Program Manager, Health Plan Data

Vatica Health

About The Position

The Program Manager, Health Plan Data Submissions is responsible for designing, owning, and operating a process-driven, capacity-aware planning and execution model for the Submission Files Team, with primary accountability for Health Plan Data Submissions, including HPDE, Bridge, PayerOne, and DAV. This role ensures submission timelines are predictable, scalable, and resilient to ad-hoc demand, while maintaining clear visibility, governance, and accountability across stakeholders. The Program Manager owns the end-to-end planning, coordination, and execution of submission cycles, delivering against non-negotiable deadlines in a complex, highly regulated environment. Serving as the central point of accountability for submission delivery, this role works cross-functionally with Configuration, File Generation, Validation, and Delivery teams to align capacity, timelines, and priorities. Success requires strong operational judgment, disciplined execution, attention to detail, and the ability to manage ambiguity while ensuring data accuracy and minimizing delivery risk.

Requirements

Bachelor’s degree or equivalent practical experience
3–5 years of experience in program management, operations, or delivery roles supporting complex, deadline-driven initiatives
Demonstrated progression in scope and accountability within program or operations roles
Experience managing programs with multiple dependencies and fixed delivery timelines
Proven ability to operate effectively in ambiguous, fast-paced environments
Strong organizational, prioritization, and attention-to-detail skills
Ability to understand and translate complex data, file formats, and technical processes into executable plans
Excellent written and verbal communication skills across technical and non-technical stakeholders
Experience in healthcare data exchange, quality reporting, or regulated healthcare environments
Familiarity with Health Plan Data Submissions workflows, including HPDE, Bridge, PayerOne, or DAV
Experience coordinating cross-functional technical and operational teams
Experience supporting audit-sensitive or compliance-driven deliverables

Responsibilities

Own and manage the end-to-end Health Plan Data Submissions program lifecycle (HPDE, Bridge, PayerOne, DAV), from intake and planning through file generation, validation, submission, and confirmation
Design and maintain a capacity-aware, input-driven execution model that replaces static calendar-based planning and improves delivery predictability
Ensure delivery against fixed, non-negotiable submission deadlines while managing competing priorities and ad-hoc demand
Serve as the primary point of accountability for submission delivery, providing clear status reporting, risk assessment, and escalation to stakeholders and leadership
Translate technical, operational, and business requirements into clear timelines and executable delivery plans
Coordinate cross-functional teams to ensure clear ownership, effective handoffs, and timely execution
Proactively identify delivery risks, assess impact, and implement mitigation strategies to minimize errors, rework, and downstream disruption
Establish and maintain a structured system of record for submission requests, milestone tracking, and delivery confirmations to reduce manual coordination risk

Benefits

Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded
401k plans– we want to empower you to prepare for your future
Room for growth and advancement- we love our employees and want to develop within
Comprehensive Medical, Dental, and Vision insurance plans
Tax-free Dependent Care Account
Life insurance, short-term, and long-term disability
Excellent PTO policy (everyone deserves a vacation now and then)
Great work-life balance environment- We believe family comes first!
Strong supportive teams- There is always a helping hand when you need it