Healthcare Program Manager - Remote CA - 12+ Month Contract

Harvey Nash USA has been engaged to find a talented Project Manager (Healthcare) for a one of the largest Health Plan clients. Job Title: Non-IT Program Manager (Healthcare) Location: Remote in California. Duration: 12+ Months contract with possible conversion to FT. Day to Day Responsibilities • Direct large-scale, complex projects that may involve multiple internal and external stakeholders • Develop the project charter, integrated project plan, resource plan, contingency plan, and related project management artifacts • Validate financial forecasts and provide on-going reconciliation of resources and other related project expenditures • Build, lead, and coach multiple project teams throughout project lifecycles • Define and track project milestones while developing, maintaining, and reporting on an overall and integrated delivery plan Required Skills: • Proven ability to get complex, cross functional initiatives over the finish line—on time, on scope, and with visibility into risks, dependencies, and tradeoffs. Strong command of delivery methodologies (Agile, Hybrid, Waterfall) and disciplined execution. • Ability to confidently engage executives, manage competing priorities, resolve conflict, and drive decisions without authority. This includes expectation-setting, escalation judgment, and translating complexity into clear business language • Understands why the work matters—not just what is being delivered. Can align projects to business outcomes, anticipate downstream impacts, quantify value, and course correct based on organizational priorities. Preferred Skills: • Strong working knowledge of how credentialing, UM, claims adjudication, and network management interconnect—from provider onboarding through payment and performance. Can anticipate cross functional impacts (e.g., credentialing delays affecting claims pends or network adequacy) and proactively manage dependencies. • Experience leading change in highly regulated domains—NCQA, CMS, state DOI requirements—while minimizing operational disruption. Ability to manage downstream impacts to provider experience, member access, and operational SLAs during transitions (e.g., credentialing system changes, UM workflow redesigns). • Comfort interpreting payer specific metrics such as turnaround times (TATs), pended claims rates, first pass yield, denial rates, provider load, and network adequacy thresholds. Uses data to surface risk early, drive prioritization, and communicate operational impact in business terms. A reasonable, good faith estimate of the minimum and maximum hourly wage for this position is $60–$70/hr. on W2. Benefits will be available, and details are available at the following links: • 401K Plan: Our employees work hard, which is why Harvey Nash is proud to contribute to their hard-earned savings with a 401(k) retirement plan that includes a 10% company match on all deferrals. We also offer a Roth 401(k) for even more flexibility. Employees 21 years of age or older, and have completed 3 months of service, are eligible to participate. • Why Work With Us: Harvey Nash Benefits Summary - Why YOU Should Work with US by lisa.keiser • U.S. Benefits Guide: Harvey Nash - 2026 Contractors New Hire