Healthcare Program Manager

Job Title : Program Manager, Healthcare Services

Location : Texas, United States

Job Type : Full Time

Job summary:

Our client, a leading organization in the healthcare services industry, is seeking a Healthcare Services Program Lead to support strategic initiatives, drive operational excellence, and ensure high-quality, compliant care delivery. This role blends subject matter expertise with project leadership, process optimization, and cross-functional collaboration.

About the Role

The Healthcare Services Program Lead will guide the development, execution, and evaluation of key healthcare service initiatives. You will support organizational goals by designing programs, monitoring performance, ensuring regulatory alignment, and partnering with internal teams and external vendors. Your contributions will directly influence quality outcomes, operational efficiency, and member experience.

Key Responsibilities

• Partner with internal stakeholders to design and implement healthcare service programs from concept to completion.
• Provide continuous updates on program performance, goals, and compliance to maintain alignment with organizational standards and regulatory expectations.
• Coordinate and, when needed, oversee work performed by external vendors or strategic partners.
• Lead efforts focused on process improvements, organizational change, and program optimization to support business objectives.
• Act as a subject matter expert, guiding teams in healthcare operations and helping address critical service needs.
• Translate business needs into clear functional requirements by working closely with internal and external partners.
• Conduct quality reviews to identify training needs and ensure standards of service delivery are met.
• Develop essential business documentation such as requirements briefs, test plans, traceability matrices, and training materials.

Required Qualifications

• Minimum of 5 years of experience in the healthcare field, including hands-on experience in clinical operations.
• At least 3 years of experience in areas such as utilization management, care coordination, care transitions, behavioral health, or a related discipline.
• Relevant clinical licensure or certification (RN, LVN, LPN, APSW, CHES, LPC, LPCC, LMFT) when required by state regulations or contractual obligations; licensure must be active and unrestricted if applicable.
• Strong analytical thinking and problem-solving skills.
• Excellent organizational skills and the ability to manage multiple priorities.
• Experience navigating federal, state, and payer regulatory requirements.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office applications and comfort working in digital platforms and databases.

Preferred Qualifications

• Professional certifications such as CCM, CPHM, CPHQ, or related designations.
• Previous leadership or supervisory experience.
• Background working with Medicare or Medicaid populations.