Manager – Clinical Vendor and Program Operations

Role Overview

• 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.

Requirements

• Active clinical license (RN, NP, PA, or relevant discipline) required
• Bachelor’s degree required; Master’s degree (MPH, MHA, MSN, or MBA) preferred
• 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.

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