[Hiring] Program Manager / Transition Lead - Healthcare @Harbor IT

Remote, USA Full-time Posted 2026-05-31
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Role Description

Harbor IT is seeking a Program Manager to own the end-to-end delivery of a high-stakes healthcare IT transition. This engagement involves a mid-market healthcare organization with approximately 100 facilities nationwide, currently supported by an internal IT team of 40–50 staff, transitioning to a fully managed Harbor IT service model within a 2–4 month window.

This is the most consequential mid-market engagement in Harbor IT’s portfolio this year. The Program Manager is accountable for executing a clean cutover of the client’s full IT operation onto Harbor IT’s processes, tooling, and operating model—with zero service interruption, zero net-new compliance findings, and preserved executive trust.

This role is designed for a seasoned operator who has personally delivered transitions of this scale and speed before. It requires executive presence, decisive judgment, and hands-on leadership—strategic in the boardroom and tactical on the ground.

    Key Responsibilities
  • End-to-End Transition Ownership
  • Deliver a full IT operational cutover within 2–4 months
  • Ensure zero critical service interruptions and no compliance gap
  • Own timeline, risk, scope, and delivery outcomes
  • IT Staff Assessment and Restructuring
  • Personally assess the client’s internal IT team
  • Make retention and redundancy recommendations
  • Lead sensitive communications in partnership with client HR and Harbor IT leadership
  • Design and execute retained-staff onboarding
  • Steady-State Team Buildout
  • Hire and manage field technicians, site leads, and operational staff
  • Integrate retained client employees or recruit externally as needed
  • Ensure staffing readiness by cutover, not after
  • Field Coverage Model Design
  • Define and implement on-site, regional, and remote coverage across approximately 100 facilities
  • Document, staff, and operationalize the model within the transition window
  • HIPAA and Healthcare Compliance Continuity
  • Own compliance integrity throughout the transition
  • Ensure PHI handling, BAA continuity, access controls, and audit readiness
  • Coordinate closely with Harbor IT Security and client compliance leadership
  • Executive Client Leadership
  • Act as the executive point of contact for client sponsors
  • Run weekly steering committee meetings
  • Navigate scope disputes, staffing decisions, and timeline pressure with confidence and clarity
  • Cutover and Program Execution
  • Build and enforce the master transition plan (milestones, RAID log, dependencies)
  • Maintain the plan as the single operational source of truth
  • Tooling and Documentation Foundation
  • Ensure full PSA and documentation readiness (ConnectWise and Hudu preferred)
  • Asset inventories, service catalogs, contacts, and escalation paths complete before cutover
  • Commercial and Scope Control
  • Enforce MSA boundaries
  • Surface out-of-scope items commercially, not operationally
  • Protect engagement margin while maintaining client trust
  • Handover and Continuity
  • If not remaining as account GM, recruit and onboard the successor
  • Deliver complete runbooks, SOPs, escalation paths, and stakeholder maps
  • Ensure no fragmented handoffs
  • Build the Transition Playbook
  • Bring an established transition methodology (checklists, assessment frameworks, staffing models)
  • Institutionalize this capability within Harbor IT for future engagements
    Success Criteria (First 6 Months)
  • Zero critical service interruptions during cutover
  • Zero net-new HIPAA or compliance findings
  • Transition completed within the agreed 2–4 month window
  • Written executive validation of steady-state readiness
  • Fully staffed, documented, and operational account handoff
    Qualifications
  • Bachelor’s degree in IT, Business, Healthcare Administration, or equivalent operational experience
  • 10+ years in IT service delivery, MSPs, or technology consulting
  • Direct ownership of at least two large-scale IT outsourcing or transition engagements (50+ sites)
  • Experience conducting staff assessments and making retention and redundancy recommendations for 30+ personnel
  • Hands-on experience operating within a HIPAA-regulated environment
  • Prior responsibility for a $3M+ annual managed services engagement
  • Demonstrated success delivering transitions in 90 days or less
    Technical Competencies
  • Strong understanding of mid-market MSP operating models
  • PSA and documentation systems experience (ConnectWise and Hudu strongly preferred)
  • HIPAA Security Rule and healthcare compliance literacy
  • Familiarity with healthcare IT environments (EHRs, endpoints, identity, network, backup)
    Leadership and Soft Skills
  • Executive presence under pressure
  • Clear, confident communicator with internal teams and client leadership
  • Decisive, with a strong bias to action
  • Comfortable operating strategically and tactically in parallel
  • Owns outcomes, not just plans
    This Role Is Not a Fit for Candidates Who
  • Have only worked in PMO or coordination roles without delivery authority
  • Have not personally executed a large IT transition under 120 days
  • Prefer indirect influence over direct accountability
    Preferred Certifications (Optional)
  • PMP, PgMP, or equivalent enterprise program leadership credential
  • ITIL v4
  • HIPAA-related certifications (experience prioritized over credentials)

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