Top 12446 Operations program manager Jobs

Program Manager - Clinical Operations
Sagility —Remote
- Remote
- Nursing
- HIPAA
- 3 years
12d
Strategic Operations Program Manager
Apple —Austin, TX
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Flight Program and Critical Care Operations Manager
Carilion Clinic —Roanoke, VA
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- Online Application
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ADMINISTRATIVE SALES OFFICE MANAGER (SOCIAL SERVICES)
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- CPR Certification
- Current TB test
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Laboratory Operations Manager
GroundWork Renewables, Inc. —Albuquerque, NM
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2d
Mental Health Program Manager - DMH
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12d
Program Supervisor
Alameda Family Services —Alameda, CA
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Shelter Program Manager - Family Shelter Services
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WASHINGTON HOUSING AUTHORITY —Washington, NC
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13d
Executive Director
Helping Hearts California, LLC. —San Bernardino, CA
- $155,000 - $175,000 a year
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- 5 years
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Nutrition Program Manager
Missoula Aging Services —Missoula, MT
- $61,419 a year
- Email
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7d
ADON Risk management RN * extremely competitive salary*
Horizon Care Center —Arverne, NY
- $130,000 - $140,000 a year
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- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
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Sleep Center Manager
Respiratory Specialists —Wyomissing, PA
- Full-time
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Preschool Director/VPK Instructor
Vision of Christ Enrichment Center —Fort Lauderdale, FL
- $17 - $18 an hour
- Full-time
- School experience
- Public speaking
- Preschool
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8d
Adult Outpatient Program Manager
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- Master of Social Work
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- Office
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Senior Advisor – Critical Minerals & Mine Compliance
Bättra LLC —Remote
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Foreign Trade Zone Manager
ASML —Wilton, CT
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- 7 years
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Residential Supervisor/QIDP
Queens Centers For Progress —Bellerose, NY
- $66,300 a year
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Managed Lanes and Ramp Signals Program Manager
Metric Engineering —Fort Lauderdale, FL
- $75,000 - $95,000 a year
- Full-time
- Management
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- Mid-level
- Health savings account
- Health insurance
Cluster Manager - IHS Program
Midstate ARC Inc —New Haven, CT
- Full-time
- CPR Certification
- Clean driving record
- Ability to walk for extended periods
Quick Apply

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Program Manager - Clinical Operations

Sagility -
Remote

Apply Now

Job Details

12 days ago

Qualifications

Bachelor's degree
Cross-functional team management

Full Job Description

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

The Program Manager will partner closely with clinical leaders, physicians, nurses, care managers, operations teams, analytics teams, and client stakeholders to improve member outcomes, optimize healthcare utilization, and enhance operational efficiency.

Job title:

Program Manager - Clinical Operations

Job Description:

Position Summary

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.

Required 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.

Sagility is an Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

Apply Now

Refine Your Search

operations program manager jobs

Program Manager - Clinical Operations

Strategic Operations Program Manager

Flight Program and Critical Care Operations Manager

ADMINISTRATIVE SALES OFFICE MANAGER (SOCIAL SERVICES)

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Mental Health Program Manager - DMH

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Executive Director

Nutrition Program Manager

ADON Risk management RN * extremely competitive salary*

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Managed Lanes and Ramp Signals Program Manager

Cluster Manager - IHS Program

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