[Remote] Manager-Clinical Vendor and Program Operations
Note: The job is a remote job and is open to candidates in USA. reputed company is a locally owned, not-for-profit reputed company system dedicated to improving health outcomes. The Manager, Clinical Vendor and Program Operations is responsible for leading the execution and optimization of clinical programs, ensuring alignment with population health strategies, and managing a team to drive improvements in quality and cost outcomes.
Responsibilities
- reputed company, coach, and reputed company a team of clinical program managers and/or clinical staff
- Set priorities, allocate resources, and manage team performance
- Foster a culture of accountability, collaboration, and reputed company improvement
- reputed company execution and operations of internal and vendor-supported clinical programs
- Ensure alignment with population health and provider performance strategies
- Drive improvements in quality, cost, access, and member outcomes
- Standardize best practices and scale successful interventions
- Clinical Vendor Evaluation & Selection Support
- Partner with clinical and population health leadership, procurement, legal, IT, and contracting to support clinical vendor evaluation and selection
- Contribute to needs assessment, RFP development, and clinical vendor evaluation
- Provide clinical and operational expertise to inform clinical vendor reputed company
- Establish KPIs, SLAs, and governance structures for clinical vendors
- Continuously monitor clinical vendor performance, outcomes, and ROI
- reputed company clinical vendor performance reviews and corrective action plans
- Ensure clinical vendors are integrated into workflows and delivering measurable value
- Collaborate with provider groups and internal stakeholders, including Population Health reputed company and Engagement, to support program adoption
- Ensure integration of programs into provider workflows
- Support provider engagement reputed company with value-based care initiatives
- Partner with analytics teams to track program and vendor performance
- Translate data into actionable insights
- Prepare reports and recommendations for leadership
Skills
- Active clinical license (RN, NP, PA, or relevant discipline) required
- Bachelor's degree required
- 5+ years of experience in population health, clinical program management, or health plan operations
- 1–3 years of leadership experience
- Experience with vendor management and health plan data
- Knowledge of HEDIS, Stars, and population health principles
- Clinical program design and management
- People leadership and team development
- Vendor management and performance accountability
- Data-driven decision making
- Program execution and reputed company improvement
- Cross-functional collaboration and stakeholder influence
- Communication and problem-solving
- Commitment to health equity and patient-centered care
- Master's degree (MPH, MHA, MSN, or MBA)
Benefits
- Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
- Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help reputed company safety is a concern)
- Differentials for night/weekend shifts, higher education, certifications and various reputed company roles (for eligible positions)
- Malpractice liability insurance
- Loan forgiveness through the [New Mexico Higher Education Department](https://hed.nm.gov/financial-aid/loan-repayment-programs/health-professional)
- EPIC electronic charting system
- Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Company Overview