Program Manager, Principal - Portfolio Management

Your Role

The Portfolio Management team is responsible for supporting all HQA functional areas to meet their strategic and tactical goals. The Principal Program Manager will report to the Senior Director, Portfolio Management. In this role you will lead complex strategic healthcare initiatives focusing on improving healthcare quality, affordability, and member satisfaction. Key duties include complex program and process planning, implementation, and maintenance, operational process analysis, and medical policy review and maintenance.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 10 years of prior relevant experience
• Requires a minimum of 8 years of demonstrated experience in healthcare operations working for a managed care organization
• Requires a minimum of 5 years of intermediate to advanced experience with program and project management
• Requires intermediate to advanced experience with SQL and MS Excel
• Experience with healthcare regulatory research and interpretation preferred
• Experience with healthcare code sets (CPT/HCPCS/ICD/DRG, etc.) preferred