Program Director - WA Health Plan

Accountabilities:

• Lead the strategy, design, implementation, delivery, and ongoing operations of assigned healthcare programs and services, ensuring alignment with business objectives and measurable value.
• Develop and maintain governance structures, frameworks, standards, and best practices that promote consistent, compliant, and effective program execution.
• Partner with executive sponsors, senior leaders, and key stakeholders to establish program vision, objectives, priorities, milestones, and measurable success criteria.
• Manage and optimize the overall program portfolio, ensuring initiatives, budgets, resources, and priorities remain aligned with organizational strategy.
• Provide executive-level reporting and actionable insights on program performance, risks, dependencies, financial considerations, and outcomes to support informed decision-making.
• Lead financial planning and budget oversight for assigned programs, identifying opportunities to optimize resources and generate cost savings.
• Drive collaboration across legal, compliance, information technology, and operational teams to maintain governance, quality, and regulatory standards.
• Lead change management and stakeholder adoption efforts, ensuring new processes, technologies, and operating models are implemented effectively and sustainably.
• Evaluate program frameworks, performance metrics, workflows, and operating practices to identify opportunities for greater efficiency, scalability, and strategic impact.
• Provide training, mentoring, and guidance to team members as needed while promoting accountability, innovation, collaboration, and continuous improvement.
• Manage multiple initiatives simultaneously, balancing competing priorities while maintaining focus on quality, deadlines, stakeholder alignment, and business outcomes.

Requirements:

• At least 8 years of progressive program and/or project management experience, with increasing responsibility in a complex, matrixed organization or an equivalent combination of relevant education and experience.
• At least 3 years of management or leadership experience.
• Demonstrated experience in strategic planning, governance development, program oversight, and executive stakeholder management.
• Proven success managing budgets, performance metrics, organizational change, and complex initiatives within highly matrixed or regulated environments.
• Strong understanding of managed care operations, healthcare delivery systems, or related healthcare industries.
• Strong operational process improvement and project management capabilities.
• Strong data analysis skills, with the ability to interpret performance information and translate findings into actionable recommendations.
• Excellent organizational and time-management skills, including the ability to manage multiple projects with competing priorities.
• Strong cross-functional collaboration and stakeholder-management skills, with the ability to align diverse groups toward shared goals.
• Excellent verbal, written, and presentation communication skills, particularly when working with senior and executive-level stakeholders.
• Proficiency with Microsoft Office and applicable business tools, including Excel, PowerPoint, Project, and Visio.
• PMP, Six Sigma Green Belt, and/or Six Sigma Black Belt certification is preferred.
• Experience with claims and provider contract configuration, claims processing, Washington Medicaid, and/or encounter data validation is preferred.

Benefits:

• Annual salary range of $72,370.82–$156,803.45, with actual compensation determined by factors such as geographic location, experience, education, and skill level.
• Full-time, remote work opportunity.
• Senior-level ownership of strategic healthcare programs and services.
• Opportunity to work directly with executive sponsors, senior leaders, and diverse cross-functional teams.
• Broad scope spanning governance, program operations, financial oversight, process improvement, change management, and healthcare delivery.
• Opportunity to influence measurable program outcomes, operational efficiency, scalability, and organizational strategy.
• Exposure to complex managed care and healthcare program environments.
• Opportunity to apply and further develop expertise in strategic program leadership, data analysis, governance, and organizational transformation.
• Benefits and compensation package offered as part of the overall employment package.