AVP PMO & Business Integration

POSITION SUMMARY

The Leader of Project Management Office (PMO) and Business Integration is a senior leader responsible for aligning the organization’s project portfolio with strategic goals, driving cross-functional execution, and ensuring the successful adoption of changes across the business. This role oversees complex, enterprise-wide initiatives, establishing governance, project methodologies, and reporting structures to maximize value and minimize project conflicts. Enhancing the scope and capabilities of the department are dedicated resources focused on the integration of business needs and processes with technology and its ongoing maintenance / change process. Aligning vendor management activities into the scope of this role provides this leader direct alignment between the procurement and management of vendors and their performance in support of Community Health Options’ ongoing business operations across the enterprise, including the Community Health Options’ BPO/TPA supporting a broad range of health plan operations, including claims, provider calls, integrations with their technology vendors such as portals, FWA/PI, etc.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Overall Strategy and Project Management: Corporate Strategy: Facilitates effective planning and approach with COO to guide the Executive Team to define annual objectives. Strategic Alignment: Translates strategic goals into actionable, prioritized project portfolios. Methodology & Governance: Defines and maintains the end-to-end enterprise initiative lifecycle (intake, scoping, planning, reporting, and closure). Cross-functional Integration: Breaks down departmental silos to ensure initiatives are integrated across business units. Executive Reporting & Insights: Provides visibility into portfolio health, including financial performance, capacity, and risk management to executive leadership. Change Management & Adoption: Ensures that project outcomes are not just delivered but successfully adopted and sustained within the company culture.
• Business Integration: Business Process Improvement: Leads dedicated resources to develop and deploy approaches for identifying and prioritizing inefficient processes, analyzes improvements and needed technical changes, deploys improvements, and monitors to validate objectives. Business Analysis: Establishes and drives ongoing support activities to translate complex business requirements to actionable system changes into internal and external systems, including vendor related configuration, internal technical configurations, reporting/analytical needs to support warehouse and reporting requirements.
• Vendor Management: Procurement: Designs and deploys robust tools and approaches for soliciting vendors that ensures business, technical, and compliance inputs, response evaluation and scoring, and final selection. Vendor Management and Oversight: Drives improvements in Community Health Options vendor adherence to contract terms, service level agreements/performance, financial obligations. Establishes ongoing Joint Operating Committee (JOC) or other monitoring mechanism to ensure oversight and transparency into performance. Administers with business owners Corrective Action Plans (CAPs) and their reporting to Compliance Committee for overall monitoring.
• Collectively, this key leader combines the resources of PM, Business Analysis, Configuration, and Vendor Management to drive improvements across the organization and define the annual priorities to align these activities with growth, financial stability, and clinical/operational efficiency.

JOB SPECIFIC KEY COMPETENCIES (KSAs)

• Leadership: Strong ability to navigate ambiguity, influence senior stakeholders, and lead cross-functional teams.
• Methodologies: Deep knowledge of project management frameworks (Waterfall, Agile, Hybrid) and project portfolio management (PPM) tools and an ability to adapt these to the organization’s culture and speed to goals.
• Demonstrated understanding of health plan administration, operations, clinical management, vendor management, procurement, and general health plan operations, with familiarity in regulatory requirements including ACA.
• Strong analytical capabilities including performance measurement, cost-benefit analysis, benchmarking, and process optimization through data-driven decision-making.
• Exceptional interpersonal, communication, and presentation skills, with the ability to engage stakeholders, lead teams, and convey complex information clearly and effectively.
• Effective communicator with executive leadership, and drive decisions with clarity of purpose.
• Lead negotiator and pricing strategist to engage effectively with vendors to put Community Health Options in the best financial and legal position during initial and ongoing procurement and renewal stages of vendor management.
• Data and metrics oriented leader in the context of managing vendors who can drive performance management activities with business leaders to achieve excellent performance with Community Health Options’ vendors.

DIVERSITY, EQUITY, AND INCLUSION STATEMENT

Community Health Options is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion (DEI). Our human capital is the single most valuable asset we have. The collective sum of individual differences, life experiences, knowledge, inventiveness, innovation, self-expression, unique capabilities, and talent our employees invest in their work represents a significant part of not only our culture, but our reputation and achievement as well. Community Health Options DEI initiatives are applicable, but not limited to, our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of DEI, which encourages and enforces:

• Respectful, open communication and cooperation between all employees.
• Teamwork and participation, encouraging the representation of all groups and employee perspectives.
• Balanced approach to work culture through flexible schedules to accommodate varying needs of our people.
• Employer and employee contributions to the communities we serve to promote a greater understanding and respect for each other.

QUALIFICATIONS AND CORE REQUIREMENTS

• Bachelor's degree in Business, Technology, or a related field is required, with certifications in Program Management Professional, Portfolio Management Professional, Six Sigma, or other training suitable to support tactical and strategic success in the role.
• 10+ years of Project Management and/or managing a PMO.
• Extensive broad-based knowledge of health insurance industry including detailed knowledge of insurance business processes.
• Experience managing small and large teams and communicating at all levels within an organization.

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