Program Manager
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Job Description
Program Manager leading Capitol Bridge’s complex federal CMS healthcare program. Driving compliance, cross-functional operations, governance, performance, and regulatory implementation.
Responsibilities:
- 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:
- 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
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