Program Operations Manager
Core
Manage execution of operational workflows for Gaps in Care programs, ensuring adherence to KPIs, SLAs, compliance, and clinical standards to close care gaps (e.g., HbA1c, LDL, colorectal cancer screening) across mid-market and national payers.
Role type
Program Operations Manager
Builds
Operational workflows, dashboards, SOPs, and communication plans for diagnostic services and care gap programs.
Domain
Healthcare diagnostics and care management
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
operational workflow management, KPI/SLA monitoring, stakeholder consensus building, program scaling, regulatory compliance (CMS, HIPAA, NCQA), project leadership, data analysis, documentation management
Preferred skills
MBA or Masters Degree, health plan industry program leadership, claims and lab data oversight, PMP certification, EHR/claims system proficiency, Tableau/Workday reporting, Agile/Kanban methodology
Technologies
Workday, Tableau, MS PowerPoint, MS Word, MS Excel, MS Visio, EHRs, claims systems
Responsibilities
Manage execution of operational workflows supporting Gaps in Care programs; optimize workflows for outreach, scheduling, and results tracking; partner with cross-functional teams to ensure program deployment; support onboarding of new diagnostics services; lead cross-functional projects to optimize operational performance; develop deliverables like communication plans and SOPs; provide daily support in resolving operational items; build consensus among stakeholder groups.
Seniority
Mid-level, hands-on IC