Program Director, NY Medicaid Provider Services

Acentra Health; New Jersey; On-site; USD 145,000 - 210,000; Full time

Job summary

Acentra Health is seeking a Program Director to lead the NY Medicaid Provider Services Management program, delivering strategic oversight of enrollment and operations to ensure on-time delivery, budget alignment, and client satisfaction.

You will coordinate across operations, technology, project management, and QA, manage risks, drive continuous improvement, and ensure compliance with HIPAA, CMS, and state regulations while partnering with clients.

Qualifications

• Bachelor's degree in business, healthcare administration, IT, PM or related field.
• 7+ years managing complex healthcare/Medicaid/government/tech programs.
• 10+ years in managerial/leadership roles.
• Experience with full SDLC: planning, design, testing, deployment, operations.
• Experience with provider enrollment, Medicaid/MMIS, or related programs.
• Proven client relationship, contract, budget, risk, and performance management.
• Experience in multi-vendor environments and coordination with agencies/partners.
• Ability to lead cross-functional teams in high-visibility, time-sensitive settings.

Responsibilities

• Provide strategic leadership and operational oversight for the NY Medicaid PSM program.
• Ensure delivery on schedule, within budget, and per contractual commitments.
• Serve as primary liaison between client and internal teams, managing relationships.
• Coordinate activities across operations, technology, PM, business analysis, testing, training.
• Monitor performance, manage risks and issues, drive continuous improvement.
• Ensure compliance with HIPAA, CMS requirements and federal/state regs.
• Oversee workforce planning and staffing to meet contractual needs.
• Prepare and present status reports, executive briefings, and financial updates.
• Lead readiness activities: implementation, go-live, stabilization and transition.

Skills

Leadership

Cross-functional collaboration

Relationship management

Strategic planning

Education

Bachelor's degree in related field

PMP certification (PMI)

Master's degree

Job description

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision-making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles.

Job Summary And Responsibilities

Acentra Health is looking for a Program Director to join our growing NY Medicaid Provider Services Management team.

As the New York Program Director/Account Manager for the Provider Services Management (PSM) program, you will provide strategic leadership and operational oversight for a complex provider enrollment and management program. You will be responsible for ensuring successful program execution, including delivery on schedule, within budget, and in accordance with contractual commitments and client expectations.

This role serves as a primary liaison between the client and internal teams, requiring strong relationship management, business acumen, and cross-functional leadership. You will coordinate program activities across operations, technology, project management, business analysis, testing, training, and other functional areas to ensure the delivery of high-quality services. You will also monitor performance, manage risks and issues, support continuous improvement, and ensure alignment with organizational standards and the client’s business objectives.

• Preferred candidate will reside in NY or neighboring states.

• Maintain accountability for meeting applicable contractual SLAs, including system functionality, staffing levels, 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.
• Provide operational leadership for the transition from development and implementation into steady-state operations, ensuring appropriate readiness, staffing, procedures, documentation, and support processes are in place.
• Identify, assess, and resolve operational challenges, escalating issues appropriately and coordinating timely, practical solutions with internal teams, the client, and other vendors.
• Establish and maintain effective risk, issue, dependency, change, escalation, and decision-management practices.
• Lead program readiness activities, including implementation planning, operational readiness, go-live preparation, stabilization, continual 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, ensuring the program maintains qualified personnel and sufficient staffing to meet contractual and operational requirements.
• Prepare and present regular status reports, executive briefings, performance reviews, financial updates, and other program communications for internal leadership and client stakeholders.
• Develop and implement methods, procedures, and service-improvement initiatives that enhance provider and user experience, operational efficiency, quality, and program outcomes.
• Provide guidance and oversight to team members and functional leads responsible for specific program areas or delivery phases.
• Collaborate with Business Development and organizational leadership to support 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.

Required Qualifications

• Bachelor’s degree in business, healthcare administration, information technology, project management, or a related field preferred.
• 7 + years of experience managing complex healthcare, Medicaid, government, or technology programs of similar size and scope.
• 10 + years’ 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 operate 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/flexibility to travel to onsite meetings, and to client site as needed.

Preferred Qualifications

• Project Management Professional (PMP) or other PMI certification, as well as master’s degree preferred.
• Knowledge of CMS certification, MECT/SMC, IV&V, Medicaid regulations, HIPAA, and applicable State and Federal requirements preferred.
• Knowledge of best practice in healthcare operations.
• Knowledge of metrics, productivity measures and reporting.
• Knowledge of contract development and implementation.
• Budget and financial skills.
• Competent communication skills (written and verbal and listening); uses appropriate interpersonal skills with variety of stakeholders.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Experience in Lieu of Degree

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands‑on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Compensation

The pay for this position is listed below.

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”

Pay Range: USD $145,200.00 - USD $210,000.00 /Yr.