Strategic Program Director, Medicaid & Provider Services

Acentra Health; McLean (VA); 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 leadership and operational oversight for enrollment and management initiatives.

You will act as the primary client liaison, coordinating across operations, technology, project management, and business analysis to ensure on-time, on-budget delivery and adherence to contractual commitments.

Qualifications

• Bachelor's degree in business, healthcare administration, information technology, project management, or a related field.
• 7+ years of experience managing complex healthcare, Medicaid, government, or technology programs.
• 10+ years' experience in managerial and leadership roles.
• Experience managing provider enrollment, 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.
• Ability to pass required background checks and travel to onsite meetings

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.

Skills

Relationship management

Cross-functional leadership

Business acumen

Leadership

Project management

Education

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

Job description

Acentra Health is seeking a Program Director to lead the NY Medicaid Provider Services Management program, delivering strategic leadership and operational oversight for enrollment and management initiatives.

You will act as the primary client liaison, coordinating across operations, technology, project management, and business analysis to ensure on-time, on-budget delivery and adherence to contractual commitments.