Senior Technical Program Manager

You take clients live. Once a client signs, you own the program that gets our product running in their revenue cycle: integration, shadow mode, cutover and ramp. You are the client's main point of contact during that time, and you run the internal team of engineers and data scientists who do the build. As a Senior TPM, you will run 2 to 3 go-lives at once, including our largest and most complex clients. You will work with executive sponsors (VP-RCM, CFO, CIO), own steering meetings and escalations, and make scope and go/no-go calls. This is a technical role. You will not write production code, but you need to understand data feeds, EHR integrations, model accuracy and why a pipeline broke, well enough to unblock your team and explain it to the client.

The candidate will have responsibilities across the following functions:

Run the go-live program:

• Take the Solution Design Doc from the sales team and turn it into a dated plan with owners, milestones and go/no-go gates.
• Drive each phase: Integrate (connect to the EHR, data feeds and payer portals), Shadow (AI runs beside the client's team), Cutover (automation on) and Ramp (automation share grows).
• Track scope, risks and dependencies. Catch slips early and fix them, or escalate with a plan.
• Make scope and go/no-go calls, and reset plans when things change.
• Hand a stable client to Customer Success at steady state.

Own client communication:

• Run kickoffs, weekly status calls and steering meetings with the client's RCM, IT and clinical leaders.
• Own the relationship with executive sponsors (VP-RCM, CFO, CIO), including steering meetings and escalations.
• Write clear status updates: what is done, what is next, what is blocked and who owns it.
• Set expectations and hold them. Say no or not yet when you need to, and explain why.
• Get what the team needs from the client: data access, credentials, test accounts, sign-offs and subject matter experts.

Lead the internal team:

• Lead a team of engineers (integrations, client configuration) and data scientists (accuracy analysis, model tuning) across your programs.
• Coach junior TPMs.
• Work with Domain Experts (certified coders and RCM specialists) who check AI output during shadow mode.
• Read the accuracy and volume numbers each week, find what is off, and get it fixed.
• Run internal operations: tickets, run books, on-call handoffs, incident reviews.

Make the next go-live faster:

• Build the delivery playbook and improve it across programs.
• Write down what worked and what did not. Turn repeat work into playbooks and templates.
• Tell Product which client requests keep coming up and should become features.

Requirements:

• 6+ years in program management, delivery or implementation, with 3+ years in healthcare tech or enterprise SaaS.
• A record of taking enterprise software live at clients, on time, with the client happy at the end.
• Strong technical grounding: you can read a data flow diagram, follow an API or SFTP integration, and talk about model precision and recall.
• Clear writing and calm communication, especially when things are going wrong.
• Comfort leading people who do not report to you, inside and outside the company.
• Strong organisation. You keep many threads moving without dropping any.

Nice to Have:

• Experience with US healthcare data: EHRs (Epic, athenahealth, eCW, NextGen), HL7 or FHIR, 837/835 claim files.
• Knowledge of RCM work: coding, billing, denials, eligibility.
• Experience running AI or data science projects.
• Experience working across US and India time zones.

Skills

API, Delivery, EHR, FHIR, HL7, Healthcare, Implementation, Program Management, SFTP, SaaS, Technical Program Management