Program Director, NY Medicaid Provider Services

Acentra Health, LLC•Glenville, MN

About The Position

Acentra Health is seeking a Program Director to provide strategic leadership and operational oversight for its New York Medicaid Provider Services Management (PSM) program. The role is accountable for successful program execution, including delivery on schedule, within budget, and in accordance with contractual commitments and client expectations. The Program Director serves as a primary liaison between the client and internal teams and coordinates delivery across operations, technology, project management, business analysis, testing, training, and other functional areas. The role monitors performance, manages risks and issues, supports continuous improvement, and ensures alignment with organizational standards and client business objectives. The preferred candidate will reside in New York or a neighboring state. Travel to onsite meetings and the client site may be required as needed.

Requirements

Bachelor’s degree in business, healthcare administration, information technology, project management, or a related field is preferred; relevant experience may be accepted in lieu of a bachelor’s degree under the stated policy.
At least 7 years of experience managing complex healthcare, Medicaid, government, or technology programs of similar size and scope.
At least 10 years of experience in managerial and leadership roles.
Demonstrated experience managing the full system development life cycle, including planning, requirements, design, configuration, testing, implementation, stabilization, and operations.
Experience managing provider enrollment, provider management, Medicaid Enterprise Systems, MMIS, or other healthcare administration programs.
Demonstrated experience managing client relationships, contractual obligations, deliverables, budgets, risks, issues, staffing, and performance metrics.
Experience working in a multi-vendor environment and coordinating with government agencies, system integrators, and other implementation partners.
Demonstrated ability to lead cross-functional teams and work effectively in a high-visibility, time-sensitive environment.
Ability to pass required background checks and comply with applicable privacy, security, HIPAA, and data-access requirements.
Ability to support operational readiness activities, UAT, implementation, production deployment, and other client-required activities.
Ability and flexibility to travel to onsite meetings and the client site as needed.
Strong written, verbal, and listening communication skills, with appropriate interpersonal skills for engaging a variety of stakeholders.

Nice To Haves

PMP or other PMI certification.
Master’s degree.
Knowledge of CMS certification, MECT/SMC, IV&V, Medicaid regulations, HIPAA, and applicable state and federal requirements.
Knowledge of healthcare operations best practices.
Knowledge of metrics, productivity measures, and reporting.
Knowledge of contract development and implementation.
Budget and financial skills.
Residence in New York or a neighboring state.

Responsibilities

Maintain accountability for contractual service-level agreements, including system functionality, staffing, issue resolution, reporting, and operational readiness.
Coordinate cross-functional teams across provider enrollment operations, business analysis, project management, technology, testing, conversion, training, certification, architecture, and production support.
Lead the transition from development and implementation into steady-state operations, ensuring readiness, staffing, procedures, documentation, and support processes are in place.
Identify, assess, and resolve operational challenges, escalating issues and coordinating timely solutions with internal teams, the client, and other vendors.
Establish and maintain risk, issue, dependency, change, escalation, and decision-management practices.
Lead program readiness activities, including implementation planning, operational readiness, go-live preparation, stabilization, continuous improvement, and transition planning.
Support CMS certification, MECT milestone reviews, IV&V activities, certification artifacts, audit readiness, and remediation activities as required.
Oversee workforce planning and resource allocation to maintain qualified personnel and sufficient staffing.
Prepare and present status reports, executive briefings, performance reviews, financial updates, and other communications for internal leadership and client stakeholders.
Develop and implement methods, procedures, and service-improvement initiatives to improve provider and user experience, operational efficiency, quality, and program outcomes.
Provide guidance and oversight to team members and functional leads responsible for program areas or delivery phases.
Collaborate with Business Development and organizational leadership on client growth, new business opportunities, expansions, and related proposals as requested.
Ensure compliance with corporate policies, HIPAA and HITECH requirements, CMS requirements, applicable state and federal regulations, security and privacy standards, and contractual obligations.