Quality Programs Lead - Accreditation & Compliance

Capital District Physicians Health Plan Inc; Town of De Witt (NY); On-site; USD 79,000 - 142,000; Full time

Job summary

Capital District Physicians Health Plan Inc is seeking a Program Manager to oversee complex programs and provide end-to-end operational and technical solutions aligned with accreditation, CMS/DOH regulatory requirements, and member experience goals.

The role emphasizes leadership, collaboration across multiple departments, and delivery of program submissions on time while monitoring outcomes and ensuring compliance with quality standards and governance structures.

Qualifications

• Bachelor's degree in Nursing, Business or Healthcare Administration; Master’s preferred.
• Minimum 5 years of related work experience; PMI/PMP preferred.
• Applied knowledge of quality improvement and regulatory compliance.
• Strong communication and cross-functional leadership skills.

Responsibilities

• Oversees multiple complex programs and ensures on-time delivery.
• Manages day-to-day operations to align with program standards.
• Communicates with stakeholders at all levels and reviews progress.
• Develops program plans, dashboards and reports to executives.
• Leads governance and cross-functional collaboration.

Skills

Project management

Leadership

Stakeholder communication

Quality improvement

Regulatory compliance

Education

Bachelor's degree in Nursing, Business or Healthcare Administration

Master's degree preferred

Job description

Capital District Physicians Health Plan Inc is seeking a Program Manager to oversee complex programs and provide end-to-end operational and technical solutions aligned with accreditation, CMS/DOH regulatory requirements, and member experience goals.

The role emphasizes leadership, collaboration across multiple departments, and delivery of program submissions on time while monitoring outcomes and ensuring compliance with quality standards and governance structures.