Copper River Strategies is seeking an experienced Program Director (PD) to oversee contract operations and provide strategic leadership for a healthcare insurance program. The Program Director will be responsible for managing staffing, deliverables, quality assurance, risk mitigation, reporting, and stakeholder communication while ensuring successful contract performance and operational execution. The ideal candidate will bring extensive healthcare insurance experience, strong knowledge of Medicare Advantage, and proven leadership managing programs involving significant volumes of Protected Health Information (PHI).
This position is primarily remote; however, onsite presence at the Center for Medicare & Medicaid Services (CMS) in Baltimore, Maryland, may be required on an as-needed basis to support program requirements, stakeholder meetings, and other business needs.
Responsibilities (include but are not limited to):
- Oversee all contract operations and ensure successful execution of program requirements.
- Lead staffing, workforce planning, and personnel management activities.
- Manage the development, review, and timely delivery of contract deliverables.
- Establish and maintain quality assurance processes and performance standards.
- Identify, assess, and mitigate operational, compliance, and program risks.
- Develop and provide regular program status reports to leadership and stakeholders.
- Serve as a primary point of contact for Government and organizational stakeholders.
- Ensure appropriate handling, protection, and management of programs involving large volumes of Protected Health Information (PHI).
- Monitor operational performance and implement corrective actions when necessary.
- Coordinate cross-functional teams to ensure alignment with program objectives.
- Ensure compliance with applicable healthcare insurance and Medicare program requirements.
- Provide strategic leadership and operational oversight to support continuous program improvement.
Essential Job Qualifications and Requirements:
- Education:
- Bachelor's or master's degree in Public Policy, Health, Business, or a related field from an accredited institution.
- Minimum of five (5) years of management experience with a master's degree, OR seven (7) years of management experience with a bachelor's degree
- Bachelor's or master's degree in Public Policy, Health, Business, or a related field from an accredited institution.
- Required Experience:
- Minimum of eight (8) years of experience in healthcare insurance, including Medicare, Medicaid, or private health insurance
- Demonstrated experience managing operations involving significant amounts of Protected Health Information (PHI)
- Demonstrated Knowledge & Skills:
- Strong knowledge of Medicare Advantage (Part C)
- Strong leadership, organizational, analytical, and communication skills
- Contract operations and deliverable management
- Quality assurance and performance management
- Risk mitigation and issue resolution
- Staffing and workforce management
- Program reporting and stakeholder communications
- Strategic planning and operational process improvement
About Copper River & The Native Village of Eyak:
Owned by the Native Village of Eyak (NVE), a federally recognized Alaska Native Tribe, the Copper River Family of Companies are a collection of entities that deliver a complementary set of solutions and services to support the diverse missions and requirements of our clients. Proud participants of the Small Business Administration’s (SBA) 8(a) Business Development Program since 2006, our companies consist of both current and graduation SBA 8(a) entities. It is our collective purpose to support the Tribe and diversify the NVE’s ability to facilitate economic advancement.
The income generated from our companies helps the Native Village of Eyak fund health and social services, economic development, natural resource/environmental education, jobs, job training, and other benefits to the NVE in a manner that is consistent with Alaskan Native cultural values and traditions.
Copper River’s Culture
The Copper River Family of Companies has a positive, supportive, and thriving culture. At the foundation of our culture is a focus on collaboration. No matter your role or which operating company you work for, we are ONE TEAM working toward the same goals for our customers and for our collective owner- The Native Village of Eyak. How we treat each other is just as important as the work we deliver.
Benefits
- Comprehensive medical, dental, and vision coverage
- Flexible Spending Account - healthcare and dependent care
- Health Savings Account - high deductible medical plan
- Retirement 401(k) with employer match
- Open leave policy and paid holidays
- Additional benefits including tuition reimbursement, transportation expense account, employee assistance program, and more!
Note: Benefits are offered based on employment classification and applicable contract requirements. Eligibility may vary by position.
Disclaimer:
The Copper River Family of Companies provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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.
Skills Required
- Bachelor's or master's degree in Public Policy, Health, Business, or related field with minimum of five years management experience with a master's OR seven years management experience with a bachelor's
- Minimum of eight (8) years of experience in healthcare insurance, including Medicare, Medicaid, or private health insurance
- Demonstrated experience managing operations involving significant volumes of Protected Health Information (PHI)
- Strong knowledge of Medicare Advantage (Part C)
- Strong leadership, organizational, analytical, and communication skills
- Experience with contract operations and deliverable management
- Experience with quality assurance and performance management
- Experience in risk mitigation and issue resolution
- Experience in staffing, workforce planning, and personnel management
- Program reporting and stakeholder communications experience
- Ability to provide strategic planning and operational process improvement
- Ability to be onsite at CMS Baltimore, MD as needed to support program requirements and stakeholder meetings
What We Do
Welcome to Copper River Shared Services! The Shared Services Division of the Copper River Family of Companies provides long-term strategic business planning, new company startup and acquisition strategies, complete back office support services, regulatory training, compliance, and governance oversight to ensure the continued growth and prosperity of the Copper River Family of Companies. We are proud to be owned by the Native Village of Eyak, a Federally recognized Alaska Native Tribe located in Cordova, Alaska. With over 500 professional industry leading experts, the Copper River Family of Companies are driven to support the needs of our clients and their missions both at home and abroad. We stand ready. Our mission is to Diversify the Native Village of Eyak’s Ability to Facilitate Economic Advancement; it’s what binds us now and into the future. We accomplish this through the work of our strategic alliance of agile Operating Companies, guided by our core values of Collaboration, Integrity, and Empathy.
