Letter Operations Program Manager
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Summary
Leads letter-generation operations at an oncology care management company: modernizing the V2 letter architecture, supporting the NewUM migration, prioritizing cross-client letter requests, ensuring regulatory compliance, and overseeing UAT signoff. Needs project management/business analysis experience (PMP preferred); remote across the US in Eastern/Central time zones.
About OncoHealth
OncoHealth delivers the industry's first integrated oncology management solution. Built on deep oncology expertise, our multidisciplinary team designs, delivers, and continuously advances solutions that help health plans and employers manage costs, close care gaps, and improve outcomes while ensuring people with cancer receive timely treatment and meaningful support.
About the Role
About the Role
The Letter Operations Program Manager serves as a critical bridge between Operations, Technology, Compliance, and Client Success to drive the modernization and scalability of letter generation capabilities, with a primary focus on advancing the V2 architecture and supporting NewUM migration. The position is responsible for bringing structure, clarity, and prioritization to a highly complex, cross-client body of work, ensuring both operational effectiveness and regulatory compliance. This individual will lead efforts to assess current-state processes, define a forward-looking technical roadmap, and standardize workflows across implementations and live environments. In addition, the role acts as a key client-facing partner, supporting letter requirements and ensuring consistency in delivery and communication. Success in this position requires strong project management discipline, technical fluency, and the ability to align diverse stakeholders around shared priorities. Ultimately, this role ensures that letter solutions are durable, scalable, compliant, and positioned to support enterprise growth.
Primary Responsibilities
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Compliance Oversight & Governance
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Work with Compliance team to summarize existing compliance letter requirements by LOB, state and plan.
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Create a plan and methodology to assess risk areas and points of potential divergence for current letters from requirements and best practices.
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Leverage prioritized gap analysis to prioritize engineering requests for remediation of issues with current letter templates.
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Define a go-forward process for aligning compliance updates with Client Success communications, Engineering intake and prioritization and operational adoption.
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Client-Facing Support
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Serve as the primary resource for client letter-related requests and guidance.
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Lead client meetings to facilitate letter creation, updates, and remediation.
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Ensure consistency of approach across new implementations and existing clients.
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Cross-Client Prioritization & Alignment
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Organize and prioritize letter-related requests across all clients.
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Align with Client Success, Operations, and Technology teams to confirm priorities.
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Maintain transparency and documentation of prioritization decisions.
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Current-State Assessment & Technical Roadmap
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Develop a deep understanding of current V1 and V2 letter solutions, documenting strengths, limitations, and pain points.
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In partnership with Operations, Product and Engineering teams, create a prioritized roadmap for the V2 architecture that supports and aligns with NewUM migration.
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Technical Competency & Intake Management
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Develop technical proficiency in V2 letter architecture.
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Evaluate and classify change requests, using T-shirt sizing.
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Maintain a centralized log of letter requests, tracking status, prioritization, and dependencies.
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User Acceptance Testing (UAT) Signoff (10%)
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Define a standardized UAT signoff process for letter updates.
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Support both tech-enabled and manual UAT workflows.
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Ensure thorough validation and auditability before production release.
About You
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Bachelor’s degree required. Master’s degree (MBA, MHA or similar) strongly preferred.
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Certification: PMP certification strongly preferred. PROSCI.
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Typical years of experience are 5-7 years in a related field.
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Project management and business analysis skills
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Systems/Tools: Project management solutions.
About the Location
OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide but work primarily in the Eastern and Central Time Zones.
Our Culture
Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first!
We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!
OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.
OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.
The Opportunity
The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!
Our Current Solutions
OneUM™ by OncoHealth®
Oncology Specialized Management
OneUM is our oncology-specific utilization management solution that streamlines prior authorizations, ensuring clinically appropriate, evidence-based care.
Expert Policy & Strategy Guidance
Our in-house team, including oncologists and board-certified oncology pharmacists, helps optimize your oncology program with clinical and drug management expertise.
Streamlined Prior Authorization
Submit full treatment regimens in a single request, customized to each partner’s needs.
Clinician-Led, Holistic Reviews
Oncology-trained reviewers evaluate cases holistically. For potential denials, only managed care oncologists conduct peer-to-peers, ensuring timely, appropriate care.
Iris by OncoHealth®
Oncology Supportive Care
Iris provides 24/7 access to oncology trained nurses, therapists, and dietitians to support the physical, emotional, and nutritional challenges of cancer, from diagnosis through survivorship.
Oncology Specialized Management
OneUM is our oncology-specific utilization management solution that streamlines prior authorizations, ensuring clinically appropriate, evidence-based care.
Expert Policy & Strategy Guidance
Our in-house team, including oncologists and board-certified oncology pharmacists, helps optimize your oncology program with clinical and drug management expertise.
Streamlined Prior Authorization
Submit full treatment regimens in a single request, customized to each partner’s needs.
Clinician-Led, Holistic Reviews
Oncology-trained reviewers evaluate cases holistically. For potential denials, only managed care oncologists conduct peer-to-peers, ensuring timely, appropriate care.
Iris by OncoHealth®
Oncology Supportive Care
Iris provides 24/7 access to oncology trained nurses, therapists, and dietitians to support the physical, emotional, and nutritional challenges of cancer, from diagnosis through survivorship.
Oncology Nurse Support
Building trusted relationships with members through phone, video, or secure messaging to help prevent avoidable complications while providing continuity of care and personalized support.
Specialized Multidisciplinary Care
Oncology-trained mental health therapists and dietitians offer 1:1 visits, small groups, and interactive events to support whole-person care, well-being, and member satisfaction.
Digital Tools that Empower
An evidence-based content library supports members between appointments to reinforce confidence, engagement, and quality of life.
Oncology Insights™
On-Demand Data Analytics
Gain a real-time, 360° view of your oncology program with insights from both claims and prior authorization data.
Building trusted relationships with members through phone, video, or secure messaging to help prevent avoidable complications while providing continuity of care and personalized support.
Specialized Multidisciplinary Care
Oncology-trained mental health therapists and dietitians offer 1:1 visits, small groups, and interactive events to support whole-person care, well-being, and member satisfaction.
Digital Tools that Empower
An evidence-based content library supports members between appointments to reinforce confidence, engagement, and quality of life.
Oncology Insights™
On-Demand Data Analytics
Gain a real-time, 360° view of your oncology program with insights from both claims and prior authorization data.
