Program Manager III

Job Summary

To promote increased program efficiency and service levels, the full-time remote Program Manager III will manage multiple projects throughout their life cycle, focusing on performance monitoring, improvement strategies, and regulatory compliance.

Key responsibilities

• Identify opportunities to enhance operational efficiency and ensure regulatory compliance
• Develop and implement strategies for improvement, aligning resources with organizational priorities
• Lead cross-functional teams in managing project execution, including planning, budgeting, and stakeholder communication

Required qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, or a related field; Master's degree preferred
• 5+ years of project implementation, product, or program management experience
• Experience in managed care or prescription benefit management preferred
• Familiarity with Amisys, Xcelys, or similar claims adjudication engines strongly preferred
• Demonstrated knowledge of Payment Accuracy programs within EDI Gateway Availity or similar programs preferred