• Provides senior-level operational leadership and coordination for complex state or federally funded health transformation initiatives • Responsible for managing day-to-day program execution across grant administration, procurement support, financial monitoring, reporting, compliance tracking, technical assistance coordination, and stakeholder engagement • Establishes and maintains integrated project schedules, risk registers, action logs, and documentation workflows to ensure timely, organized, and compliant delivery of program activities • Coordinates cross-functional workstreams supporting procurement lifecycle activities (e.g., RFIs, RFPs, contract tracking), subrecipient onboarding, deliverable monitoring, and recurring reporting requirements • Oversees onboarding of new team members and establishes structured processes for training, documentation standards, workflow integration, and role clarity across workstreams • Ensures staff understand compliance expectations, reporting cycles, and governance processes • Monitors operational risks, identifies pacing or compliance concerns, and escalates issues to senior leadership as appropriate • Oversees preparation of recurring and ad hoc reports for state agencies and federal partners, ensuring documentation is consistent, defensible, and audit-ready • Supervises analysts and coordinators, maintaining quality control standards and reinforcing disciplined execution across workstreams • Supports rapid startup environments and high-volume implementation periods requiring structured coordination and strong internal controls • Up to 25% travel may be required.