Job Description

We are seeking a Program Manager of Clinical Integration and Population Health to join our healthcare organization in Linthicum Heights, United States. In this role, you will lead strategic initiatives to optimize clinical operations, enhance care coordination, and drive quality improvement across our healthcare system.

General Summary

The Manager of Clinical Integration and Population Health leads the development and execution of innovative programs to advance value-based care, optimize case management services, and improve population health outcomes. This role ensures alignment with NCQA standards , organizational goals, and industry best practices.

The Manager is responsible for managing multidisciplinary teams, supporting the delivery of high-quality clinical and operational initiatives, and driving performance across value-based care programs. This position serves as a critical liaison between clinical and administrative teams to implement and sustain evidence-based strategies that enhance care coordination and outcomes.

Principal Responsibilities and Tasks

Program Development and Implementation

• Design, implement, and manage clinical integration and population health programs to achieve organizational objectives in value-based care models.
• Monitor program progress and outcomes, ensuring alignment with NCQA accreditation standards and care quality benchmarks.
• Collaborate with leadership and stakeholders to define program goals and deliverables, ensuring responsiveness to the needs of diverse populations.

Operations and Quality Management

• Oversee program operations to ensure the effective delivery of case management services and multidisciplinary care coordination.
• Use data analytics to assess program performance, identify trends, and guide decision-making for process improvement.
• Ensure programs meet or exceed regulatory and compliance requirements, including payer benchmarks and reporting mandates.
• Develop and maintain detailed project plans to support smooth implementation and operational excellence.

Stakeholder Engagement

• Act as a key liaison between clinical teams, operational leaders, and external stakeholders to foster collaboration and program success.
• Identify barriers to program implementation, facilitate problem-solving, and communicate solutions to senior leadership.
• Support stakeholders in adopting new clinical workflows, technologies, and best practices.

Leadership and Team Collaboration

• Guide multidisciplinary teams through program design, implementation, and evaluation processes to optimize outcomes.
• Mentor and coach staff in population health and care coordination best practices.
• Promote an inclusive and equitable environment that values professional development, diversity, and innovation.

Compliance and Innovation

• Stay current with federal and state healthcare regulations, including NCQA standards , population health policies, and emerging trends in value-based care.
• Lead initiatives to incorporate new technologies, evidence-based practices, and process improvements into clinical and operational workflows.

Qualifications

** Education and Experience**

1. Bachelor’s degree in Business, IT, Health Care Administration, Nursing or a related field required, or equivalent experience. Master’s degree in nursing, other clinical specialty, education, business, health information management, informatics or related field preferred.
2. Five (5) years of progressive clinical or healthcare field experience required
3. Minimum of Three (3) years of progressively responsible experience in leading enterprise or highly complex initiatives is required.
4. Clinical license in the State of Maryland or eligibility for licensure due to compact state agreements is required where applicable.
5. Implementation and operational experience with electronic health record, registration, scheduling and billing applications/system and/or previous experience in an enterprise wide system implementation is preferred

• Knowledge & Skills:
  • Deep understanding of population health models, NCQA standards, and care coordination best practices.
  • Strong project management skills, including planning, implementation, and monitoring.
  • Proficiency in healthcare data analytics and informatics.
  • Excellent communication and interpersonal skills to manage cross-functional teams effectively.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:
Pay Range: $51.82-$77.78
Other Compensation (if applicable): None
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