Sr Program Manager - HCS Strategy & Operations
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About the role
Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health . Job Summary The Sr Program Manager, HCS Strategy & Operations, is responsible for leading the development, execution, and management of complex, high‑priority programs and initiatives across Healthcare Services (HCS). This role focuses on driving programmatic support for Care Management, Utilization Management, and Behavioral Health, ensuring strategic business initiatives are translated into clear execution plans, implemented effectively, and delivered with discipline and consistency. The Sr Program Manager partners closely with HCS and cross-functional leadership to advance enterprise priorities, including initiatives influenced by state and federal regulatory requirements. Programs typically span multiple business areas, lines of business, and may involve collaboration with internal stakeholders, external partners, and regulatory entities. This role is accountable for managing initiatives of the highest complexity, risk, and visibility, requiring strong program leadership, proactive risk identification, and coordination across a highly matrixed environment. The Sr Program Manager drives alignment, ensures effective communication, and maintains momentum across competing priorities. In addition, this role plays a key part in translating strategy into execution, identifying opportunities to improve how work is delivered, and enabling organizational readiness for change. The Sr Program Manager must be able to conceptualize the impact of change, recommend new ways of working, and support the HCS organization in achieving sustainable outcomes. Job Description DUTIES/RESPONSIBILITIES - what you will be doing (top five): Overall program ownership and management key programs, focusing on both short-term initiatives and long-term strategic direction and objectives for the programs. Management/oversight of program managers and cross-functional programs, processes, and workflows within Point32Health that support and service the programs and key initiatives; Proactive and solutions-oriented management of program operations and integration issues, requiring the ability conceptualize and envision the impact of change, and propose new ways to do business to better meet the needs of the internal department and external stakeholders. Highest level program manager for projects applying project management expertise to ensure that workflows, processes, risks, communications, resources, and quality are managed appropriately within Point32Health to support programs and projects, at various levels (for example, business and regulatory levels). Determines needs and defines, plans, and directs implementation plan; Identifies risk within the context of the broad project and accurately estimates and plans resource usage accordingly; Ensures that Point32Health's established project management tools, processes, standards, and techniques are followed; Oversees department staff contributing to highly critical projects; Exercises judgment to make decisions, or to raise issues to the appropriate level in a timely manner; Evaluates the cost and feasibility of multiple options/alternatives to resolve project issues and to make recommendations on those issues that best meet both program and corporate Point32Health objectives; Manages project communications and interface with internal and external constituents to ensure that the program and project goals are met. Lead work effort to implement strategic and business initiatives. Develop, coach, and retain high-performance project management staff; Oversee staff to develop processes and systems to ensure high quality, consistent project management to ensure programmatic excellence; Monitor, control, report, and present status of all elements of program and budgets; Coach and mentor department staff to reinforce existing synergies and forge new working relationships across the company. Other duties and projects as assigned. QUALIFICATIONS - what you need to perform the job Certification and Licensure Education R