Clinical Interventions Manager

Job Summary

A company is looking for a Sr. Manager, Clinical Interventions.

Key Responsibilities

• Design and implement clinical interventions to improve quality, utilization, and population health
• Document workflows and create standard operating procedures for clinical processes
• Evaluate vendor solutions and monitor their performance in alignment with clinical objectives

Required Qualifications, Training, and Education

• 5+ years of experience in Medicare Advantage, clinical operations, or related fields
• Master's degree in Healthcare Administration, Public Health, or a related field
• Experience in designing and implementing clinical interventions
• Familiarity with CMS STAR measures is preferred
• Clinical licensure (e.g., RN, NP, MD, DO) and process improvement certifications are preferred