Sr Program Manager - PEAQ & HDE - Flex

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Job Summary

This position is responsible for managing one or more highly complex or enterprise-wide program(s) consisting of multiple projects. Being accountable for end-to-end delivery of a complex program (could include multiple projects), including managing the cost / budget, schedule & dependencies, resources, scope, quality, and risk. Developing the program strategy, supporting business case and various enterprise-wide high-level project plans. Providing a strong blend of technical and business acumen to drive the design, development and implementation of strategic programs. Building a sufficient level of knowledge of it products and lob to enable targeted probing of delivery feasibility and conflicts with other projects. Ensuring integration of program and corresponding sub-projects and adjusting program scope, timing, and budgets as needed, based on the needs of the business. Responsible for driving deliverables and activities with pdl and it product managers by removing barriers, escalating risk/issues, building consensus, and driving decisions, as well as tracking key program milestones and recommending adjustments to program leadership and team.
Responsible for two major initiatives:

PEAQ (Provider Efficiency, Appropriateness, and Quality) is HCSC's framework for measuring provider performance across cost efficiency, appropriateness, and quality outcomes.
HDE (Health Data Exchange) enables the secure exchange of healthcare data across providers, partners, and systems to improve interoperability, care coordination, and access to timely clinical information.
Lead the development and prioritization of the PEAQ and HDE roadmaps, including business cases, analyses, funding requests, and executive-level presentations. Partner with Strategy, Finance, Actuarial, business owners, and operational stakeholders to evaluate investment opportunities, manage governance through the Steering Committee, and ensure high-priority enhancements, methodology changes, data exchange initiatives and connections are aligned with enterprise objectives and delivered effectively.
Qualifications

Bachelor degree and 6 years of Health Care industry and/or IT work experience OR 7-10 years managing projects and some experience managing complex programs.
In-depth knowledge of business area and/or industry/technology included in scope.
Leadership experience in multi-discipline, high-performance work teams/groups.
Ability to work both independently or in a team environment on multiple initiatives in a fast paced environment.
Experience in developing and reviewing program/project budgets and cost/expense information.
Experience delivering action plans to allocate resources across programs.
Experience in negotiations and managing conflict; organizational / political savvy.
Experience in facilitation skills, with strong verbal and written communication.
Experience in project management lifecycle, project/program management, and portfolio management methodologies and tools.
Good judgment and quick business decisions.
Ability to influence (direct / indirect reports, project stakeholders, and leaders) and manage in a matrix organization
Ability to handle ambiguity, with the agility and flexibility to adapt to constantly changing priorities
Structured, organized and methodical in execution; takes ownership and accountability for outcomes, drives for results and drives certainty in delivery
Develops trusted relationships and demonstrates deep Interpersonal skills
Experience with the entire software development lifecycle from inception to development to testing to production deployment and maintenance; deep understanding of common software delivery models - OWF, Scrum, XP
Knowledge of Clarity PPM system and expertise in Microsoft Suite, including Excel, PPT, Word, Project
Preferred Job Qualifications:

Expertise in business case development, including financial analysis, value creation strategies, and executive-level recommendations.
Financial modeling and ROI analysis, payback period, and scenario modeling.
Experience evaluating and prioritizing strategic initiatives, operational transformations, and healthcare business opportunities.
Strong understanding of healthcare economics, payer/provider operations, value-based care, and health insurance business models.
Experience developing market assessments, growth strategies, and go-to-market plans for new products, or capabilities.
Consulting experience with a demonstrated ability to structure ambiguous problems and drive data-driven decisions.
Proficiency in business analytics, and decision-support methodologies.
MBA, MHA, CFA, or equivalent strategic, financial, or healthcare business experience prefe

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