Flume Health is hiring a Forward Deployed Program Manager to own program and integration delivery and solve complex client problems across our portfolio, with a primary focus on our largest accounts. You are the person who sits at the intersection of client needs, data integration complexity, and AI-powered execution. You figure out how to get things done, unblock delivery, and drive outcomes.

What makes this role different: you will build, manage, and continuously tune a team of AI agents that solve complete problems end-to-end. Diagnosing why a connection is failing, generating client-ready deliverables, automating workflows that used to take days. You are responsible for agent performance: refining prompts, improving outputs, expanding what your agents can handle, and pushing the boundary of what one person with AI leverage can deliver.

This role requires a consulting mindset: the ability to walk into ambiguity, structure the problem, mobilize resources (human and AI), and deliver. You will manage the program and integration delivery cadence, but more importantly, you will be the person clients call when something is hard and needs to get figured out.

This is not a traditional project management role. This is an execution-oriented position with a clear progression path into Flume's Forward Deployment and Strategic Deployment practice, where you will own client engagements that drive platform transformation and measurable business outcomes for health payers and TPAs.

What You'll Do

• Client Problem-Solving:** Be the person who figures it out. When a TPA integration is failing, when a client has a data question no one can answer, when a new connection request requires scoping and creative problem-solving. You own it. Structure the problem, mobilize resources, and deliver.
• AI Agent Management & Tuning:** Build, manage, and continuously improve a team of AI agents. You own agent performance. That means refining prompts, evaluating outputs, expanding agent capabilities, and tuning workflows to solve increasingly complex problems across integration diagnostics, client deliverables, reporting automation, intake processing, and data analysis.
• Program & Integration Delivery Ownership:** Own the delivery cadence for our flagship account (80+ contracted connections) and a portfolio of secondary accounts. Manage the Jira intake workflow, ensure requirements are captured cleanly, and drive work through the build pipeline
• Client-Facing Escalation:** Serve as the primary operational POC for key client IT and Business Operations stakeholders. Attend leadership calls, surface blockers early, and ensure delivery commitments are met.
• Stakeholder Communication:** Own weekly delivery reporting to senior client stakeholders. Use AI to generate it, not your weekends
• Cross-Account Coverage:** Provide problem-solving support across the broader client portfolio as needed, including delivery troubleshooting, integration scoping, and contract coordination.

What You'll Need

• 5+ years in consulting, implementation, or healthcare operations:** You've been the person in the room who has to figure out a hard problem with incomplete information and deliver under pressure. Strategy consulting, management consulting, implementation, or similar client-facing delivery experience.
• AI-native (required):** This is non-negotiable. You build agents, tune them, measure their output quality, and expand their scope over time. You don't just use AI to summarize emails. You think in terms of what a team of well-tuned agents can do, not what you can do alone.
• Client-facing confidence:** You can sit in a daily technology leadership call with senior client stakeholders and field hard questions without flinching. You're comfortable being the single point of contact when things get complicated.
• Structured thinker:** You walk into ambiguity and create clarity. You break down complex integration problems into workable pieces and drive them to resolution.
• Low ego, high throughput:** You're willing to do the operational work well because you understand it's the foundation for everything strategic. No task is beneath you if it moves the client forward.
• Healthcare exposure preferred, not required:** If you've worked with payers, providers, claims data, or health plan operations, great. If not, you're sharp enough to ramp fast.

Nice to Haves

• Experience building, tuning, and measuring AI agent workflows to solve multi-step business problems
• Background in strategy consulting, management consulting, or implementation delivery at a professional services firm
• Familiarity with TPA operations, claims processing, healthcare EDI, or health plan administration
• Experience with Jira, Snowflake, or healthcare data integration platforms
• Comfort working in a fast-paced, early-stage environment where scope evolves quickly

Salary

$130k - $160k + equity