Program Manager, Performance, Accountability & Funding Allocation

Ontario Health; London; On-site; CAD 90,000 - 120,000; Full time

Benefits offered by this job

Health coverage from day one

Well-being spending accounts

Pension plan

Vacation entitlement

Personal days and float days

Learning and career development

Collaborative workplace

Communities of Inclusion

Job summary

Ontario Health is seeking a Program Manager to join the PAFA team in the West Region of Ontario. You will lead performance, accountability, reporting and funding allocation for health service providers and programs, with a focus on hospitals.

The role requires translating complex information into actionable insights and coordinating with cross-functional partners. You will oversee obligations, service volumes, access, quality, equity and financial performance, building relationships with

Qualifications

• Bachelor’s degree in health administration, business administration, public administration, finance, health sciences or related field; 5–7 years in health system performance, provider accountability, health system planning, program operations, funding, finance, analytics, project management.
• 4 years of program leadership experience, including setting objectives, coordinating workplans, providing coaching or guidance, and monitoring outcomes.
• Strong knowledge of Ontario health system, performance management, evaluation, budgeting, resource allocation, risk management, and policy implementation.
• Excellent relationship management, consultation, and written/verbal communication skills; ability to work across providers, government and internal teams.
• Advanced proficiency with Microsoft 365 apps (Excel, PowerPoint, Word, Outlook, Teams); data visualization and reporting tools are an asset.

Responsibilities

• Lead performance, accountability and funding allocation work for Ontario Health West health service providers and programs, primarily Hospitals.
• Oversee accountability agreements and funding requirements, monitor results, identify risks and opportunities, coordinate responses.
• Provide timely advice to the Director on provider performance, system pressures, financial stewardship and priorities.
• Direct dashboards, scorecards, briefing materials and executive summaries highlighting trends and impacts.
• Develop tools, governance processes, and escalation frameworks to strengthen consistency and service quality.
• Coordinate work flow and resources across competing priorities while maintaining quality and continuity.

Job description

Company Culture

At Ontario Health, we are committed to developing a strong organizational culture that connects and inspires all team members across the province. Our vision is that together, we will be a leader in health and wellness for all. Our mission is to connect the health system to drive improved and equitable health outcomes, experiences and value. How we work together is reflected through our five values: integrity, inspiration, tenacity, humility and care.

Benefits

• Comprehensive health coverage from day one, with fully paid medical, dental, and vision benefits to support you and your family’s health
• Flexible health care or wellness spending accounts, plus an inclusive program to support your overall well-being
• A premium defined benefit pension plan, ensuring long-term financial security
• Competitive vacation entitlement that encourages time to rest and recharge
• Three personal days and two float days annually, providing added flexibility to support work-life balance, in addition to vacation days
• Ongoing learning and career development opportunities designed to help you grow, advance, and thrive in your profession
• A collaborative, values-driven workplace where integrity, care, humility, inspiration, and tenacity shape everything we do
• Opportunities to participate in Communities of Inclusion, fostering belonging, equity, and the sharing of diverse perspectives across our team

Core Responsibilities

• The Program Manager is part of the Performance, Accountability and Funding Allocation (PAFA) team, leading high-impact performance, accountability, reporting and funding allocation work for Ontario Health West health service providers and programs, with a primary focus on Hospitals. This role is ideal for a strategic, collaborative leader who can translate complex performance, funding and system information into clear advice and action. You will oversee accountability agreements and funding requirements, monitor operational and financial results, identify risks and opportunities, and coordinate timely responses to Ministry of Health and Ontario Health priorities. Working with providers, Ontario Health Teams, regional and provincial colleagues, finance partners and system stakeholders, you will help strengthen performance, stewardship, integration and person-centred care across the region. This role is regional in nature and pertinent to the needs of the West Region.
• Lead performance and accountability management for assigned providers and programs, including obligations, service volumes, access, quality, equity, financial performance and program requirements.
• Oversee service accountability agreements, transfer payment arrangements and related processes from planning and approval through monitoring, issue resolution and closeout.
• Lead funding allocation and reallocation analysis, recommendations, documentation and implementation in alignment with approved authorities, policies and controls.
• Monitor provider performance, funding conditions, utilization, settlement requirements and emerging risks; recommend mitigation strategies and improvement opportunities.
• Provide timely, concise advice to the Director on provider performance, system pressures, financial stewardship and sector priorities.
• Oversee the submission, validation and analysis of provider performance, financial, access, quality, and program reporting.
• Direct dashboards, scorecards, briefing materials and executive summaries that highlight trends, risks, variances and impacts on regional and provincial objectives.
• Transform complex quantitative and qualitative information into meaningful insights, performance metrics, and practical recommendations.
• Manage Ministry of Health and Ontario Health information requests, audits, reviews and assurance activities with accurate, consistent and timely responses.
• Build effective relationships with providers, Ontario Health Teams and partners to advance transparency, accountability, integration, equitable access and continuous improvement.
• Lead or participate in regional and provincial committees, working groups and improvement initiatives related to performance, accountability and funding.
• Develop tools, standard work, governance processes, and escalation frameworks that strengthen consistency, efficiency, and service quality.
• Provide program leadership, coaching and subject matter guidance to PAFA colleagues, helping clarify priorities, accountabilities, workplans and outcomes.
• Coordinate work, information flow and resources across competing priorities while maintaining quality, responsiveness and continuity of operations.
• Foster an inclusive, collaborative and accountable environment that supports learning, knowledge sharing, and continuous improvement.
• Identify operational risks and capacity pressures, recommend solutions, and perform other duties consistent with the position, as required.

