Remote Program Manager, Clinical Operations & Outcomes

Sagility India Private Ltd in; El Paso (TX); On-site; USD 110,000 - 170,000; Full time

Job summary

Sagility is seeking a Program Manager - Clinical Operations to lead strategic programs across Care Management, Utilization Management, Population Health and Value-Based care. You will drive execution, quality improvement, and performance outcomes while aligning with client expectations, in a remote/Work@Home USA setting.

The role requires partnering with clinical leaders, physicians, nurses, care managers, and analytics teams to optimize member outcomes, utilization, and operational efficiency;

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.

Responsibilities

• 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.
• Collaborate with clinical leadership to improve care management workflows and operational processes.
• Drive initiatives focused on reducing avoidable admissions, readmissions, ED utilization, and total cost of care.

Skills

Healthcare Operations

Cross-Functional Leadership

Performance Metrics

Payer/Provider Operations

Analytical Thinking

Education

Bachelor's degree in Healthcare Administration, Nursing, Public Health, Life Sciences, Business Administration

Master's degree (MBA, MHA, MPH, MSN, or equivalent)

PMI, Lean Six Sigma, or Healthcare Quality certifications

Tools

EMR/EHR systems

Care management platforms

Healthcare analytics tools

Job description

Sagility is seeking a Program Manager - Clinical Operations to lead strategic programs across Care Management, Utilization Management, Population Health and Value-Based care. You will drive execution, quality improvement, and performance outcomes while aligning with client expectations, in a remote/Work@Home USA setting.

The role requires partnering with clinical leaders, physicians, nurses, care managers, and analytics teams to optimize member outcomes, utilization, and operational efficiency;