S.O.A.R With Sagility
Program Manager - Clinical Operations
Location
United States
Posted
3 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Program Manager - Clinical Operations
Sagility
Role Description The Program Manager – Clinical Operations is responsible for leading strategic programs and operational initiatives supporting Care Management, Utilization Management, Care Coordination, Population Health, and Value-Based Care services. This role will drive program execution, operational excellence, quality improvement, and performance outcomes across clinical operations while ensuring alignment with organizational goals and client expectations. Key Responsibilities - Program Leadership & Execution - Lead end-to-end management of clinical operations programs, including planning, implementation, monitoring, and optimization. - Manage multiple workstreams supporting care management, utilization management, transitions of care, chronic disease management, and population health initiatives. - Establish program governance, project plans, milestones, and performance metrics. - Ensure timely delivery of strategic initiatives while meeting quality, operational, and financial objectives. - Clinical Operations Management - Collaborate with clinical leadership to improve care management workflows and operational processes. - Drive initiatives focused on reducing avoidable admissions, readmissions, emergency department utilization, and total cost of care. - Support implementation and enhancement of clinical programs targeting high-risk and complex populations. - Ensure operational readiness for new client implementations, program expansions, and process transformations. - Population Health & Value-Based Care - Support value-based care initiatives through performance monitoring and outcome improvement strategies. - Utilize healthcare analytics to identify care gaps, risk trends, utilization patterns, and intervention opportunities. - Partner with quality and clinical teams to improve HEDIS, STAR, and other quality performance measures. - Monitor key population health metrics and recommend improvement actions. - Stakeholder & Client Management - Serve as a primary point of contact for internal and external stakeholders. - Facilitate collaboration across clinical, operational, technology, quality, and analytics teams. - Present program performance, operational updates, risks, and recommendations to leadership and clients. - Build strong relationships with healthcare payer, provider, and care management stakeholders. - Quality & Regulatory Compliance - Ensure adherence to NCQA, CMS, HIPAA, URAC, and client-specific requirements. - Support audit readiness and regulatory compliance activities. - Monitor operational quality metrics and implement corrective action plans when necessary. - Promote a culture of continuous quality improvement. - Performance Management & Analytics - Develop and monitor KPIs, operational dashboards, and program scorecards. - Analyze trends related to productivity, utilization, quality outcomes, and member engagement. - Identify opportunities for operational optimization through data-driven decision-making. - Provide executive-level reporting and actionable insights. - Risk & Change Management - Identify program risks, operational challenges, and process gaps. - Develop mitigation strategies and manage change initiatives across teams. - Ensure effective communication and stakeholder engagement throughout program implementation. 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, utilization management, population health, 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 working with clinical and operational performance metrics. Preferred Qualifications - Master's degree (MBA, MHA, MPH, MSN, or equivalent). - PMP, Lean Six Sigma, PMP, or Healthcare Quality certifications. - Experience with Value-Based Care, Risk Adjustment, Population Health Management, HEDIS, STAR Ratings, or Care Management programs. - Familiarity with EMR/EHR systems, care management platforms, and healthcare analytics tools. Core Competencies - Program & Portfolio Management - Clinical Operations Leadership - Population Health Management - Utilization & Care Management - Value-Based Care Strategy - Healthcare Analytics & Reporting - Process Improvement & Operational Excellence - Stakeholder & Client Management - Regulatory Compliance - Change Management - Strategic Thinking & Problem Solving Key Performance Indicators (KPIs) - Program delivery within scope, timeline, and budget. - Improvement in care management and utilization outcomes. - Reduction in avoidable admissions and readmissions. - Enhanced quality measure performance (HEDIS, STAR, CMS metrics). - Client satisfaction and operational performance targets. - Operational efficiency and productivity improvements. - Compliance and audit readiness outcomes. Location Work@Home USA, United States of America
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Clinical Project Manager II – Virology, Phase I
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• Lead and manage global Phase I virology clinical trials from study start-up through closeout with minimal supervision • Drive overall study execution, timelines, deliverables, risks, budgets, and operational performance • Provide oversight and accountability for CROs, vendors, and cross-functional partners to ensure high-quality study execution • Build strong collaborative relationships with Clinical Operations, Data Management, Regulatory, Medical, Clinical Supply, Biometrics, and other stakeholders • Lead study team meetings by establishing clear agendas, facilitating productive discussions, documenting key decisions, and ensuring timely completion of action items • Proactively identify operational risks, develop mitigation strategies, and drive issue resolution before timelines or quality are impacted • Guide study teams through key transitions across the clinical trial lifecycle while ensuring seamless operational execution • Maintain oversight of study documentation, trial metrics, operational deliverables, and inspection readiness activities • Ensure compliance with GCP, SOPs, regulatory requirements, and sponsor expectations • Foster accountability across study teams while creating an environment of collaboration, transparency, and shared ownership • Contribute to process improvements and operational best practices that enhance study execution and team performance



