Program Manager (Provider Data Management Transformation)

Job Title: Program Manager (Provider Data Management Transformation)

Overview:
Are you a strategic leader with a passion for transforming healthcare data? We’re seeking a dynamic Program Manager to spearhead critical Provider Data Management initiatives within a major Medicare health plan. In this high-visibility role, you will partner closely with business and technology teams to enhance data quality, streamline processes, and establish a reliable, centralized source of provider information across the organization. If you thrive in fast-paced environments and are eager to make a meaningful impact on healthcare operations, this is the opportunity for you to lead a transformative project that shapes the future of provider data management.

Required Skills:

• 7+ years of Program Management experience leading complex, cross-functional initiatives
• Recent Medicare health plan experience, specifically with Medicare Advantage or managed care organizations
• Proven track record in Provider Data Management, Provider Operations, or related transformation projects
• Deep understanding of the provider data lifecycle, including demographics, credentialing, and directory data
• Strong experience partnering with both business and IT teams
• Demonstrated success in process transformation and operational improvement
• Exceptional stakeholder management, facilitation, communication, and executive presentation skills
• Proven ability to manage multiple workstreams in a fast-paced environment

Nice to Have Skills:

• Experience with provider data governance or Master Data Management (MDM) initiatives
• Knowledge of provider data quality, directory accuracy, and related regulatory standards
• Familiarity with healthcare provider platforms and enterprise data ecosystems
• PMP or equivalent project management certification
• Experience working in Agile, Waterfall, or hybrid project environments

Preferred Education and Experience:

• Bachelor’s degree in Healthcare Administration, Business, or related field (Master’s preferred)
• Extensive experience working within Medicare Advantage or managed care health plans (7+ years preferred)

Other Requirements:

• Location: 100% remote, preferably candidates located in California or states where SCAN Health Plan operates (AZ, NV, NM, TX, WA)
• Travel: Minimal or as required for project needs
• Start Date: ASAP
• Contract Duration: 6–9 months with potential extension

DeWinter Group and Maris Consulting is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We post pay scales which are based on our client pay ranges. DeWinter, Maris, and our clients have the right to modify the requirements of the role which can impact the pay ranges posted.