Title: Program Management Senior Advisor - Cigna Healthcare - Remote Location: United States; Huntsville, Alabama; Fairfax, Virginia - Corporate Operations & Support Services - No Clearance Needed - Fully remote ID #7826 Job Description: Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ. Role Description: The Program Management Senior Advisor (an individual contributor role) is a senior operational leader responsible for ensuring the accurate, compliant, and high‑quality execution of regulatory‑driven benefits alignment across reimbursement rules, prior authorization, and medical policy implementation. This role translates complex regulatory, legal, product, and policy requirements into disciplined execution, bringing structure to ambiguity and driving coordinated delivery across highly matrixed, cross‑functional teams. Additional responsibilities will include Vendor Management, facilitation of proof-of-concept initiatives, and vendor process oversight. Serving as a central liaison for the Payment Integrity team, the Senior Advisor manages regulatory questions and inquiries; coordinates the timely collection of required information; and ensures responses and implementations meet legal, regulatory, quality, and documentation standards. With a strong emphasis on quality, accuracy, and alignment, this role acts as a trusted execution advisor—proactively identifying risks, resolving misalignments between products, policy, and systems, and ensuring outcomes are correct, sustainable, and audit‑ready. This role will also coordinate the exploration and attainment of vendor partnerships to expedite process and onboard new capabilities to the team. Key Responsibilities - Lead operational program management for complex, cross‑functional initiatives supporting state and federal mandate implementation and code‑to‑benefit alignment - Translate regulatory, legal, and policy requirements into clear execution plans, milestones, controls, and evidence artifacts that ensure accurate, compliant, and timely implementation - Serve as the primary liaison for the Payment Integrity team, handling regulatory questions, inquiries, coordinating the timely collection, validation, and organization of required information across internal stakeholders - Provide quality and accuracy oversight across programs and implementations, establishing checkpoints, readiness reviews, and validation processes to ensure outcomes are correct, consistent, and audit‑ready - Ensure alignment between products, services, medical policy, reimbursement logic, and system coding, proactively identifying and resolving misalignments that could impact compliance, financial integrity, or customer/client and/or provider experience - Partner closely with Legal, Compliance, Product, Policy, Operations, Technology, Vendor and Finance teams to drive coordinated execution across a highly matrixed environment - Establish and maintain operating process, artifacts, and senior leadership‑level reporting to provide transparency into progress, risks, issues, and decisions - Analyze implementation outcomes, quality data and inquiries to identify systemic issues, root causes, and emerging risks, driving corrective and preventative actions - Develop and maintain clear documentation, reference materials, and guidance to support consistent understanding and application of benefit alignment, regulatory, policy, and product requirements - Act as a trusted execution advisor and escalation point, bringing structure to ambiguity, balancing regulatory intent with operational realities, and driving disciplined follow‑through Qualifications - Bachelor's degree or higher strongly preferred or equivalent work experience required - 10+ years working in insurance, healthcare or another regulated industry - Active AAPC or AHIMA coding certification (e.g., CPC, CPCO, RHIT, CCS-P, CIC, COC) and at least 10 years of HCPCS/CPT coding experience highly preferred - 7+ years of program/product management experience in complex, regulated environments - Strong grasp of regulatory operations; able to implement mandates, handle audits, inquiries, and disputes - Skilled in leading cross-functional projects across Legal, Compliance, Product, Policy, Operations, Tech, and Vendors - Experience with benefit configuration or code alignment tasks - Track record in quality oversight, readiness reviews, validation, issue resolution, and audit support - Able to coordinate responses for complex issues and manage escalations - Strong analytical skills: root cause analysis, risk assessment, and corrective actions - Excellent written and verbal communication; capable of producing executive-level and regulator-facing documents - Experience developing policies, procedures, references, or training in regulated settings - Proven ability to work independently, prioritize, and achieve results with minimal guidance - Proficiency in Microsoft Office, Tableau, EncoderPro, and Wrike Key Competencies - Program & Project Management – Leading complex initiatives with structured planning and delivery - Quality & Accuracy Oversight – Ensuring consistency and accuracy in implementations - Product, Policy & Code Alignment – Coordinating product, policy, and coding requirements - Regulatory Liaison & Issue Resolution – Handling regulatory queries and escalations professionally - Cross-Functional Influence – Achieving results across teams without direct authority - Analytical Problem Solving – Diagnosing issues and implementing solutions - Executive Communication – Providing concise updates and recommendations to leadership If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 116,100 - 193,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Title: PMO Director / Program Operations Manager (Maine, Massachusetts, Vermont REMOTE) locations Boston, MA Burlington, VT Portland, ME time type Full time job requisition id R2601355 Job Description: PMO Director / Program Operations You are required to live in Maine, Massachusetts or Vermont to be considered for this role. Provides senior-level operational leadership and coordination for complex state or federally funded health transformation initiatives. Responsible for managing day-to-day program execution across grant administration, procurement support, financial monitoring, reporting, compliance tracking, technical assistance coordination, and stakeholder engagement. Establishes and maintains integrated project schedules, risk registers, action logs, and documentation workflows to ensure timely, organized, and compliant delivery of program activities. Coordinates cross-functional workstreams supporting procurement lifecycle activities (e.g., RFIs, RFPs, contract tracking), subrecipient onboarding, deliverable monitoring, and recurring reporting requirements. Oversees onboarding of new team members and establishes structured processes for training, documentation standards, workflow integration, and role clarity across workstreams. Ensures staff understand compliance expectations, reporting cycles, and governance processes. Monitors operational risks, identifies pacing or compliance concerns, and escalates issues to senior leadership as appropriate. Oversees preparation of recurring and ad hoc reports for state agencies and federal partners, ensuring documentation is consistent, defensible, and audit-ready. Supervises analysts and coordinators, maintaining quality control standards and reinforcing disciplined execution across workstreams. Supports rapid