Program Manager

Description

Serve as the end-to-end program and project lead for the Prior Authorization interoperability workstream, from planning and requirements through implementation, readiness, and transition to operations.

Build and maintain an integrated program plan that aligns business activities, IT workstreams, vendor deliverables, dependencies, milestones, critical path, resources, and decision points.

Lead day-to-day project management across business, IT, and vendor teams, including agendas, working sessions, action tracking, issue resolution, status reporting, and executive escalation.

Partner with business owners and subject matter experts to define, validate, document, and manage business, operational, data, integration, security, compliance, and technical requirements.

Develop and maintain program governance artifacts, including the charter, scope, roadmap, work breakdown structure, RACI, stakeholder plan, communication plan, decision log, RAID log, change controls, and implementation readiness criteria.

Coordinate delivery of API and system integration capabilities, ensuring business workflows, technical interfaces, data exchange, vendor components, testing, and operational processes remain aligned.

Manage vendors through software delivery cycles, including contract deliverables, schedules, dependencies, environments, release plans, defect resolution, acceptance criteria, and implementation commitments.

Facilitate cross-functional design and delivery decisions involving business operations, clinical or authorization operations, enterprise architecture, application teams, integration teams, data teams, information security, privacy, compliance, quality assurance, and operational support.

Establish clear ownership and accountability for deliverables; follow up with stakeholders and escalate unresolved decisions, risks, resource constraints, or missed commitments in a timely manner.

Manage scope, schedule, quality, resources, and delivery risk to achieve approved commitments. Evaluate proposed changes and communicate impacts to leadership and affected teams.

Coordinate test strategy and execution across unit, integration, system, vendor, user acceptance, regression, and operational readiness activities, as applicable to the solution.

Lead implementation planning, release readiness, deployment coordination, contingency planning, stakeholder communications, training coordination, and post-implementation stabilization.

Provide concise and accurate reporting on accomplishments, upcoming milestones, critical path, risks, issues, dependencies, decisions, budget or vendor status, and leadership actions needed.

Capture lessons learned, improve delivery practices, and ensure program documentation is complete, current, accessible, and maintained in accordance with department standards.

Perform other duties aligned with the Prior Authorization interoperability engagement as assigned.

Approved program charter, scope, objectives, governance model, and stakeholder map.

Integrated business, IT, and vendor delivery plan with milestones, dependencies, resources, and critical path.

Business and technical requirements package with traceability to design, testing, and acceptance.

RACI, communication plan, decision log, RAID log, change log, and recurring status reports.

Vendor delivery oversight, release coordination, acceptance tracking, and escalation management.

Test, implementation, operational readiness, training, transition, and stabilization plans.

Executive-level summaries and recommendations supporting timely decisions.

Additional Skills & Qualifications

Demonstrated ability to lead complex, cross-functional programs and projects involving people, process, data, and technology.

Hands-on knowledge of project and program management practices, including scope, schedule, budget, quality, resource, risk, issue, dependency, change, and stakeholder management.

Ability to develop business requirements, facilitate process definition, create RACI models, establish acceptance criteria, and maintain requirements traceability.

Working understanding of APIs, system integrations, data exchange concepts, software environments, testing practices, release management, and production implementation.

Experience managing technology vendors and vendor software delivery lifecycles, including commitments, dependencies, release schedules, defects, and acceptance.

Ability to interpret regulatory or policy requirements and coordinate their translation into business processes, technical requirements, delivery plans, and evidence of completion.

Strong facilitation, negotiation, written communication, executive communication, problem-solving, and decision-support skills.

Ability to organize ambiguous work, create structure, manage competing priorities, and maintain momentum in a fast-moving environment.

Ability to build effective working relationships and influence outcomes across organizational levels without relying solely on direct authority.

Proficiency with Microsoft 365 productivity tools and common project, work management, diagramming, and collaboration platforms.

Preferred Knowledge and Experience

Experience with health plan prior authorization workflows, including request intake, clinical or administrative review, determination, notification, and related operational handoffs.

Experience delivering health care interoperability, API, data exchange, or regulatory implementation initiatives.

Experience working in a health plan, managed care, payer, or similarly regulated environment.

Must have a bachelors!

Experience Level

Intermediate Level

This is a Contract position based out of Fairfield, CA.

The pay range for this position is $80.00 - $80.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

This is a Contract position based out of Fairfield, CA.

This position is anticipated to close on Nov 19, 2026.

This is a fully onsite position in Fairfield,CA.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.