Program Manager, Health Plan Data

Job Description

The Program Manager, Health Plan Data Submissions is responsible for designing, owning, and operating a process-driven, capacity-aware planning and execution model for the Submission Files Team, with primary accountability for Health Plan Data Submissions, including HPDE, Bridge, PayerOne, and DAV. 

This role ensures submission timelines are predictable, scalable, and resilient to ad-hoc demand, while maintaining clear visibility, governance, and accountability across stakeholders. The Program Manager owns the end-to-end planning, coordination, and execution of submission cycles, delivering against non-negotiable deadlines in a complex, highly regulated environment. 

Serving as the central point of accountability for submission delivery, this role works cross-functionally with Configuration, File Generation, Validation, and Delivery teams to align capacity, timelines, and priorities. Success requires strong operational judgment, disciplined execution, attention to detail, and the ability to manage ambiguity while ensuring data accuracy and minimizing delivery risk. 

Responsibilities:  

• Own and manage the end-to-end Health Plan Data Submissions program lifecycle (HPDE, Bridge, PayerOne, DAV), from intake and planning through file generation, validation, submission, and confirmation 

• Design and maintain a capacity-aware, input-driven execution model that replaces static calendar-based planning and improves delivery predictability 

• Ensure delivery against fixed, non-negotiable submission deadlines while managing competing priorities and ad-hoc demand 

• Serve as the primary point of accountability for submission delivery, providing clear status reporting, risk assessment, and escalation to stakeholders and leadership 

• Translate technical, operational, and business requirements into clear timelines and executable delivery plans 

• Coordinate cross-functional teams to ensure clear ownership, effective handoffs, and timely execution 

• Proactively identify delivery risks, assess impact, and implement mitigation strategies to minimize errors, rework, and downstream disruption 

• Establish and maintain a structured system of record for submission requests, milestone tracking, and delivery confirmations to reduce manual coordination risk 

Requirements

• Bachelor’s degree or equivalent practical experience 

• 3–5 years of experience in program management, operations, or delivery roles supporting complex, deadline-driven initiatives 

• Demonstrated progression in scope and accountability within program or operations roles 

• Experience managing programs with multiple dependencies and fixed delivery timelines 

• Proven ability to operate effectively in ambiguous, fast-paced environments 

• Strong organizational, prioritization, and attention-to-detail skills 

• Ability to understand and translate complex data, file formats, and technical processes into executable plans 

• Excellent written and verbal communication skills across technical and non-technical stakeholders 

• Experience in healthcare data exchange, quality reporting, or regulated healthcare environments 

• Familiarity with Health Plan Data Submissions workflows, including HPDE, Bridge, PayerOne, or DAV 

• Experience coordinating cross-functional technical and operational teams 

• Experience supporting audit-sensitive or compliance-driven deliverables 

Competencies:  

Collaborates 

• Identifies and builds partnerships to meet shared goals.  

• Readily partners with others to meet objectives and shares credit for contributions.  

• Demonstrates cooperation that earns support of others. 

Plans and Aligns, Resourcefulness 

• Plans and prioritizes work to meet the goals of the business.  

• Breaks down objectives into plans and actions to achieve significant milestones.  

• Anticipates and readily adjusts plans.  

• Maintains organization of resources to support efficiency. 

Communicates Effectively 

• Exchanging ideas, knowledge, and data so that the message is received and understood with clarity and purpose.  

• Leverages emotional intelligence to adapt to the emotions and intentions of others. 

Strategic Mindset 

• Considering future possibilities or roadblocks and creating strategies to drive results.  

• Anticipates future trends and implications of decision. 

Situational Adaptability & Flexibility 

• Adapts approach in real time to respond to different situations.  

• Thinks quickly and readily adapts behavior in the moment.  

• High level of versatility. 

Balances Stakeholders & Manages Conflict 

• Anticipating and balancing the needs of multiple stakeholders and multiple projects.  

• Highly prepared and knowledgeable about expectations.  

• Delivers fair and flexible response to stakeholder needs.  

• Handling conflict situations to resolution effectively and professionally.  

• Applies fair decision-making to balance competing interest mediating any points of abrasion. 

Benefits

WORKING AT VATICA HEALTH ADVANTAGES

Prosperity

• Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
• Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded
• 401k plans– we want to empower you to prepare for your future
• Room for growth and advancement- we love our employees and want to develop within

Good Health

• Comprehensive Medical, Dental, and Vision insurance plans
• Tax-free Dependent Care Account
• Life insurance, short-term, and long-term disability

Happiness

• Excellent PTO policy (everyone deserves a vacation now and then)
• Great work-life balance environment- We believe family comes first!
• Strong supportive teams- There is always a helping hand when you need it