Manager-Clinical Vendor and Program Operations
About The Position
The Manager, Clinical Vendor and Program Operations is responsible for leading the initial execution, daily operations, and continuous optimization of a portfolio of internal and vendor-supported clinical programs that support population health, quality performance, and total cost of care outcomes across DSNP, Medicaid, and Commercial lines of business. This role aligns with Presbyterian’s integrated delivery system (IDS) model and Health Value strategy and requires partnership and alignment across the health plan, medical group, and care delivery system. The Manager leads a team of program managers and/or clinical staff and is accountable for delivering measurable improvements in quality, cost, access, and health equity outcomes through clinical programs. This role partners cross-functionally with clinical leadership, procurement, legal, IT, and contracting to support clinical vendor evaluation and selection, while maintaining clinical oversight of performance, and continuous optimization of the vendor clinical solution.
Requirements
- Active clinical license (RN, NP, PA, or relevant discipline) required
- Bachelor’s degree required
- 5+ years of experience in population health, clinical program management, or health plan operations
- 1–3 years of leadership experience
- Experience with vendor management and health plan data
- Knowledge of HEDIS, Stars, and population health principles
- Clinical program design and management
- People leadership and team development
- Vendor management and performance accountability
- Data-driven decision making
- Program execution and continuous improvement
- Cross-functional collaboration and stakeholder influence
- Communication and problem-solving
- Commitment to health equity and patient-centered care
Nice To Haves
- Master’s degree (MPH, MHA, MSN, or MBA) preferred
Responsibilities
- Lead, coach, and develop a team of clinical program managers and/or clinical staff
- Set priorities, allocate resources, and manage team performance
- Foster a culture of accountability, collaboration, and continuous improvement
- Oversee execution and operations of internal and vendor-supported clinical programs
- Ensure alignment with population health and provider performance strategies
- Drive improvements in quality, cost, access, and member outcomes
- Standardize best practices and scale successful interventions
- Partner with clinical and population health leadership, procurement, legal, IT, and contracting to support clinical vendor evaluation and selection
- Contribute to needs assessment, RFP development, and clinical vendor evaluation
- Provide clinical and operational expertise to inform clinical vendor decisions
- Establish KPIs, SLAs, and governance structures for clinical vendors
- Continuously monitor clinical vendor performance, outcomes, and ROI
- Lead clinical vendor performance reviews and corrective action plans
- Ensure clinical vendors are integrated into workflows and delivering measurable value
- Collaborate with provider groups and internal stakeholders, including Population Health Outreach and Engagement, to support program adoption
- Ensure integration of programs into provider workflows
- Support provider engagement aligned with value-based care initiatives
- Partner with analytics teams to track program and vendor performance
- Translate data into actionable insights
- Prepare reports and recommendations for leadership
Benefits
- Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
- Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
- Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
- Malpractice liability insurance
- Loan forgiveness through the New Mexico Higher Education Department
- EPIC electronic charting system
- free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more
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What This Job Offers
Job Type
Full-time
Career Level
Manager
