[Remote] Healthcare Program Manager - Please no 3rd parties

Note: The job is a remote job and is open to candidates in USA. The client is hiring a Program Manager – Digital Care Journeys to lead the strategy, governance, and enterprise-wide delivery of digital care journey initiatives integrated into a member portal/app experience. The role unifies fragmented efforts, aligns clinical, operational, digital, and technology stakeholders, and drives execution across a portfolio of care journeys.

Responsibilities

• Define and lead the strategy for digital care journeys, including vision, operating model, governance, and execution approach
• Establish and manage governance frameworks to align cross-functional teams on priorities, standards, workflows, and decision-making
• Lead enterprise-wide planning and prioritization of care journeys across lines of business and clinical domains
• Bring together clinical, operational, and digital stakeholders to bring fragmented initiatives into a unified program roadmap
• Drive the definition and execution of content strategy and clinical review processes to ensure accuracy, compliance, and consistency
• Partner with data and analytics teams to define input and output requirements, including triggers, segmentation, engagement metrics, and outcome measures
• Ensure alignment between care journeys and core payer functions (care management, utilization management, provider engagement, member services)
• Collaborate with digital/product and technology teams to enable scalable, digital-first delivery of care journeys within their vendors capability
• Lead program execution, including milestone tracking, dependency management, risk mitigation, and reporting
• Facilitate strong collaboration across diverse stakeholders, balancing clinical priorities, operational constraints, and member experience goals
• Drive adoption and change management efforts to ensure successful integration into existing workflows and teams

Skills

• 10+ years of experience in healthcare program management, operations, or digital transformation, with a focus on payer organizations
• Proven track record of building and scaling enterprise programs across multiple teams and business units
• Deep understanding of healthcare payer workflows, including care management, population health, utilization management, and member engagement
• Strong experience working with clinical stakeholders and integrating clinical considerations into program design and execution
• Demonstrated success leading in highly matrixed organizations, bringing alignment across diverse stakeholders and competing priorities
• Experience defining and implementing governance models, prioritization frameworks, and operating structures
• Familiarity with digital health platforms, care journey orchestration, and member engagement tools
• Strong experience with data-driven program design, including defining KPIs, leveraging analytics, and optimizing outcomes
• Excellent communication and interpersonal skills — able to influence across executive leadership, clinicians, and operational teams
• Comfortable navigating ambiguity and building structure in evolving, fast-paced environments

Company Overview