Program Director – Government Programs, Operations & Vendor Management

Role Overview

• Lead program management activities for vendor management, including overseeing governance processes, operational oversight, and the development of scalable program structures and tools.
• Oversee moderate to highly complex vendor relationships, including SLA management, performance score-carding, risk mitigation, and structured business reviews.
• Design and implement sustainable vendor performance strategies that strengthen operational outcomes and advance long-term program objectives.
• Monitor and analyze key performance metrics and KPIs, delivering actionable insights, strategic recommendations, and high-quality reporting for senior leadership.
• Partner with internal and external stakeholders to resolve implementation, compliance, productivity, and process design challenges, ensuring alignment with organizational standards.
• Develop and maintain monitoring, control, and governance procedures aligned with contractual, accreditation, and regulatory requirements.
• Maintain program documentation, reporting systems, and analytical frameworks to assess program and vendor performance.
• Mentor and develop vendor managers and emerging talent, strengthen organizational capabilities and support enterprise competency growth.
• Act as a subject matter expert in vendor management, providing guidance on enterprise vendor needs, improvement opportunities, and best practices.
• Promote continuous learning and adoption of effective vendor performance management practices across GovPro.
• Build functional expertise in vendor management to inform strategic planning and enterprise alignment with broader enterprise objectives.
• Provide expert consulting services to GovPro departments and cross-functional partners on improvement initiatives, change adoption, and operational challenges.
• Serve as a rapid-response problem solver, quickly assessing complex issues and partnering with leaders to develop effective solutions; lead and manage consulting engagements from project initiation through program delivery.
• Lead end-to-end process reviews to identify improvement opportunities, promote consistency, and strengthen system and process alignment across teams.
• Drive and prioritize continuous improvement and change initiatives, ensuring alignment with strategic goals.
• Serve as a change agent, fostering a culture of improvement within internal teams and across vendor operations.
• Build strong, influential relationships across GovPro and the enterprise; model effective leadership and facilitate adoption of improvement strategies.

Requirements

• Bachelor’s degree in healthcare administration, business administration, or related field required.
• At least 10 years of experience in healthcare insurance operations, care management, utilization management, vendor management, or large-scale program/project leadership.
• Master’s degree and prior leadership experience preferred.
• Demonstrated ability to operate effectively in dynamic, ambiguous environments and make decisions with limited information.
• Strong consulting capability, including the ability to assess needs, frame problems, recommend solutions, and influence stakeholders across GovPro and the enterprise.
• Exceptional verbal, written, and executive communication skills; able to translate complex concepts for diverse audiences.
• Advanced facilitation skills with the ability to build consensus, resolve issues diplomatically, and lead cross-functional discussions.
• Proven success leading multi-stakeholder initiatives and driving change through influence rather than hierarchy.
• Expertise in program management, particularly in vendor management programs involving high-profile, complex vendor environments.
• Strong analytical capabilities with the ability to interpret complex data, develop insights, and inform decision-making.
• Experience designing, managing, and evaluating SLAs, performance metrics, governance structures, and vendor processes.
• Ability to evaluate program effectiveness, identify improvement opportunities, and lead continuous improvement activities.
• Demonstrated success managing major vendor performance issues and developing effective mitigation and resolution strategies.
• Knowledge of health insurance industry trends, regulatory expectations, and evolving technologies.
• Familiarity with contract language, contractual risk identification, and mitigation strategies.
• Skilled in stakeholder engagement, relationship-building, and supporting others through change.
• Experience leveraging AI-enabled tools to enhance productivity, insights, or operational decision-making.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.