[Remote] Program Director, NY Medicaid Provider Services

Note: The job is a remote job and is open to candidates in USA. Acentra Health is hiring a Program Director for its New York Medicaid Provider Services Management program. The role provides strategic leadership and operational oversight, coordinating cross-functional teams and serving as a primary liaison with the client to ensure successful program delivery, compliance, and continuous improvement.

Responsibilities

• Maintain accountability for meeting applicable contractual SLAs, including system functionality, staffing levels, issue resolution, reporting, and operational readiness
• Coordinate cross-functional teams across provider enrollment operations, business analysis, project management, technology, testing, conversion, training, certification, architecture, and production support
• Provide operational leadership for the transition from development and implementation into steady-state operations, ensuring appropriate readiness, staffing, procedures, documentation, and support processes are in place
• Identify, assess, and resolve operational challenges, escalating issues appropriately and coordinating timely, practical solutions with internal teams, the client, and other vendors
• Establish and maintain effective risk, issue, dependency, change, escalation, and decision-management practices
• Lead program readiness activities, including implementation planning, operational readiness, go-live preparation, stabilization, continual improvement, and transition planning
• Support CMS certification, MECT milestone reviews, IV&V activities, certification artifacts, audit readiness, and remediation activities as required
• Oversee workforce planning and resource allocation, ensuring the program maintains qualified personnel and sufficient staffing to meet contractual and operational requirements
• Prepare and present regular status reports, executive briefings, performance reviews, financial updates, and other program communications for internal leadership and client stakeholders
• Develop and implement methods, procedures, and service-improvement initiatives that enhance provider and user experience, operational efficiency, quality, and program outcomes
• Provide guidance and oversight to team members and functional leads responsible for specific program areas or delivery phases
• Collaborate with Business Development and organizational leadership to support client growth, new business opportunities, expansions, and related proposals as requested
• Ensure compliance with corporate policies, HIPAA and HITECH requirements, CMS requirements, applicable State and Federal regulations, security and privacy standards, and contractual obligations

Skills

• 7 + years of experience managing complex healthcare, Medicaid, government, or technology programs of similar size and scope
• 10 + years' experience in managerial and leadership roles
• Demonstrated experience managing the full system development life cycle, including planning, requirements, design, configuration, testing, implementation, stabilization, and operations
• Experience managing provider enrollment, provider management, Medicaid Enterprise Systems, MMIS, or other healthcare administration programs
• Demonstrated experience managing client relationships, contractual obligations, deliverables, budgets, risks, issues, staffing, and performance metrics
• Experience working in a multi-vendor environment and coordinating with government agencies, system integrators, and other implementation partners
• Demonstrated ability to lead cross-functional teams and operate effectively in a high-visibility, time-sensitive environment
• Ability to support operational readiness activities, UAT, implementation, production deployment, and other client-required activities
• Bachelor's degree in business, healthcare administration, information technology, project management, or a related field preferred
• For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree
• Project Management Professional (PMP) or other PMI certification
• Master's degree
• Knowledge of CMS certification, MECT/SMC, IV&V, Medicaid regulations, HIPAA, and applicable State and Federal requirements
• Knowledge of best practice in healthcare operations
• Knowledge of metrics, productivity measures and reporting
• Knowledge of contract development and implementation
• Budget and financial skills
• Competent communication skills (written and verbal and listening); uses appropriate interpersonal skills with variety of stakeholders

Benefits

• Remote within the United States
• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts

Company Overview

Company H1B Sponsorship