Program Director — NY Medicaid Provider Services

Acentra Health, LLC; United States; 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, providing strategic leadership and operational oversight for a complex enrollment and management initiative. You will coordinate cross-functional teams, manage risks, ensure contract commitments, and align with client objectives.

The role requires strong relationship management, budget oversight, and experience driving program readiness from development to steady-state operations, with

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 provider enrollment, provider management, Medicaid Enterprise Systems, MMIS, or other healthcare administration programs.
• Demonstrated ability to lead cross‑functional teams and operate effectively in a high‑visibility, time‑sensitive environment.
• Ability to travel to onsite meetings, and to client site as needed.

Responsibilities

• 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.
• 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.

Education

Bachelor’s degree in business, healthcare administration, information technology, project management, or a related field preferred.

Job description

Acentra Health is seeking a Program Director to lead the NY Medicaid Provider Services Management program, providing strategic leadership and operational oversight for a complex enrollment and management initiative. You will coordinate cross-functional teams, manage risks, ensure contract commitments, and align with client objectives.

The role requires strong relationship management, budget oversight, and experience driving program readiness from development to steady-state operations, with