Clinical Programs Director
About The Position
The Clinical Programs Director manages National Accounts’ end-to-end, whole-person solutions across the continuum of care for oncology, cardiovascular disease, and other specific conditions. This includes prevention, screening and early detection, navigation and management, and establishing relationships with Centers of Excellence. The director also provides consultative support to the largest accounts on care management, disease management, wellness, network management, and other programs. The role supports sales presentations, advises accounts on program changes based on collected data, and partners with internal and external stakeholders to design and enhance condition-specific strategies and integrated care solutions. The position also strengthens the Centers of Excellence network, develops relationships with regional care management groups, and serves as a subject matter expert and trainer on care management operational issues. The position follows a hybrid arrangement requiring associates to work in-office three days per week. Candidates must be within a reasonable commuting distance of a posting location unless an accommodation is granted as required by law. Alternate locations may be considered for candidates within commuting distance of an office.
Requirements
- Bachelor of Science in nursing or another related clinical area, and at least 6 years of related experience including program development, marketing, and clinical practice; or an equivalent combination of education and experience.
- Strong project management skills.
- Familiarity with internal utilization management (UM) and care management (CM) systems.
- Ability to lead effective internal and external stakeholder discussions.
- Ability to manage ambiguity and adapt quickly to new deliverables and changing priorities.
Responsibilities
- Support the sales process by presenting care programs and advising accounts on programmatic changes based on collected data.
- Partner with internal and external stakeholders to design and enhance condition-specific strategies and integrated care solutions that improve member experience, clinical outcomes, and program effectiveness.
- Engage and collaborate with providers to build and strengthen the Centers of Excellence network for condition-specific solutions.
- Develop relationships with regional care management groups and work with them to improve operational interfaces.
- Serve as a subject matter expert and trainer on care management operational issues in support of end-to-end, whole-person condition-specific solutions.
- Manage National Accounts’ end-to-end, whole-person solutions across the continuum of care for oncology, cardiovascular disease, and other specific conditions.
- Provide consultative support to the largest accounts on care management, disease management, wellness, network management, and other programs.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution.
- Merit increases.
- Paid holidays.
- Paid Time Off.
- Incentive bonus programs, unless covered by a collective bargaining agreement.
- Medical insurance.
- Dental insurance.
- Vision insurance.
- Short- and long-term disability benefits.
- 401(k) matching.
- Stock purchase plan.
- Life insurance.
- Wellness programs.
- Financial education resources.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
