Note: The job is a remote job and is open to candidates in USA. Altarum’s Public Health Technology division builds and operates the data systems that state health departments rely on to protect their communities. They are seeking a Senior Director, Delivery & Operations to lead their state project portfolio, ensuring effective delivery and operational decision-making while managing a cross-functional team.

Responsibilities

• Own contribution margin performance across the state project portfolio. Manage utilization, burn rates, and forecast accuracy in partnership with finance
• Ensure consistent, on-time, on-budget delivery across all state projects. Establish and maintain project governance including risk management, escalation protocols, quality assurance, and standardized PM/agile methodology
• Serve as the senior client relationship owner for state accounts. Drive organic growth through strategic account planning, cross-sell and expansion conversations, and proactive identification of follow-on opportunities
• Manage and develop a cross-functional delivery team including delivery managers, project managers, software engineers, interoperability analysts, and QA engineers. Maintain a forward-looking 60–90 day resourcing outlook
• Standardize delivery processes, reporting, estimating, and agile practices across the portfolio. Build repeatable operational practices that support PHT’s growth and scaling objectives
• Partner with the Technical & Offerings function to ensure architecture consistency, standards compliance, and reuse of repeatable solutions across projects
• Collaborate with Growth & Market Development on strategic account planning and pursuit support for existing client expansion opportunities
• Participate as a member of the PHT leadership team, contributing to division strategy, OKR development, and cross-functional decision-making

Skills

• 5–10 years of experience in a consulting or professional services environment, including leadership roles with ownership of delivery and financial performance (e.g., P&L ownership, utilization, margin). In-house IT management does not substitute for this requirement
• Demonstrated P&L ownership: contribution margin management, utilization optimization, burn rate analysis, and fixed-price contract management
• Deep familiarity with public health technology, health IT, government health services, or a closely related domain. Experience with state health departments is strongly preferred
• Proven track record of client relationship management and organic account growth in government or public sector contexts
• Strong project and program management methodology (Agile, Scrum, hybrid waterfall) with demonstrated ability to standardize practices across a multi-project portfolio
• Experience building, managing, and developing high-performing delivery teams, including performance management and talent development
• Excellent risk identification, escalation judgment, and proactive problem resolution skills
• Executive presence and communication skills for engaging with senior state health department officials and internal leadership
• Bachelor's degree required; Master's degree preferred in public health, health informatics, information technology, public administration, or a related field
• Candidates must be currently eligible to work in the United States; sponsorship is not available
• All work must be performed within the continental U.S. for the duration of employment, unless required by contract
• Ability to work core hours aligned with Eastern Time, unless otherwise approved by your manager
• Remote employees must maintain a dedicated, ergonomically appropriate workspace free from distractions, with reliable internet and a mobile device that supports efficient work
• Occasional travel to client sites (primarily state health departments) may be required, estimated at 10–15% of time
• Experience with public health data systems including disease surveillance (MDSS), vital records, electronic case reporting (eCR), or health information exchange
• Familiarity with interoperability standards (HL7, FHIR, TEFCA, USCDI) and their application in public health contexts
• Experience managing government contracts through state IT procurement structures
• PMP, CSM, or SAFe certification
• Experience with state health departments
• Experience with Costpoint or similar government contract accounting systems

Benefits

• Remote with occasional in-person collaboration days
• If you’re near one of our offices (Arlington, VA; Silver Spring, MD; or Novi, MI), you’ll join us in person one day every other month (6 times per year) for a fun, purpose-driven Collaboration Day.
• Non-local employees will join these days virtually and may be asked to join us occasionally in-person.

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