Senior Clinical Program Manager jobs in United States
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Alignment Health · 21 hours ago

Senior Clinical Program Manager

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. The Senior Program Manager, Condition Management role owns the execution of complex, multi-vendor programs and leads cross-functional coordination across various departments to ensure effective program implementation and measurable outcomes.

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H1B Sponsor Likelynote

Responsibilities

Own the planning, execution, and ongoing management of condition management programs across Oncology, MSK, and future prioritized conditions
Translate strategic objectives into detailed implementation plans, timelines, and success metrics
Lead multiple parallel workstreams across multiple vendors to ensure clear roles, carve-outs, and seamless member experiences
Serve as the primary point of accountability for program execution from onboarding through steady-state operations
Lead vendor onboarding, implementation, and ongoing performance management for condition management partners
Establish governance structures, performance metrics, and reporting cadences tied to clinical outcomes, utilization, and financial impact
Monitor ROI guarantees, savings targets, and MLR impact; identify risks and drive corrective actions as needed
Partner with Analytics and Finance to validate savings, track outcomes, and ensure transparency and accountability
Partner closely with Clinical, Network, Finance, Analytics, Legal, and Procurement teams to operationalize programs and contracts
Identify implementation risks, operational gaps, and opportunities for optimization across programs
Standardize processes, reporting, and operating models to support scalability across conditions and markets
Continuously assess program performance and recommend enhancements to improve member outcomes and cost efficiency

Qualification

Program managementHealthcare operationsVendor managementCondition managementValue-based careStakeholder managementAnalytical skillsProject management toolsHealthcare financial metricsProblem-solvingCommunication skillsAttention to detail

Required

7+ years of experience in program management, healthcare operations, consulting, or related roles
Demonstrated experience implementing and managing complex, cross-functional healthcare programs, preferably in condition management, value-based care, or utilization management
Experience working with external vendors, including onboarding, performance oversight, and outcomes management
Proven ability to manage multiple concurrent initiatives and deliver measurable clinical and financial results
Strong stakeholder management skills with experience working across clinical, financial, and operational teams
High School Diploma or GED. Bachelor's degree or four years of additional experience in lieu of education
Strong program and project management skills with attention to detail and execution discipline
Ability to communicate clearly and professionally with internal teams, senior leaders, and external vendors
Analytical skills to interpret performance data, financial results, and outcome metrics
Advanced problem-solving and prioritization skills in a fast-paced, complex environment
Ability to design, implement, and manage governance and reporting structures

Preferred

MBA, PMP
Project management, healthcare quality, or value-based care training (e.g., PMP, Lean, Six Sigma)
Experience with Oncology, MSK, or other high-cost condition management programs
Familiarity with healthcare financial metrics (e.g., MLR, ROI, utilization trends)
Proficiency with productivity, presentation, and analytics tools (Excel, PowerPoint, BI dashboards, project management platforms)

Company

Alignment Health

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Alignment Health provides eldercare services.

H1B Sponsorship

Alignment Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (12)
2023 (17)
2022 (13)
2021 (11)
2020 (6)

Funding

Current Stage
Public Company
Total Funding
$696.05M
Key Investors
K2 HealthVenturesWarburg PincusGeneral Atlantic
2024-11-15Post Ipo Debt· $321.05M
2024-01-09Private Equity
2021-03-26IPO

Leadership Team

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Dawn Maroney
President, Markets & CEO of Alignment Health Plan
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John Kao
CEO and Founder
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Company data provided by crunchbase