Program Manager – PA Governance, Optimization

Role Overview

• Lead large‑scale, cross‑functional PA governance initiatives, including working with organizational leaders to support enterprise PA priorities
• Oversee all aspects of PA program planning, management, and execution, ensuring scope, schedule, and budget are managed in alignment with governance standards and enterprise priorities
• Drive the enterprise‑wide PA optimization cycle to plan, with clear decision points, sign‑offs, and readiness milestones prior to implementation
• Ensure ad‑hoc PA requests are appropriately triaged, prioritized, and executed without disrupting the core optimization cycle or governance cadence
• Drive large‑scale initiatives by coordinating the work of project managers and business analysts supporting PA workstreams across Operations, Finance, Benefit Operations, Clinical, Analytics, and Technology
• Create and maintain comprehensive timelines, workplans, and deliverables, ensuring teams follow established project and governance standards
• Identify implementation risks early and partner with functional leaders to develop mitigation plans ahead of go‑live
• Develop and maintain executive‑level dashboards and reporting that provide clear visibility into PA governance decisions, initiative status, risks, and outcomes
• Prepare concise, decision‑ready materials for Program Steering Committees and Executive Leadership, including clear rationale, tradeoffs, and recommendations
• Partner with PHCO Analytics to monitor post‑implementation impact and validate that approved PA code and policy changes are delivering intended outcomes
• Track utilization or spend anomalies following go‑live and ensure insights are surfaced and fed into subsequent PA triage and prioritization cycles
• Proactively manage program‑level risks, dependencies, forecasts, and interdependencies across PA initiatives
• Serve as the first point of escalation for PA program issues and risks; work directly with project teams to resolve issues and develop mitigation strategies
• Escalate well‑formulated risks and recommendations to leadership with clear articulation of business, clinical, and operational impacts
• Align stakeholders around data‑based prioritization, PA governance standards, and enterprise decision frameworks
• Create and deliver best‑practice guidance and training for indirect reports, peers, and stakeholders to support consistent application of PA governance principles
• Partner with training teams to develop and review PA‑related training materials to support operational readiness and adoption

Requirements

• Bachelor’s degree in related field or equivalent experience required
• Master’s degree preferred
• 8+ years of Program or Project Management experience required
• Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required
• Proficiency in MS Office applications and project management tools required
• Healthcare experience and/or managed care experience preferred

Benefits

• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules