Senior Program Director

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. 

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company's mission, actively engage in problem-solving, and take ownership of your work every day. Acentra Health offers unparalleled opportunities. You have all you need to take charge of your career and accelerate better outcomes, making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. 

Acentra is looking for a Senior Program Director to join our growing team.

Job Summary:

The Senior Program Director plays a pivotal role in strategically planning, directing, and overseeing the resources of operational team(s) and ensuring contract compliance and achieving operational and financial goals. They will serve as crucial subject matter expert within their assigned contract or solution area, individuals in this capacity provide leadership for substantial and intricate contracts and their associated team(s). Collaborating closely with key stakeholders in the organization, the Senior Program Director actively contributes to the creation of solutions and fosters growth and development.

During the Operations phase, the Program Manager is responsible for managing, directing, and monitoring the personnel and activities supporting overall WCMBP medical bill processing and call center operations. The Program Manager interfaces with the Government Program Manager (PM) and Contracting Officer’s Representative (COR) as appropriate. The Program Manager appoints a manager to serve as the Information Security Officer to ensure that WCMBP operations are in accordance with Federal information security guidelines and to respond to security incidents as appropriate. The Program Manager has authority to hire and terminate employees and make operational decisions that have financial impact.  Also, will manage Medical Provider Network (MPN) relations for casualty claims.

*Position is remote, but preference will be given to candidates based in Virginia, Maryland and DC areas.*

Requirements

Job Responsibilities:

• Oversight over services such as: Advanced Imaging, Audiology, Chiropractic, Dental, DME, Home Health, Hospice, Inpatient, Mental Health (including Psychiatry), MRO, Occupational Therapy, Optometry, Outpatient, Pharmacy, Physical Therapy, Physician, Podiatry, Rehabilitation, Speech Therapy, Transplant, and Transportation.
• Facilitate and coordinate the activities of multiple work groups, teams, or operational units.  Direct oversight of all management level staff.
• Ensure headcount is rightsized to the operation, considering attrition rates and contractual requirements, while meeting workload and financial targets.
• Develop and maintain an operational infrastructure that includes employee skill set requirements, gap analysis, performance management, and training plans. Create and implement effective retention plans with Human Resources.
• Ensure compliance with contractual requirements within the operation by monitoring critical indicators, deliverables, and budgets.
• Establish and maintain effective customer rapport and mutually beneficial business relationships.
• Draw on expertise of staff and others for business implementations. Assemble and deploy the resources necessary to ensure success.
• Develop regional long-term and short-term operating and financial goals including budgets and forecasts to ensure effective operations and optimum profitability.
• Work with management team to develop and enhance the operational structure including skill set requirements, gap analysis and training plans through workforce analysis.
• Participate in cross-regional activities to enhance operating efficiencies and serve as a Subject Matter Expert (SME).
• Support and participate in strategic planning and execution to enhance growth, profitability, productivity, and efficiency throughout the company’s operations. Collaborate with leadership in the development of new and enhanced policies and procedures.
• Assist in implementing contracting strategies and programs that reduce cost and maximize revenue streams. Monitor the technical performance (which includes adherence to schedule and cost requirements), resource planning, and evaluations of the services provided by the company.
• Provide advice and assistance in the planning, implementation, and evaluation of modifications to new and existing operations, systems, and procedures.
• Represent the organization at internal, local, state, and national meetings.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Required Qualifications/Experience:

• Either a BS/BA degree in healthcare/business administration, public health or related field with recent experience of at Twelve (12) years as a Program Manager (or equivalent) and/or Deputy Program Manager (or equivalent) in planning, scheduling and monitoring the personnel and activities supporting overall system design, development, and implementation in a transaction processing environment for a large IT system related to medical bill processing or similar environment
• OR a High School or GED equivalent diploma with recent experience of at least Sixteen (16) years as a Program Manager (or equivalent) and/or Deputy Program Manager (or equivalent) in planning, scheduling and monitoring the personnel and activities supporting overall system design, development, and implementation in a transaction processing environment for a large IT system related to medical bill processing or similar environment
• Project Management Professional (PMP) Certification within one (1) year after contract award.
• Minimum Background Investigation (MBI).
• Ceritified Provider Credentialing Specialist (CPCS) or Certified Professional in Provider Enrollment (CPPE).
• Minimum of 5 years working in the Workers Compensation industry.
• Minimum of 5 years working in a client facing role managing a multiple specialty and primary MPN providers.
• Minimum of 5 years working with and understanding State Workers Compensation requirements.
• Strong familiarity with the Worker’s Compensation claims process, including the documentation required from providers and how it impacts provider networks and reimbursement.
• 5+ of progressive operational leadership in a public and/or private sector healthcare entity with at least three to five years in a position of direct operational accountability for multiple departments or units.
• Considerable experience managing contract operations including contract administration functions.

Preferred Qualifications/Experience:

• Master’s Degree in healthcare/business administration or a related field.
• 3+ years of utilization management preferred.
• Recent experience in public and/or private sector healthcare providing services to government programs preferred.
• Ability to work within company’s decision-making and organizational structure.
• Skill in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Knowledge of healthcare industry; preferably with experience in both public and private sector.
• Ability to analyze and interpret financial and operational data and prepare business reports, projections, and recommendations.
• Ability to develop, plan, and implement short-and long-range goals.
• Skill in employee development and performance management.
• Ability to successfully manage change and growth.
• Ability to provide technical guidance and leadership to management team.
• Advanced verbal and written communication skills and the ability to work with a wide range of constituencies in a diverse community.
• Knowledge of quality improvement methodologies.
• Knowledge of business development, strategic planning, and tactical implementation.
• Ability to participate as a team member fostering collaborative decision- making.

Benefits

Why us? 

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as a vital partner to ensure better healthcare and improve health outcomes. 

We do this through our people. 

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. 

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.  

Compensation 

The pay range for this position is $152,300.00/yr - $196,400.00/yr

“Based on our compensation program, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” 

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

·        ~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.