Qualifications

• Education and Experience: Bachelor’s degree in health administration, business administration, public administration, finance, health sciences or a related field; a master’s degree is an asset. 5 to 7 years of progressive experience in health system performance, provider accountability, health system planning, program operations, funding, finance, analytics, project management or a related health care role. 4 years of program leadership experience, including setting objectives, coordinating workplans, providing coaching or guidance, and monitoring outcomes. Financial management, funding allocation or contract management experience is highly preferred; a CPA designation or relevant graduate-level finance training is an asset. Demonstrated experience in hospital, community, mental health and addictions, home care, primary care and/or long-term care, or related health system environments, including integrated models of care and provider accountability. Experience managing complex operations, multiple concurrent priorities, sensitive provider or stakeholder issues, and developing and implementing performance measurement, reporting, accountability or funding processes in the public sector or health care system. Experience working within the Ontario health system and with the Ministry of Health is an asset.
• Knowledge and Skills: Strong knowledge of Ontario’s health care system, including hospital, community, mental health and addictions, home care, primary care and/or long-term care services, relevant provider and program models, Ontario Health Teams, accountability arrangements and funding mechanisms. Knowledge of performance management, evaluation, quality improvement, financial analysis, budgeting, resource allocation, risk management, and policy implementation. Ability to analyze and synthesize complex operational, financial and performance information and translate it into clear recommendations, briefing notes, executive reports, presentations and decision materials. Strong program leadership, judgment, problem-solving, negotiation, issue management and project management skills, including knowledge of project management methods, tools and templates, and the ability to respond quickly to emerging priorities. Excellent relationship management, consultation, facilitation, written and verbal communication skills, with the ability to work effectively across providers, government and internal teams. Advanced proficiency with Microsoft 365 applications, particularly Excel, PowerPoint, Word, Outlook, Teams, and Copilot. Experience with data visualization and reporting tools is an asset.
• Location: West Region, ON
• Employment Type: Permanent Full time Contract Length: N/A
• Salary Band: Band 7
• External Application Deadline Date: November 6, 2026

Residency Requirement

All applicants must be a resident of Ontario to be considered for roles at Ontario Health.

Diversity & Inclusion

Ontario Health encourages applications from candidates who are First Nations, Métis, Inuit, and urban Indigenous; Francophone; members of Black and racialized groups; 2SLGBTQIA+ communities; trans and nonbinary individuals; and people living with disabilities.

Accessibility & Accommodation

Ontario Health is an accessible employer, and we offer accommodation in all aspects of employment, including the recruitment process.

If you require a disability related accommodation in order to participate in the recruitment process, please email [e-mail] and a member of the team will connect with you within 48 hours.

About Ontario Health

Ontario Health is the provincial agency responsible for ensuring Ontarians receive high-quality health care services where and when they need them. Since it was established in June 2019, Ontario Health has brought together the strengths of many existing health care organizations to work together to build a better health care system for all Ontarians. Building on the expertise and knowledge of our people, we are committed to applying the best of what we collectively do, and in partnership with others, to transform the health system and improve the quality and delivery of care for patients, families, and health care providers.