{"id":1548544,"url":"https://alion.io/job/caresource-clinical-operations-program-manager-operating-model","title":"Clinical Operations Program Manager--Operating Model","company":{"id":2670646,"name":"CareSource","domain":"caresource.com","url":"https://alion.io/company/caresource","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Schema","truth_index":{"grade":"B","score":80,"open_postings":3,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":10,"computed_at":"2026-10-01T05:45:00Z"}},"role":"Management","role_family":"Management","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"inferred_company_offices","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":113000,"max":197700,"currency":"USD","period":"year","gross":null,"usd_annual":197700},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false},{"name":"Outlook","optional":false}],"status":"live","first_seen_at":"2026-09-30T22:54:29Z","employer_posted_date":"2026-09-30","last_verified_at":"2026-10-01T09:21:29Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"Job Summary:\nThe Clinical Operations Program Manager - Operating Model is responsible for programmatic design, including the management of workflows, and implementation and integration to the clinical platform in support of the clinical operating model. The Program Manager develops enhancements for clinical programs and the Clinical Operating Model for all products and lines of business in alignment to strategic objectives, regulatory requirements, quality standards, and contractual commitments upheld by the Clinical Operations organization.\nEssential Functions:\nResponsible for successful delivery of clinical programs through development, build, implementation and integration of workflows and system design to support the clinical model, Market/ Product regulatory requirements and commitments, and quality standards\nSupport the development and management of clinical programs including data analysis to support the design, project plan development, workflow design, system design, program tracking and implementation \nSupport continuous improvement of program management through Plan-Do-Study-Act (PDSA) review to enhance processes and tools\nResponsible for monitoring and tracking model impact requests, workflow, product and program performance\nCollaborate with Training and Auditing teams on the development of new program materials, system workflows, assessments, system design and updates to existing training and auditing to align to operational changes and enhancements\nCollaborate with Clinical Operations Clinical Systems Configuration teams to ensure alignment and prioritization of program design with system build and reporting capabilities \nSupport new business activities including developing responses to Request for Proposals (RFPs) and new business implementation activities as needed related to the design and operations of the clinical model\nCollaborate with Informatics, Analytics, and Reporting teams to ensure alignment of process changes to metrics and reporting standards and definitions\nWork closely with business executives, stakeholders, and leaders from all markets and products to ensure programs, developments, enhancement and integration in the clinical platform align with business strategy, regulatory requirements, and are properly resourced, and managed\nProvide regular reporting and maintain ongoing communications to senior management, stakeholders, and executive sponsors\nRepresent the clinical operating model interest in the intake process, governance and prioritization of intakes and enhancement requests\nAccountable for routine monitoring of outcomes to identify opportunities for improvement in program design and application.\nPerform any other job duties as requested\nEducation and Experience:\nBachelor’s Degree in nursing, engineering, business management or related field or equivalent years of relevant experience is required\nMaster’s Degree in related field is preferred\nMinimum of five (5) years of healthcare experience is required\nMinimum of two (2) years of product or program management experience is required\nCompetencies, Knowledge and Skills:\nExcellent proficiency with Microsoft Office tools, including Project, Word, PowerPoint, Excel, Visio, Teams, Outlook, etc.\nDemonstrates excellent analysis and reporting skills\nDemonstrate skills related to system design, program and project/process management\nSkilled in interpretation of analytics and insights\nExcellent decision making/problem solving skills\nExceptional interpersonal and relationship building skills\nExcellent critical listening and thinking skills\nProven ability to effectively interact with all levels of the organization of management within and externally to the organization\nExcellent written and verbal communication skills\nCustomer service oriented\nAbility to shape the approach to needed results and gain consensus of the approach\nProven ability to prioritize work and team assignments to deliver projects on time, on budget, and meeting stakeholders’ expectations\nKnowledge of Utilization Management (UM), Case/Care Management (CM) and Behavioral Health (BH) healthcare domain is required.\nStrong experience in the healthcare payer industry and knowledge of Medicaid and Medicare\nAbility to understand and implement regulatory and contractual requirements\nAbility to analyze processes across multiple functional areas\nAbility to work independently and within a team environment\nAbility to review and implement evidence based trends\nAbility to develop, prioritize and accomplish goals\nLicensure and Certification:\nProject Management Professional (PMP) or equivalent certification/training is preferred; Program Management Certification (PgMP) is preferred\nRegistered Nurse (RN) or other clinical licensure is preferred\nCCM preferred\nWorking Conditions:\nGeneral office environment; may be required to sit or stand for extended periods of time\nHigh potential for remote work\n$113,000.00 - $197,700.00 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. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.\nSalary\nOrganization Level Competencies\n- Fostering a Collaborative Workplace Culture\n- Cultivate Partnerships\n- Develop Self and Others\n- Drive Execution\n- Influence Others\n- Pursue Personal Excellence\n- Understand the Business\nThis 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 environment of belonging that welcomes and supports individuals of all backgrounds.\n#LI-JM1","description_format":"text","description_chars":5954,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":true},"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-09-30T22:54:29Z"}],"liveness":{"score":90,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.903,"p_room":1,"age_days":0,"expected_fill_days":10,"reasons":["conf:6","velocity","win:early"],"computed_at":"2026-10-01T05:45:00Z"},"pay":{"stated_usd_annual":197700,"is_top_pay":true},"html_url":"https://alion.io/job/caresource-clinical-operations-program-manager-operating-model","json_url":"https://alion.io/job/caresource-clinical-operations-program-manager-operating-model.json","meta":{"generated_at":"2026-10-01T20:59:43Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":3438,"day_limit":5000,"remaining_today":1562,"minute_limit":60,"resets_at":"2026-10-02T00:00:00Z"}}}