GOVERNMENT PROGRAM MANAGER SKILLS, EXPERIENCE, AND JOB REQUIREMENTS

Published: Apr 23, 2025 - The Government Program Manager demonstrates strong capability to influence, educate, and negotiate with senior leadership while ensuring compliance with CMS regulations across clinical operations such as credentialing and regulatory management. This position possesses proven experience collaborating with multidisciplinary teams to develop AI/ML-driven solutions within DoD environments and align product goals with broader strategic roadmaps. This role applies data analysis, market research, and regulatory insights to inform product development and guide cross-functional decision-making.

Essential Hard and Soft Skills for a Standout Government Program Manager Resume
  • Group Applications
  • Health Plan Assessment
  • CMS Auditing
  • Contract Management
  • Policy Development
  • Credentialing Oversight
  • Financial Forecasting
  • Regulatory Compliance
  • Performance Metrics
  • Report Management
  • Client Satisfaction
  • Leadership Guidance
  • Problem Solving
  • Staff Leadership
  • Trusted Advisor
  • Communication Processes
  • Conflict Resolution
  • Business Development
  • Presentation Delivery
  • Process Improvement

Summary of Government Program Manager Knowledge and Qualifications on Resume

1. BS in Public Administration with 6 years of Experience

  • Experience in healthcare regulatory review, government program enrollment or healthcare enrollment
  • Critical thinking and analysis of provider group applications and related regulations
  • Understanding and the ability to research applicable regulations and statutes
  • Ability to drive process innovation and improvement through the understanding of corporate entity structures
  • Excellent organizational, time management and communications skills
  • Knowledge of CMS guidelines relating to provider enrollment, and Provider and Payor credentialing/enrollment policies and practices
  • Knowledge of telehealth standards for Medicare and Medicaid provider enrollment
  • Strong interpersonal, analytical and communication skills
  • Effective analytical ability to develop forecasts, analyze, assess risks, and recommend solutions to support CMS client implementations, delegations, and regulatory and accreditation standards
  • Knowledge of state requirements and federal guidelines, including at least a high-level understanding of Medicare and Medicaid rules

2. BA in Political Science with 7 years of Experience

  • Ability to influence, educate and negotiate with senior leadership and clients
  • Experience in oversight of CMS programs and ensuring adherence to regulatory and accreditation standards
  • Experience in one or more core Clinical Operation departments including Credentialing, Provider Enrollment, Payor Credentialing, Quality / Data Reporting, and Regulatory Management
  • Ability to work with people at various levels, from associates to senior leaders
  • Experience with Microsoft Office Programs (Word, Excel, PowerPoint, Visio)
  • Understanding of AI/ML in DoD applications.
  • Experience working with a multidisciplinary team of researchers, engineers, designers, and data scientists to drive the company's goals.
  • Experience leading and driving AI products within the context of broader product goals, strategy, and roadmap.
  • Ability to incorporate data, research, and market analysis to inform product strategies and roadmaps.

3. BS in Business Administration with 6 years of Experience

  • Experience to assess, analyze, troubleshoot, and resolve issues
  • Experience building relationships with cross-functional teams with ease, delivering impact consistently through seamless communication, and influencing teams towards achieving goals
  • Experience in defining and tracking metrics
  • Experience implementing processes and programs that improve product or operational performance
  • Experience initiating and driving projects to completion with minimal guidance
  • Experience leading data-driven projects and communicating the results of analysis and insights to technical and nontechnical audiences
  • Knowledge of statistical analysis and tools such as SQL or Excel
  • Experience with delivering programs through outsourced vendor partners
  • Experience working with or in support of diverse communities
  • Experience working with or supporting government, politics or nonprofit entities

4. BA in Public Policy with 7 years of Experience

  • Knowledge of CMS, Medicare, Medicaid, health policy and regulations
  • Understanding of Lean principle,s leading innovation projects and initiatives
  • Experience with a provider organization or managed care
  • Understanding of government programs, initiatives, and health policy (CMS/Medicare and Medicaid)
  • Experience in managing MSSP ACO, BPCI or BPCI~A, Track 1+, 2, 3, Next Gen, ESCO, or other value-based Medicare ACO models
  • management and communication skills (oral and written)
  • Ability to facilitate and lead activities with passion and maintain group energy.
  • Strong organizational skills and attention to detail.
  • Advanced PC skills (Word, Excel, PowerPoint).