Senior Quality Programs Manager

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

Benefits offered by this job

Remote work option

Wellness program

Retirement plan

Paid time off

Job summary

Capital District Physicians Health Plan Inc seeks a Program Manager to oversee complex programs focused on accreditation, CMS/DOH compliance, member experience and health plan performance. You will lead program submissions, monitor results, and coordinate executives and stakeholders across multiple teams.

The role requires strong leadership, PM expertise, and a holistic, end-to-end approach to quality improvement and regulatory requirements.

Qualifications

• Bachelor's degree in Nursing, Business or Healthcare Administration, Analytics, Project Management or related fields.
• Master's degree preferred for advanced roles.
• PMI/PMP certification preferred is noted in qualifications.

Responsibilities

• Manages multiple complex programs and projects with end-to-end ownership.
• Ensures program submissions meet specifications and deadlines.
• Develops and monitors dashboards to track performance and outcomes.
• Leads cross-functional teams and committees, presenting status to executives.
• Manages vendor, auditor, and regulator relationships and ensures compliance.
• Plans, directs and coordinates matrixed teams through contract initiation to operations.
• Ensures confidentiality and adherence to privacy policies.
• Drives continuous improvement and oversees program economics and budgeting.

Skills

Project management

Leadership

Quality improvement

Regulatory compliance

Communication

Vendor management

Analytics

Education

Bachelor's degree

Master's degree preferred

Job description

Capital District Physicians Health Plan Inc seeks a Program Manager to oversee complex programs focused on accreditation, CMS/DOH compliance, member experience and health plan performance. You will lead program submissions, monitor results, and coordinate executives and stakeholders across multiple teams.

The role requires strong leadership, PM expertise, and a holistic, end-to-end approach to quality improvement and regulatory requirements.