Program Director - Healthcare

Better Future Solutions, Inc; United States; On-site; USD 100,000 - 130,000; Full time

Job summary

A leading company in healthcare solutions is seeking a Director to manage and enhance their healthcare programs. This role requires a Master’s degree and extensive experience, focusing on innovative strategies in claims processing and customer experience. The ideal candidate will demonstrate excellent leadership and a commitment to driving program success.

Qualifications

• Minimum of 25 years in healthcare operations and program management.
• Strong understanding of US healthcare regulations and claims processing.
• Ability to integrate technology solutions in healthcare.

Responsibilities

• Lead and manage healthcare programs for alignment with organizational goals.
• Monitor program performance and compliance with regulatory requirements.
• Collaborate with cross-functional teams for program success.

Skills

Healthcare Data Analytics

Interoperability Standards

Cybersecurity Measures

Leadership

Communication

Interpersonal Skills

Education

Master’s degree in healthcare administration

Job description

• Lead and manage the claims, BPaaS, and CX programs for US healthcare, ensuring alignment with organizational goals and objectives.
• Develop and implement strategies to drive cognitive, agentic ai into claims processing, enhance BPaaS offerings, and improve customer experience.
• Collaborate with cross-functional teams, including operations, IT, and customer service, to drive program success.
• Monitor program performance, identify areas for improvement, and implement corrective actions as needed.
• Ensure compliance with regulatory requirements and industry standards.
• Provide leadership and guidance to program teams, fostering a culture of innovation and continuous improvement.
• Manage program budgets, resources, and timelines to ensure successful delivery of projects.
• Build and maintain strong relationships with key stakeholders, including clients, partners, and industry leaders.

Required Experience:

• Master’s degree in healthcare administration, business, or a related field
• Minimum of 25 years of experience in healthcare operations and platforms, program management, and customer experience.
• Knowledge of healthcare data analytics, interoperability standards, and cybersecurity measures.
• Ability to integrate technology solutions to enhance program efficiency and customer experience.
• Familiarity with emerging healthcare technologies and trends.
• Strong understanding of US healthcare regulations claims processing, and BPaaS.
• Proven track record of successfully managing complex programs and driving business growth.
• Excellent leadership, communication, and interpersonal skills.
• Ability to work effectively in a fast-paced, dynamic environment.

Preferred Certifications:

• Certified Professional in Healthcare Quality (CPHQ)
• Project Management Professional (PMP)
• Certified in Healthcare Privacy and Security (CHPS)
• Certified Healthcare Technology Specialist (CHTS)

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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