Delivery Lead / Program Manager
Remote
Experienced Delivery Leads / Program Managers to lead execution of a large portfolio of state-mandated regulatory and compliance initiatives across Medicaid and healthcare payer operations. This role will be responsible for coordinating multiple concurrent workstreams supporting regulatory changes, backlog remediation, and 2027 implementation readiness across Claims, Eligibility, Regulatory Reporting, Provider, Data, and Integration platforms. The Delivery Lead will serve as the primary orchestration point across business, regulatory, architecture, engineering, testing, data, operations, and vendor teams, ensuring successful and compliant delivery of regulatory commitments while managing risks, dependencies, capacity, schedules, and stakeholder communications.
Key Responsibilities
Program & Delivery Leadership
- Lead multiple concurrent regulatory programs and workstreams across the Regional Regulatory portfolio.
- Establish integrated delivery plans that align regulatory deadlines, business priorities, and application roadmaps.
- Drive execution across multiple releases and implementation waves.
- Ensure delivery commitments are met while maintaining quality, compliance, and operational readiness.
Planning & Dependency Management
- Develop and maintain integrated program plans, milestones, release schedules, and implementation calendars.
- Identify and actively manage cross-program dependencies involving:
- Claims platforms
- Eligibility systems
- Regulatory reporting solutions
- Data warehouse and analytics platforms
- EDI and integration platforms
- Vendor and third-party systems
- Coordinate sequencing of deliverables across multiple application teams.
Risk & Issue Management
- Establish proactive risk management processes.
- Identify regulatory, operational, technical, testing, and implementation risks.
- Facilitate issue resolution and escalation management.
- Maintain executive-level visibility into risks, mitigation plans, and decision requirements.
Stakeholder Management
- Serve as the primary coordination point between:
- Regulatory and Compliance teams
- Medicaid Business Operations
- Product Owners
- Business Analysts
- Solution Architects
- Engineering Teams
- Data and Reporting Teams
- Quality Engineering Teams
- Release and Production Support Teams
- Executive Leadership
- Drive governance meetings, steering committees, status reviews, and executive updates.
Delivery Governance
- Establish and manage:
- Program governance structure
- RAID logs (Risks, Assumptions, Issues, Dependencies)
- Milestone tracking
- Resource forecasting
- Budget and capacity planning
- Executive dashboards and reporting
- Ensure regulatory commitments are tracked through implementation and validation.
Cross-Functional Coordination
- Coordinate delivery activities across:
- Application Development
- Mainframe Teams
- Java and Digital Platforms
- Facets Configuration Teams
- DataStage and Talend Development Teams
- Integration Teams
- Cloud Platforms
- Testing and QA Organizations
- Facilitate alignment between business readiness and technical delivery schedules.
Release & Implementation Management
- Oversee release readiness assessments and deployment planning.
- Coordinate production implementation activities.
- Drive operational readiness, training, communications, and transition-to-support activities.
- Ensure successful stabilization during post-production support periods.
Executive Communications
- Prepare and deliver executive-level program reporting.
- Communicate delivery progress, risks, decisions, budget status, and implementation readiness.
- Provide concise and actionable updates to leadership and regulatory stakeholders.
Required Qualifications
- Bachelor's degree in Business, Information Systems, Healthcare Administration, Engineering, or related field.
- 15+ years of program, project, or delivery management experience.
- 10+ years leading large-scale healthcare payer transformation or regulatory programs.
- Demonstrated experience managing multiple parallel delivery teams and workstreams.
- Experience delivering regulatory and compliance initiatives within Medicaid, Medicare, or Commercial healthcare environments.
- Strong understanding of:
- Program and portfolio management
- SDLC methodologies
- Agile and SAFe frameworks
- Risk and dependency management
- Executive stakeholder management
Preferred Qualifications
- Experience managing state Medicaid regulatory implementations.
- Knowledge of CMS regulations and Medicaid managed care operations.
- Experience with healthcare payer platforms including:
- Facets
- QNXT
- HealthRules
- Custom claims and eligibility systems
- Experience coordinating complex data and integration initiatives involving:
- EDI transactions
- APIs
- Data warehouse platforms
- Regulatory reporting solutions
- PMP, PgMP, PMI-ACP, SAFe Program Consultant (SPC), or SAFe Release Train Engineer (RTE) certification preferred.
Program Management Tools
- Azure DevOps
- Jira
- Confluence
- Microsoft Project
- Smartsheet
- Power BI
- Excel
Core Competencies
- Portfolio Delivery Management
- Regulatory Program Leadership
- Dependency Management
- Risk Management
- Financial & Capacity Planning
- Executive Communication
- Vendor Management
- Release Management
- Stakeholder Alignment
- Organizational Change
