Clinical Program Manager, Collective Care

Collective Health is transforming the way people experience healthcare. We are building a world-class team and an innovative technology platform for our members and clients. We are seeking a Clinical Program Manager (with a clinical and care management leadership background) to drive the continued evolution of Collective Health's clinical care offerings by leading our Collective Care team. The Collective Care team is made up of Collective Health Social Workers & Care Coordinators and co-located 3rd party Registered Nurses providing differentiated complex case management services to members needing assistance with navigating the healthcare system, understanding or managing their condition, or needing assistance coordinating care.

As Clinical Program Manager you will be responsible for the delivery and execution of our clinical programs, ensuring technical, legal, marketing, implementation and reporting components are in place and operating effectively to achieve our clinical goals and client commitments. You will directly manage the Collective Care Social Worker & Care Coordinator Manager and a Project Manager and you will have accountability to influence, engage, and motivate the Collective Care team to drive the right behaviors and process execution to achieve these goals and commitments. This person will report to the Director of Operations and work closely with our Medical Director, Pharmacist, and Clinical Account Director.  

As Clinical Program Manager, you will:

  • Be accountable for the day-to-day performance of the Collective Health clinical offerings and for strategically overseeing and expanding the Collective Care team
  • Be a thought leader and the subject matter expert on all aspects of Collective Health’s clinical offerings, goals and commitments; serve as the voice of Collective Health clinical operations both internally and externally
  • Own the day-to-day business operations of our clinical offerings and team
  • Regularly perform and review internal audit results in addition to client feedback and program performance data to develop and execute on action plans to iterate and improve programs
  • Develop effective coaching relationships and mechanisms with your team to deliver superior management of member cases and to foster internal team satisfaction
  • Apply critical thinking and case management leadership expertise to member, client and program-related escalated situations
  • Define and launch clear roles and responsibilities for Collective Care leadership and in coordination with the Clinical Account Manager
  • Assess requests for program scope modifications; develop business case/recommendations for response including changes in standard processes (working with Collective Care leadership) and resource requirements
  • Coordinate with our Product team to maintain and build the technology driving our differentiated clinical offerings
  • Partner with our Analytics team to produce and streamline client and internal reporting as well as to develop new identification specifications and ROI analysis
  • Develop and review contract and SLA language with our Legal and Sales Operations teams to ensure compliance and build processes for tracking and monitoring program performance
  • Partner with our 3rd party Program Manager to run a Joint Operating Committee ensuring joint clinical program offering success
  • Oversee customer clinical audits
  • Lead cross-functional projects to develop integrated workflows, collateral, trainings for program scale and success

 

Qualifications

What we’re looking for:

  • Bachelor’s degree in clinical field, MPH / Master’s degree (preferred)
  • Clinical domain expertise with a broad knowledge of industry business clinical operations
  • Demonstrated success in clinical solution design with extensive experience in process design and technical integrations
  • Demonstrated experience with complex data analysis
  • Project Management, presentation, and strong planning and decision-making skills
  • Excellent communications, leadership and interpersonal skills
  • Solid business acumen, analytical and inquisitive
  • Strong emotional intelligence and ability to influence
  • Ability to effectively collaborate and execute in a highly matrixed environment
  • Self-starter with a “roll up your sleeves” mindset and desire to add value
  • Comfortable operating with change and uncertainty
  • Team player capable of working effectively with individuals throughout the organization 
Collective Health is a technology company working to create the healthcare experience we all deserve. Founded in 2013, our team of engineers, designers, product managers, and actuaries are redefining the $1 trillion market of employer-sponsored health benefits with data-driven and people-focused products. Our complete health benefits solution helps great companies like Activision Blizzard, Palantir, Restoration Hardware, and Pinterest take care of their people by harnessing the power of design and technology. Based in San Francisco, CA, we’re backed by some of the best investors in Silicon Valley including Google Ventures, Founders Fund, NEA, and Redpoint Ventures. For more information, visit us at https://www.collectivehealth.com.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


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