Program Manager, HEDIS-AMP

Job Description

The Program Manager, HEDIS/AMP is responsible for owning and operating the end-to-end execution model for the AMP program, while supporting strategic alignment with broader HEDIS quality reporting initiatives.

This role serves as the central point of accountability for AMP program delivery, ensuring timelines are predictable, scalable, and resilient in a highly regulated, client-facing environment. While AMP is distinct in structure and geography (e.g., CA AMP), the competencies required mirror HEDIS program leadership, including quality reporting oversight, cross-functional coordination, deadline management, audit readiness, and client engagement.

The Program Manager designs and maintains a structured, capacity-aware execution framework that ensures operational rigor, reduces delivery risk, and enables program growth.

Success in this role requires strong operational judgment, disciplined execution under fixed deadlines, cross-functional leadership, and the ability to translate complex healthcare quality requirements into executable delivery plans.

Program Ownership & Delivery Accountability

• Own and manage the end-to-end AMP program lifecycle, from intake and planning through execution, validation, reporting, and client delivery
• Serve as the primary point of accountability for AMP program performance, timelines, and client satisfaction
• Ensure delivery against fixed, non-negotiable regulatory and client deadlines
• Provide structured status reporting, risk visibility, and escalation to leadership

Execution Model & Operational Design

• Design and maintain a process-driven, capacity-aware execution model that improves predictability and scalability
• Translate quality reporting requirements (HEDIS-aligned competencies and AMP specifications) into clear, executable timelines and work plans
• Establish and maintain a structured system of record for milestone tracking, documentation, risk logs, and delivery confirmations
• Identify opportunities to streamline workflows and reduce reliance on institutional knowledge

Cross-Functional Leadership

• Coordinate cross-functional stakeholders including Technical Leads, SMEs, Data/Validation teams, Client Success, and Operations
• Ensure clear ownership, effective handoffs, and disciplined follow-through across workstreams
• Align competing priorities and manage interdependencies across concurrent initiatives

Risk Management & Audit Readiness

• Proactively identify delivery risks, assess operational impact, and implement mitigation strategies
• Oversee issue management and resolution for client and auditor inquiries
• Ensure validation tracking, quality review processes, and documentation support audit-sensitive deliverables
• Minimize rework, downstream disruption, and deadline volatility

Client & Stakeholder Engagement

• Serve as a senior client-facing contact for AMP program operations
• Translate technical and regulatory requirements into clear communication for internal and external stakeholders
• Support program-specific webinars, reporting updates, and stakeholder briefings

Continuous Improvement & Scalability

• Lead post-mortems and operational reviews to drive continuous improvement
• Strengthen documentation, training materials, and onboarding processes
• Enable scalable growth of AMP while maintaining execution rigor and delivery confidence

Requirements

• Bachelor’s degree or equivalent practical experience
• 7+ years of experience in program management, healthcare quality reporting, HEDIS operations, or regulated healthcare environments
• Demonstrated progression in scope and accountability within program or operations roles
• Experience managing deadline-driven initiatives with multiple cross-functional dependencies
• Proven ability to operate effectively in ambiguous, fast-paced environments
• Strong organizational, prioritization, and risk management skills
• Ability to translate complex regulatory or technical requirements into structured execution plans
• Excellent written and verbal communication skills across technical and non-technical stakeholders

Preferred Qualifications

• Experience leading HEDIS programs or quality reporting initiatives
• Familiarity with AMP program requirements or California quality programs
• Experience managing audit-sensitive deliverables
• Experience building scalable program infrastructure in a growing organization

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

The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $110,000 to $120,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered.