Program Director, NY Medicaid Provider Services

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision-making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles.

Acentra Health is looking for a Program Director to join our growing NY Medicaid Provider Services Management team.

As the New York Program Director/Account Manager for the Provider Services Management (PSM) program, you will provide strategic leadership and operational oversight for a complex provider enrollment and management program. You will be responsible for ensuring successful program execution, including delivery on schedule, within budget, and in accordance with contractual commitments and client expectations.

This role serves as a primary liaison between the client and internal teams, requiring strong relationship management, business acumen, and cross-functional leadership. You will coordinate program activities across operations, technology, project management, business analysis, testing, training, and other functional areas to ensure the delivery of high-quality services. You will also monitor performance, manage risks and issues, support continuous improvement, and ensure alignment with organizational standards and the client's business objectives.

** Preferred candidate will reside in NY or neighboring states **

• Maintain accountability for meeting applicable contractual SLAs, including system functionality, staffing levels, issue resolution, reporting, and operational readiness.
• Coordinate cross-functional teams across provider enrollment operations, business analysis, project management, technology, testing, conversion, training, certification, architecture, and production support.
• Provide operational leadership for the transition from development and implementation into steady-state operations, ensuring appropriate readiness, staffing, procedures, documentation, and support processes are in place.
• Identify, assess, and resolve operational challenges, escalating issues appropriately and coordinating timely, practical solutions with internal teams, the client, and other vendors.
• Establish and maintain effective risk, issue, dependency, change, escalation, and decision-management practices.
• Lead program readiness activities, including implementation planning, operational readiness, go-live preparation, stabilization, continual improvement, and transition planning.
• Support CMS certification, MECT milestone reviews, IV&V activities, certification artifacts, audit readiness, and remediation activities as required.
• Oversee workforce planning and resource allocation, ensuring the program maintains qualified personnel and sufficient staffing to meet contractual and operational requirements.
• Prepare and present regular status reports, executive briefings, performance reviews, financial updates, and other program communications for internal leadership and client stakeholders.
• Develop and implement methods, procedures, and service-improvement initiatives that enhance provider and user experience, operational efficiency, quality, and program outcomes.
• Provide guidance and oversight to team members and functional leads responsible for specific program areas or delivery phases.
• Collaborate with Business Development and organizational leadership to support client growth, new business opportunities, expansions, and related proposals as requested.
• Ensure compliance with corporate policies, HIPAA and HITECH requirements, CMS requirements, applicable State and Federal regulations, security and privacy standards, and…