building
    • Mentors analysts/PM resources, reinforcing standards for documentation, analysis quality, and accountability.
  • Other Duties/Functions
    • Performs all other miscellaneous responsibilities and duties as assigned or directed.


  1. Bachelor's degree and six years of related experience in Medicaid/managed care, healthcare operations, program performance, finance, or analytics.
  2. Three years of experience leading complex projects and developing business recommendations.
  3. Strong analytical and project management skills; ability to communicate complex information clearly and concisely to leadership.
  4. Working knowledge of regulated program requirements and documentation standards.
  5. Good working knowledge of Microsoft Office applications to include Word, Excel, PowerPoint, and Outlook.

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