Program Director, Healthcare Services (Population Health & EPSDT - Kentucky)

Job description

JOB DESCRIPTION Job Summary Provides senior level subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties: - Manages one or more healthcare services clinical programs - leveraging staff and matrixed resources with oversight from health care services leadership as needed. - Serves as industry subject matter expert in designated functional area(s), and leads program(s) to meet business needs and requirements. - Escalates gaps and barriers in implementation and compliance to healthcare services leadership. - Develops business case methodologies for programs and coordinates implementation of business strategies. - Creates business requirement documents (BRDs), test plans, requirement traceability matrices (RTMs), user training materials and other related business documents and presentations. - Provides ongoing communication related to program goals, evaluation and...