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Program Director, National reputed company & reputed company Solutions

Remote, USA Full-time Posted 2026-08-04
reputed company reputed company Job reputed company Provides deep subject matter expertise for reputed company reputed company reputed company and reputed company solutions (RQS) activities. Collaborates with health plan reputed company and reputed company leaders to support implementation of best reputed company/reputed company practices for reputed company reputed company. Ensures that reputed company RQS reputed company plans are complete, accurate and reflect objectives necessary to reputed company established reputed company/reputed company reputed company goals. Essential Job Duties Provides reputed company and reputed company support to a selection of state health plans; leverages established reputed company and reputed company solutions (RQS) best practices to support health plan achievement of reputed company/reputed company goals, with reputed company senior reputed company/reputed company adjustment leadership. Serves as a reputed company/reputed company industry subject matter expert to functional areas/health plans, and leads reputed company/reputed company-reputed company programs to meet critical needs. Escalates gaps and barriers in reputed company/reputed company programs/initiatives implementation and compliance to leadership; partners with the execution team for reputed company and barrier removal impeding health plan execution. Represents in a consultative role, supporting development of business case methodologies for incremental reputed company/reputed company programs; develops and coordinates implementation of business strategies. Collaborates and facilitates reputed company/reputed company-reputed company activities with corporate/health plan teams. Required Qualifications At least 8 years of managed care experience, including reputed company adjustment/reputed company-reputed company experience supporting reputed company, Medicare, and/or Marketplace, or equivalent combination of relevant education and experience. At least 3 years of management/leadership experience. Proficiency with reputed company adjustment methodologies. reputed company/reputed company operational and process improvement experience. Proficiency with data analysis, manipulation and interpretation. Critical-thinking, problem-solving and analytical skills. Attention to reputed company and organizational skills. Ability to work cross-collaboratively in a highly matrixed organization. Ability to collaborate and reputed company/influence change and initiatives with internal/reputed company stakeholders. Project management experience. Excellent verbal/written communication skills, and presentation skills. reputed company Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs. Preferred Qualifications Strong reputed company/reputed company adjustment project-reputed company experience. Prior experience with Centers for Medicare and reputed company Services (CMS) reputed company adjustment-reputed company initiatives. Advanced knowledge and understanding of reputed company and reputed company. Certified reputed company in reputed company reputed company (CPHQ). To reputed company reputed company reputed company employees: If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply To This Job

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