startup environments and high-volume implementation periods requiring structured coordination and strong internal controls. Up to 25% travel may be required. Basic Qualifications: - Bachelor’s degree in public health, health policy, health administration, public administration, public policy, business administration, economics, or related field required. Master’s degree preferred. - PMP certification preferred. - Minimum 8 years of experience managing large state or federally funded health-related grant programs, cooperative agreements, or public-sector healthcare initiatives. - Demonstrated experience supporting CMS, CDC, HRSA, or other federally funded health initiatives and operating in compliance-driven environments subject to state and federal requirements. - Demonstrated experience leading multidisciplinary teams and overseeing complex implementation efforts across procurement, grant administration, reporting, technical assistance, and partner engagement. - Experience establishing and administering Program Management Office (PMO) structures, including integrated schedules, risk management processes, documentation controls, and structured onboarding of staff. - Experience coordinating procurement lifecycle activities and contract oversight within public-sector or healthcare settings. - Experience maintaining reporting, documentation, and tracking systems in audit-visible or monitoring-intensive environments. - Strong understanding of state health systems, Medicaid programs, rural health environments, or safety-net provider networks preferred. #PT26ICF #Indeed Working at ICF ICF is a global advisory and technology services provider, but we’re not your typical consultants. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges, navigate change, and shape the future. We can only solve the world's toughest challenges by building a workplace that allows everyone to thrive. We are an equal opportunity employer. Together, our employees are empowered to share their expertise and collaborate with others to achieve personal and professional goals. Candidate AI Usage Policy At ICF, we are committed to ensuring a fair interview process for all candidates based on their own skills and knowledge. As part of this commitment, the use of artificial intelligence (AI) tools to generate or assist with responses during interviews (whether in-person or virtual) is not permitted. This policy is in place to maintain the integrity and authenticity of the interview process.  Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. The pay range for this position based on full-time employment is: $119,323.00 - $202,850.00 Nationwide Remote Office (US99)

• Lead multiple high-impact retail / functional initiatives aligned to enterprise / functional goals, including projects involving new platforms, improved store operations, and inventory optimization, flow support, or functional process improvements. • Drive project outcomes by establishing plans, tracking tasks, coordinating dependencies, and enabling key decisions. • Champion change processes across the Enterprise by helping teams adapt to new tools, processes, and ways of working – ensuring on time / on budget delivery of agreed outcomes / metrics. • Serve as the central point of contact across assigned areas, (areas which we serve include retail brands, wholesale, finance, marketing, IT, Legal, HR and vendor partners) to ensure alignment, on time program delivery and accountability. • Develop and manage project plans, tracking, and provide regular updates to leadership – including status of spend, value capture, and program tasks, milestones and agreed deliverables. • Identify opportunities within current process / workflows and work with teams to implement solutions that save time, reduce cost, enhance customer experience, and drive sales across the Enterprise. • Provide clear and concise updates to senior leadership on progress, risks, change impacts, and decision points.

The Program Manager 4 - Business works with minimal supervision, utilizing significant expertise to lead complex programs through the full lifecycle, ensuring strategic alignment with business goals. This role is responsible for developing and refining program strategies, setting measurable objectives, and guiding cross-functional teams to successful outcomes. The Program Manager - Business 4 may also coordinate the activities of other team members, mentoring less experienced team members and providing guidance on program challenges and creative problem-solving. This role applies expert judgment and makes critical decisions in handling non-routine projects, addressing complex issues, and ensuring programs comply with both internal and external regulations. As a recognized leader, this role is accountable for the long-term success of programs, including managing risk, ensuring compliance, and leading continuous improvement based on feedback and evolving needs. Note: This role may come into contact with confidential or sensitive customer information requiring special treatment in accordance with Red Hat policies and applicable privacy laws. - Lead and oversee high-impact programs, including designing, planning, executing, and monitoring program outcomes that align with business and functional objectives. - Collaborate extensively with HR, technology, and other business units to ensure the successful integration of program strategies into overall company goals. - Exercise expert judgment in resolving complex program challenges, ensuring compliance, and driving key program decisions that impact the overall business function. - Mentor and guide program managers and team members, fostering an environment of continuous learning, development, and innovation. - Regularly review and refine program strategies based on industry-leading practices, emerging technologies, and evolving business needs, ensuring that all programs are future-proof and scalable. - Ensure key performance indicators (KPIs) and success criteria are clearly defined and regularly monitored to assess program impact and inform strategic adjustments. - Identify and mitigate risks through detailed risk management strategies, ensuring program compliance with corporate policies, regulatory standards, and industry best practices. - Manage complex vendor relationships, negotiating contracts, and ensuring the quality of services delivered to the organization. - Facilitate knowledge transfer by organizing workshops, training, and creating documentation to support organizational learning and capacity-building related to programs. About Red Hat Red Hat is the world’s leading provider of enterprise open source software solutions, using a community-powered approach to deliver high-performing Linux, cloud, container, and Kubernetes technologies. Spread across 40+ countries, our associates work flexibly across work environments, from in-office, to office-flex, to fully remote, depending on the requirements of their role. Red Hatters are encouraged to bring their best ideas, no matter their title or tenure. We're a leader in open source because of our open and inclusive environment. We hire creative, passionate people ready to contribute their ideas, help solve complex problems, and make an impact. Inclusion at Red Hat Red Hat’s culture is built on the open source principles of transparency, collaboration, and inclusion, where the best ideas can come from anywhere and anyone. 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