Program Manager - Authorization Turnaround Time Governance

Role Description

The Program Manager leads enterprise-wide initiatives focused on governing, monitoring, and improving adherence to utilization management (UM) turnaround times (TAT). This role ensures TAT standards are clearly defined, measured, and met through disciplined program management, cross-functional coordination, and proactive risk and issue management.

• Lead large-scale, cross-functional programs supporting UM turnaround time (TAT) governance and improvement.
• Oversee all aspects of UM TAT program planning, management, and execution.
• Create comprehensive timelines and ensure project teams develop and maintain deliverables aligned to UM TAT standards.
• Drive complex UM regulatory alignment initiatives by coordinating the work of project managers and business analysts.
• Ensure workstreams are sequenced and integrated appropriately to avoid downstream impacts.
• Create and maintain executive-level dashboards and scorecards that track turnaround time performance.
• Partner with analytics teams to develop ongoing post-implementation reporting that monitors TAT outcomes.
• Create and maintain tracking mechanisms for open questions and documentation of status and decisions.
• Prepare and deliver concise, decision-ready materials for Program Steering Committees and Executive Leadership.
• Proactively manage risks, dependencies, resource constraints, and forecasts.
• Serve as the first point of escalation for TAT issues.
• Develop and implement mitigation plans to address systemic delays.
• Create and deliver best-practice guidance, standard workflows, and training related to TAT expectations.
• Partner with training teams to develop and update materials that reinforce TAT and other UM governance standards.
• Effectively communicate TAT program goals, progress, risks, and outcomes to stakeholders at all levels.
• Ensure alignment across stakeholders on authorization turnaround expectations and continuous improvement priorities.

Qualifications

• 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.
• Supervisory experience including hiring, training, assigning work, and managing performance of staff required.
• Proficiency in MS Office applications and project management tools required.
• Healthcare experience and/or managed care experience preferred.

Requirements

• Project Management Professional (PMP) or Program Management Professional (PgMP) preferred.

Benefits

• Competitive pay.
• 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.