Program Manager

The NAI

. Lead the overall health, performance, compliance, and continued development of a complex, high-volume federal healthcare program supporting CMS .

Posted 10/23/2026full-timeRemote • Virginia • United StatesSeniorLead💰 $150,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex federal healthcare programs, ensuring compliance, performance, and operational excellence. Proficient in leading cross-functional teams, utilizing data for decision-making, and implementing governance and corrective action strategies.

Highest-signal resume keywords

Federal Healthcare Program ManagementContractual Deliverables ManagementGovernance And Risk ManagementExecutive CommunicationData-Driven Decision Making

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Program LeadershipOperational Performance MonitoringCompliance ManagementQuality AssuranceChange ImplementationData AnalysisVendor ManagementContract ManagementPerformance ManagementAudit Support

Soft Skills

LeadershipCollaborationCommunicationProblem-SolvingAdaptability

Tools & Technologies

Governance ScorecardsOperational TrackersPerformance Reporting ToolsQuality Management SystemsData Analytics Platforms

Certifications & Qualifications

PMPPgMPLean Six Sigma

Industry Keywords

CMSHHSMedicareMedicaidFederal ContractingNo Surprises ActIDR ProcessHealthcare AppealsClaims ManagementRegulatory Compliance

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Lead the overall health, performance, compliance, and continued development of a complex, high-volume federal healthcare program supporting CMS
Own performance and execution across all operational workstreams
Operate at a fast pace and deliver accurate, high-quality work within short turnaround times
Maintain trackers for priorities, deliverables, risks, decisions, dependencies, and follow-up actions
Lead high-volume, deadline-driven operations under strict federal, contractual, quality, and service requirements
Translate contract requirements, CMS guidance, regulatory changes, and executive direction into operational plans
Monitor volume, inventory, aging, throughput, capacity, productivity, quality, and risk
Build scalable processes and maintain operational continuity across critical functions
Serve as a senior program contact for CMS and other external stakeholders
Manage federal deliverables, performance standards, reporting, and contractual obligations
Evaluate, document, train, implement, and monitor federal policy changes
Support client reviews, audits, readiness activities, corrective actions, and federal oversight
Lead integrated collaboration across operations, quality assurance, training, compliance, reporting, technology, customer support, billing, workforce planning, vendors, and partners
Convert quality findings, audits, escalations, and recurring defects into corrective action
Maintain controls, documentation, version management, and implementation evidence
Use data to assess performance, identify trends, anticipate risk, and guide decisions
Maintain reporting on volume, aging, productivity, quality, timeliness, outcomes, backlog, escalations, and KPIs
Prioritize system enhancements and assign ownership for system issues, UAT, defects, and implementation
Establish governance, meeting cadences, escalation paths, SLAs/KPIs, and ownership
Communicate status, risks, decisions, dependencies, and needs to executive leadership
Lead and develop managers and program leaders
Establish operating rhythms, accountability, performance visibility, and escalation paths during the first 90 days
Build organizational depth and lead through ambiguity, pressure, regulatory change, and competing priorities

Requirements

What you’ll need

Bachelor's degree or equivalent education and relevant experience
7+ years of progressive program or operations leadership overseeing complex, cross-functional programs
Substantial experience in federal programs, federal healthcare, or government contracting
Experience with CMS, HHS, Medicare, Medicaid, federal healthcare contractors, or comparable regulated programs strongly desired
Experience managing contractual deliverables, SLAs, KPIs, compliance, audits, and client oversight
Experience leading cross-functional operations, quality, training, compliance, reporting, technology, and vendor teams
Strong knowledge of governance, risk management, corrective action, performance management, and change implementation
Ability to use operational data to prioritize issues and drive measurable improvement
Experience managing vendors, consultants, technology partners, or subcontractors
Strong executive communication across federal clients, executives, leaders, and frontline teams
Ability to lead through complexity, rapid change, and competing priorities
Experience supporting CMS-administered programs preferred
Experience with the No Surprises Act, Federal IDR process, IDRE operations, healthcare appeals, claims, payment disputes, or arbitration preferred
Experience in a CMS or federal contractor, healthcare administrator, claims or appeals organization, or similarly regulated environment preferred
Experience leading stabilization, transformation, corrective action, rapid growth, or regulatory change preferred
Experience implementing operating models, governance, scorecards, quality programs, or technology-enabled improvements preferred
PMP, PgMP, Lean Six Sigma, or comparable certification preferred