Program Manager - Clinical Operations

About this role

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

The Program Manager will partner closely with clinical leaders, physicians, nurses, care managers, operations teams, analytics teams, and client stakeholders to improve member outcomes, optimize healthcare utilization, and enhance operational efficiency.

Job title:

Program Manager - Clinical Operations

Job Description:

Position Summary

The Program Manager – Clinical Operations is responsible for leading strategic programs and operational initiatives supporting Care Management, Utilization Management, Care Coordination, Population Health, and Value-Based Care services. This role will drive program execution, operational excellence, quality improvement, and performance outcomes across clinical operations while ensuring alignment with organizational goals and client expectations.

The Program Manager will partner closely with clinical leaders, physicians, nurses, care managers, operations teams, analytics teams, and client stakeholders to improve member outcomes, optimize healthcare utilization, and enhance operational efficiency.

Key Responsibilities

Program Leadership & Execution

• Lead end-to-end management of clinical operations programs, including planning, implementation, monitoring, and optimization.
• Manage multiple workstreams supporting care management, utilization management, transitions of care, chronic disease management, and population health initiatives.
• Establish program governance, project plans, milestones, and performance metrics.
• Ensure timely delivery of strategic initiative...