Program Manager, Clinical Services

Must be located in continental US and flexible to work in EST.

About the Role

The Program Manager, Clinical Services is responsible for leading the planning, implementation, operationalization, and continuous improvement of enterprise-wide program management initiatives across ambulatory, virtual, and specialty care settings. This role partners with clinical, operational, digital health, informatics, quality, finance, and physician leadership teams to design, scale, and sustain programs that improve patient outcomes, care experience, access, and value-based performance. The Program Manager will oversee a portfolio of strategic initiatives and is accountable for program governance, stakeholder engagement, KPI development and monitoring, workflow design, technology implementation, vendor management, regulatory readiness, and performance reporting to executive leadership.

Responsibilities

• Leads the development, implementation, and scaling of enterprise programs aligned with organizational strategic priorities and value-based care objectives.
• Develops program charters, roadmaps, implementation plans, business cases and budgets, and operational models for new and existing initiatives.
• Develops documentation including appropriate policies and procedures, functional specifications, user and resource requirements, and schedule and status reports for assigned projects.
• Coordinates multidisciplinary teams across clinical operations, population health, specialty care, ambulatory practices, virtual care, digital health, analytics, and information technology.
• Engages with key stakeholders and supports and leads change management activities to drive adoption of new workflows and care models.
• Establishes governance structures, project milestones, risk mitigation plans, and executive reporting processes.
• Assesses operations and develops implementation strategies to ensure program readiness, compliance, and performance success.
• Identifies opportunities for process improvement and recommends corrective actions to achieve program goals.
• Leads product and service go-live events by analyzing all aspects of the market relationship, including investigating and understanding the uniqueness of each market and their specific needs.
• Optimizes and coordinates system-wide initiatives, including working with vendors, informatics, and frontline service providers.
• Implements and manages plans for standardization of processes, reporting, and approaches across multiple divisions within the organization (e.g., finance, information technology, or marketing).
• Tracks and monitors ongoing key performance indicators and data for Business to Business operations and develops and provides regular interpretation to management at the region, market, and system level.
• Supports and coordinates quality control standards and policy work including reporting, business process and control evaluation, remediation of control deficiencies, and ongoing monitoring of key success metrics.
• Attends, facilitates, and leads teams and groups and organizes regular meetings and discussions as assigned.
• Maintains knowledge and understanding of current trends and developments in healthcare, including keeping abreast of compliance regulations, standards, and directives regarding government, third-party agencies, or third-party payers.
• Provides active feedback to the Subject Matter Expert(s) on products and services developed, as well as suggestions for future program development.
• Maintains personal and professional development that provides an atmosphere where employees can develop professionally, be challenged, yet mentored and stimulated consistent with their abilities and the needs of the organization.

Requirements

• 4-year/Bachelor’s Degree in Healthcare, business administration, finance, analytics, informatics, or related field (required).
• Graduate Degree (Master’s) in Business, healthcare administration, or nursing (preferred).
• 5+ years of experience in healthcare program management, clinical operations, population health, quality improvement, or project management experience (required).
• Experience leading complex cross-functional healthcare initiatives, working with chronic disease management programs or value-based care models, and demonstrated experience managing multiple simultaneous projects (preferred).

Skills

• Hard/Tech/Clinical Skills:
  • Value-based care models
  • Healthcare operations and delivery
  • EMR systems (preferably EPIC) and integration
  • Program and project management skills
  • Ability to develop KPIs, dashboards, and performance improvement plans
• Soft/Interpersonal Skills:
  • Leading through influence and leading multidisciplinary teams
  • Executive-level stakeholder engagement
  • Change management
  • Scaling operational initiatives across multiple sites of care
  • Lean principles
  • Verbal, written, and presentation communication skills
  • Strong analytical, organizational, and problem-solving skills

Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible).
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

Benefits may vary based on the market and employment status.