Director - Clinical Program Design

Position Purpose: Direct the implementation and administration of clinical program pilot research and development. Oversee integration of internal operations needed to ensure compliance with developed clinical programs required under state contract, RFP, HEDIS, or other national standards. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Applicants for this role have the flexibility to work remotely within the continental United States. Work with CMO and VP, Clinical Programs on new programs designs. Research and facilitate implementation of new clinical programs for all business units to meet State contract, RFP, HEDIS, or other organizational needs. Lead cross-functional meetings with various areas to meet overall stakeholder expectations and company’s objectives for clinical programs. Oversee creation of policies, procedures, workflow, training materials, and reporting in accordance with corporate, state and federal, HEDIS or other requirements. Direct the research and implementation functions for clinical programs to ensure program integrity and compliance. Collaborate with the Analytics team to oversee the integrity of clinical programs through robust auditing and outcome reporting Coordinate with various departments and business units