Senior Program Manager- Clinical Innovation

About the role

We are seeking a clinically-informed, operationally-minded Senior Manager to own the end-to-end design and implementation of care models for Twin's most strategic clients.

Responsibilities

• Own end-to-end program design and operational strategy for new care model implementations, from discovery and design through pilot, launch, and post-launch management.
• Design operationally sound care models for new clients by understanding their member population, existing care infrastructure, and strategic priorities.
• Translate that understanding into scalable workflow design, care team structures, member engagement strategies, and success metrics.
• Manage operational implementation in real time: anticipate operational bottlenecks, diagnose issues as they emerge during pilot and launch, and drive solutions.
• Lead cross-functional collaboration across clinical operations, implementation, product, technology, finance, and senior leadership to align on implementation approach, resolve tradeoffs, and keep initiatives moving forward.
• Serve as a primary internal point of contact for strategic client partners, including health systems, integrated delivery networks, and Medicare Advantage plans, during implementation and steady-state operations.
• Build trusted relationships with client stakeholders, communicate progress and performance transparently, and surface and resolve issues before they escalate.
• Develop and maintain operational frameworks, playbooks, and enablement materials that translate care model design into day-to-day practice for care teams.
• Define success metrics for each implementation (e.g. clinical outcomes, operational efficiency, member satisfaction, financial performance) and build measurement infrastructure to track progress and accountability.
• Manage up and across: communicate regularly with senior leadership on progress, risks, and strategic tradeoffs. Escalate issues with clarity and candor. Partner with peer leaders to solve problems that span functions.
• For strategic client relationships, continue to own operational strategy and performance management into steady state, acting as the internal strategic operator for that partnership.
• Contribute to the overall care model roadmap and product strategy by synthesizing implementation learnings, clinical insights, and client feedback into opportunities for improvement and scale.

Qualifications

• 7–10 years of healthcare experience, with at least 4 years in clinical operations, care delivery, or a closely related operational role.
• 2–3 years of experience in a strategic operations, clinical innovation, or internal consulting role where you've been tasked with designing and implementing new programs or processes across multiple functions.
• Demonstrated track record of working directly with clinical teams, physicians, and other clinical leaders to design and implement operational or care model changes.
• Hands-on experience implementing complex, multi-stakeholder initiatives in a fast-moving environment. You're comfortable with ambiguity, can define your own scope, and drive work forward without needing everything spelled out upfront.
• Strong analytical and structured problem-solving mindset. You can do first-pass data analysis to diagnose problems, form hypotheses, and evaluate solutions.
• Comfort with healthcare vocabulary and clinical concepts. You're a quick learner who can dive into the details of a new clinical area with subject matter experts and ask smart questions.
• Excellent written and verbal communication skills. You can write crisp operational specs and implementation plans, distill complex initiatives into executive-ready summaries, and develop clear guidance for care teams.
• Able to navigate matrix dynamics and manage both up and across. You're comfortable with ambiguity around decision rights and can build alignment without formal authority.
• Startup experience or startup mindset — you've worked in a scrappy, fast-moving environment where you wore multiple hats and adapted quickly to changing priorities.
• Proficiency with Google Suite applications.
• Willingness to travel occasionally for client on-site work and implementation support.

Pay

The compensation range for this position is $130,000 - $145,000 annually.

Benefits

• Competitive compensation package in line with leading technology companies
• Remote and accomplished global team
• Opportunity for equity participation
• Unlimited vacation with manager approval
• 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents
• 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
• 401k retirement savings plan