Clinical Programs Manager - Hybrid/Remote Impact

WellCare of Kentucky; Indiana (PA); Hybrid; USD 87,700 - 157,800; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Job summary

A national healthcare organization is seeking a clinical professional to manage clinical projects within its Medical Management team. The ideal candidate will have significant experience in healthcare management, particularly in quality improvement and utilization management. Responsibilities include overseeing project initiatives, collaborating with medical directors, and analyzing data. This role offers a competitive salary range of $87,700 to $157,800, along with comprehensive benefits and flexible work options.

Qualifications

• 5-7 years in managed care or medical group focusing on quality improvement and clinical operations.
• Experience in project management in a medical group, IPA, or health plan.
• Competence in analyzing data to drive outcomes.

Responsibilities

• Manage and track clinical projects supporting strategic plans.
• Work with the Regional Medical Director on key interventions.
• Lead cross-functional initiatives to drive performance improvement.
• Facilitate clinical report development and data delivery.

Skills

Project management

Data analysis

Quality improvement

Utilization management

Education

Bachelor’s Degree in Nursing OR equivalent

Master’s Degrees (MPH, MHA, MBA)

Tools

Microsoft

PowerBi

Google SmartSheets

Job description

A national healthcare organization is seeking a clinical professional to manage clinical projects within its Medical Management team. The ideal candidate will have significant experience in healthcare management, particularly in quality improvement and utilization management. Responsibilities include overseeing project initiatives, collaborating with medical directors, and analyzing data. This role offers a competitive salary range of $87,700 to $157,800, along with comprehensive benefits and flexible work options.