Demo

Clinical Operations Program Manager - Market Liaison

CareSource
Dayton, OH Full Time
POSTED ON 3/1/2025
AVAILABLE BEFORE 5/29/2025

Job Summary :

The Clinical Operations Program Manager - Strategy and Implementation Market Liaison is responsible for managing clinical programs aligned to strategic objectives that include multiple projects within the Clinical Operations organization. Supports new business activities including assisting with the development of responses to Request for Proposals (RFPs) and implementation of care management programs in new markets, new products, new contracts and programmatic enhancements in existing markets.

Essential Functions :

  • Responsible for successful delivery of Clinical Operations programs through the implementation of new programs and processes (contract renewals, new markets, new products and product enhancements).
  • Support the development and management of clinical programs including data analysis to support the design, project plan development, workflow design, program tracking and implementation
  • Assist with the continuous improvement of program management best practices, processes, and tools
  • Responsible for ensuring program performance of Care Management activities are monitored and tracked as it relates to business growth and expansion
  • Work closely with business executives and Director Care Management Liaisons to ensure assigned programs align with business strategies, regulatory / contract / accreditation requirements and are properly resourced, and managed
  • Lead cross-functional teams
  • Demonstrate and communicate the capabilities of CareSource's clinical document system, how the system supports end to end care management workflows and opportunities for enhancement.
  • Collaborate with Clinical Operations teams to ensure care management strategies in new markets / new products / contract renewals are implemented in the clinical documentation system (i.e., Guiding Care) in conjunction with the configuration team
  • Collaborate with Training and Auditing teams on the development of new program materials and updates to existing training and auditing documents based on new program requirements
  • Support new business activities including developing responses to Request for Proposals (RFPs) and new business implementation activities as needed
  • Facilitate and drive Program Stakeholder meetings
  • Provide regular reporting and maintain ongoing communications to senior management, stakeholders, and executive sponsors
  • Track, compile, and report program metrics
  • Responsible for management of program SharePoint site and program document repository
  • Develop and produce detailed reports, business decision documents, meeting minutes, and notification for assigned programs
  • Perform any other job duties as requested

Education and Experience :

  • Bachelor's Degree in health related field or equivalent years of relevant experience is required
  • Master's Degree in related field is preferred
  • Minimum of five (5) years of healthcare experience is required
  • Minimum of two (2) years of product or program management experience is required
  • Competencies, Knowledge and Skills :

  • Excellent proficiency with Microsoft Office tools, including Project, Word, PowerPoint, Excel, Visio, Teams, Outlook, etc.
  • Knowledge of clinical documentation system (Altruista Health / Guiding Care)
  • Demonstrates skills related to system design, program and project / process improvement
  • Demonstrates excellent analysis and reporting skills
  • Strong data visualization and analytical skills
  • Excellent decision making / problem solving skills
  • Exceptional interpersonal and relationship building skills
  • Excellent critical listening and thinking skills
  • Proven ability to effectively interact with all levels of the organization of management within and externally to the organization
  • Excellent written and verbal communication skills
  • Customer service oriented
  • Ability to shape the approach to needed results and gain consensus of the approach
  • Proven ability to prioritize work and team assignments to deliver projects on time, on budget, and meeting stakeholders' expectations
  • Knowledge of Utilization Management (UM), Case / Care Management (CM) and Behavioral Health (BH) healthcare domain is required.
  • Strong experience in the healthcare payer industry and knowledge of Medicaid and Medicare
  • Ability to understand and implement regulatory, contract, and accreditation requirements
  • Ability to work independently and within a team environment
  • Ability to develop, prioritize and accomplish goals
  • Licensure and Certification :

  • Project Management Professional (PMP) or equivalent certification / training is preferred; Program Management Certification (PgMP) is preferred
  • Registered Nurse (RN) or other clinical licensure is preferred
  • CCM preferred
  • Working Conditions :

  • General office environment; may be required to sit or stand for extended periods of time
  • High potential for remote work
  • Compensation Range :

    110,800.00 - $193,800.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

    Compensation Type : Salary

    Competencies :

  • Create an Inclusive Environment- Cultivate Partnerships- Develop Self and Others- Drive Execution- Influence Others- Pursue Personal Excellence- Understand the Business
  • This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

    Salary : $110,800 - $193,800

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Clinical Operations Program Manager - Market Liaison?

    Sign up to receive alerts about other jobs on the Clinical Operations Program Manager - Market Liaison career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $138,649 - $191,575
    Income Estimation: 
    $182,502 - $249,036
    Income Estimation: 
    $207,946 - $249,343
    Income Estimation: 
    $175,165 - $219,883
    Income Estimation: 
    $182,642 - $260,237
    Income Estimation: 
    $138,649 - $191,575
    Income Estimation: 
    $182,502 - $249,036
    Income Estimation: 
    $207,946 - $249,343
    Income Estimation: 
    $175,165 - $219,883
    Income Estimation: 
    $182,642 - $260,237
    Income Estimation: 
    $76,615 - $106,090
    Income Estimation: 
    $115,491 - $158,336
    Income Estimation: 
    $102,413 - $133,130
    Income Estimation: 
    $109,705 - $144,044
    Income Estimation: 
    $119,541 - $162,386
    Income Estimation: 
    $108,511 - $125,415
    Income Estimation: 
    $150,121 - $197,452
    Income Estimation: 
    $101,775 - $148,346
    Income Estimation: 
    $133,494 - $170,282
    Income Estimation: 
    $131,105 - $151,214
    Income Estimation: 
    $128,269 - $173,633
    Income Estimation: 
    $157,111 - $225,157

    Sign up to receive alerts about other jobs with skills like those required for the Clinical Operations Program Manager - Market Liaison.

    Click the checkbox next to the jobs that you are interested in.

    • Contract Negotiation Skill

      • Income Estimation: $130,764 - $217,954
      • Income Estimation: $138,662 - $205,512
    • Fit/Gap Analysis Skill

      • Income Estimation: $99,872 - $139,440
      • Income Estimation: $98,016 - $130,073
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at CareSource

    CareSource
    Hired Organization Address Jackson, MS Full Time
    Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of au...
    CareSource
    Hired Organization Address Jackson, MS Full Time
    Job Summary The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), provide...
    CareSource
    Hired Organization Address Mississippi, MS Full Time
    Job Summary The Health Plan Data Analyst II is responsible for extracting, analyzing, reporting, tracking and monitoring...
    CareSource
    Hired Organization Address Cincinnati, OH Full Time
    Job Summary Community Marketing Representative III is responsible to develop strategy for productive relationships with ...

    Not the job you're looking for? Here are some other Clinical Operations Program Manager - Market Liaison jobs in the Dayton, OH area that may be a better fit.

    Operations Support- (Treasure Aisles Flea Market)

    Treasure Aisle Flea Market, Monroe, OH

    Clinical Program Manager

    Emerge Recovery & Trade Initiative, Xenia, OH

    AI Assistant is available now!

    Feel free to start your new journey!