Clinical Program Development Manager
Core
Managing clinical program development for population-based clinical quality measures, including Medicare Star ratings, across all lines of business.
Role type
Senior IC clinical program development manager
Builds
Clinical programs, tools, and workflows to support quality, cost-effective care and regulatory compliance
Domain
Healthcare administration and clinical quality management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
vendor contract negotiation, clinical program development, healthcare data analysis, regulatory compliance (CMS/state/federal), project prioritization, system requirements definition, ROI analysis, performance tracking, team leadership
Preferred skills
AI prompt design for healthcare, member experience improvement, Medicare Star/CAHPS program implementation, program improvement methodologies, vendor management, Medicare Part D expertise, member population management
Technologies
CMS Star Ratings systems, CAHPS platforms, Medicare Part D systems
Responsibilities
Oversee vendor contracts and service-level agreements; develop and implement annual clinical program plans; evaluate industry best practices and medical research; coordinate communications and implementation phases; ensure regulatory compliance; identify system needs and develop requirements; track program performance and modify strategies; provide leadership to development teams
Seniority
Senior, hands-on IC
