Clinical Program Manager

Job Summary

A company is looking for a Clinical Innovation & Program Manager to lead initiatives that enhance clinical quality and provider performance.

Key Responsibilities

• Manage relationships with hospitals, providers, clinics, and delegated groups to enhance provider and member experiences
• Gather, analyze, track, and present data on key performance indicators and project progress
• Develop and implement process improvement initiatives in alignment with strategic goals and regulatory requirements

Required Qualifications

• Master's Degree in Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Policy, or equivalent field
• 5+ years of experience in managed care
• Strong knowledge of operational, regulatory, clinical, and reporting requirements for Managed Care Plans
• Experience in clinical program development, informatics, and data analysis
• Preferred clinical license (e.g., RN, LCSW, Ph.D., etc.)