Strategic Initiatives Program Manager

Prominence-Health-Plan; Reno (NV); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Loan Forgiveness Program

401(K) with company match

SoFi Student Loan Refinancing Program

Career development opportunities

Job summary

Prominence Health is seeking a Strategic Initiatives Program Manager to lead key strategic projects, develop commercial and Medicare Advantage products, and drive system improvements across the enterprise.

The role coordinates leadership and cross-functional teams, ensuring timely, budget-conscious completion of initiatives, with regular travel to engage stakeholders and industry events.

Qualifications

• Experience with NCQA, URAC or other health plan accreditation standards.
• Knowledge of Medicare Advantage, DMAP, CMS bid processes and managed care programs.
• PMO leadership and budgeting experience across large programs.
• PMP, PgMP or Agile certification preferred.

Responsibilities

• Manage and drive strategic projects and programs across Prominence Health enterprise.
• Develop and implement commercial and Medicare Advantage products and vendor selections.
• Coordinate leadership and cross-functional teams; ensure timely, budget-conscious delivery.
• Support business teams in development, implementation, and compliance for clients and vendors.
• Travel up to 25% to meet stakeholders and attend industry events.

Skills

Strategic program management

Cross-functional leadership

Stakeholder management

Healthcare industry knowledge

Travel readiness

Education

Bachelor's degree in Business/Healthcare Administration

Master's degree or MBA preferred

Job description

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Learn more at: https://prominence-health.com/

Job Summary

The Strategic Initiatives Program Manager will assume a pivotal role in managing and driving key strategic projects and programs within the Prominence Health enterprise. This role calls for development, organization, and facilitation of Prominence Health Plan's commercial and Medicare Advantage products, system and infrastructure improvements, and vendor selection and implementation. This role will provide essential support to the organizational business teams in the development, implementation, and compliance of new and renewing commercial and Medicare clients, products, and vendors.

The role involves coordinating leadership, cross-functional teams, facilitating communication, and ensuring the timely and budget-conscious completion of projects. Regular travel is required to meet with stakeholders and attend industry events.

Benefit Highlights

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries! More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

Qualifications and Requirements

• Experience with NCQA, URAC, or other health plan accreditation standards, State and Federal laws, regulations, policies, and practices for the administration of Medicare Advantage, Prescription Drug Plan, and managed care organizations.
• Bachelor's degree in Business, Healthcare Administration, or a related field; Master's degree or MBA preferred.
• 8+ years of experience in project, program, or portfolio management, strategy, or a related field in the healthcare industry. At least 5 years of experience managing product strategy. Experience with product marketing, underwriting or actuarial analysis can be a substitute for well-qualified candidates. At least 3 years of experience with special needs plan (I/C/D), CMS bid process, commercial health plan offerings, and/or a Medicaid managed care program that includes dual-eligibles.
• Project or Program Management Professional (PMP/PgMP) or Agile certification preferred.
• Demonstrated ability to gather, motivate, and lead interdisciplinary team of stakeholders across the organization to meet product-related deliverables and regulatory documentation.
• Supervisory experience and/or working with external healthcare providers and health systems, managing large budgets, project management, and demonstrated negotiation skills.
• Demonstrated ability to work independently and collaboratively in a fast-paced, dynamic environment.
• Strong problem-solving and analytical skills, with a keen eye for detail and the ability to analyze healthcare data. Ability to prioritize and manage multiple tasks and projects simultaneously.
• Willingness and ability to travel up to 25% of the time, depending on project requirements and company needs.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.