Clinical Operations Program Manager
Job Summary
To enhance operational efficiency and improve member outcomes, the fully remote Clinical Operations Program Manager will lead strategic programs in Care Management, Utilization Management, and Population Health while collaborating with clinical leaders and analytics teams.
Key Responsibilities
- Lead end-to-end management of clinical operations programs, ensuring timely delivery and alignment with organizational goals
- Collaborate with clinical leadership to optimize care management workflows and drive initiatives aimed at reducing avoidable admissions and total cost of care
- Support value-based care initiatives by monitoring performance metrics and identifying opportunities for improvement through healthcare analytics
Required Qualifications
- Bachelor's degree in Healthcare Administration, Nursing, Public Health, Life Sciences, Business Administration, or a related field
- 7+ years of experience in healthcare operations, care management, or clinical program management
- 3+ years of experience leading cross-functional programs or large-scale operational initiatives
- Strong understanding of healthcare payer and provider operations
- Experience with clinical and operational performance metrics
Complete Job Description
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