Clinical Programs Director
Core
Manage end-to-end whole person solutions across the continuum of care for oncology, cardiovascular disease, and other conditions, including prevention, screening, navigation, and management for national accounts.
Role type
Director-level clinical programs leader
Builds
Integrated care solutions and Centers of Excellence (COE) networks
Domain
Healthcare / Health Insurance / Oncology & Cardiovascular
Required skills
Program development, clinical practice, stakeholder partnership, care management strategy, COE network building, sales process support
Preferred skills
Project management, internal UM and CM systems familiarity, leading stakeholder discussions, managing ambiguity
Technologies
UM systems, CM systems
Responsibilities
Design and enhance condition-specific strategies to improve member experience and clinical outcomes; Engage with providers to strengthen the COE network; Provide consultative support to large accounts on care and disease management programs; Serve as a subject matter expert and trainer on care management operational issues.
Seniority
Director, strategic leadership & cross-functional collaboration