Manager - Clinical Practice

To lead and manage Clinical Practice as a centralized support and shared services function for US healthcare programs, ensuring high-quality delivery, regulatory compliance, and consistency across engagements. The role is responsible for driving standardization, operational efficiency, and capability building, while supporting business units with clinical expertise, scalable solutions, and process excellence across all clinical practice areas.”Manager - Clinical Practice

Education:

• Degree, Master Degree

Experience:

• 5-9years of experience in  healthcare operations

• Strong exposure to clinical programs such as Utilization Management, Prior Authorization, or Remote Patient Monitoring

• Experience in managing clinical teams in a BPO environment

• Proven track record in operations management, client engagement, and delivery excellence

• Experience working with US healthcare or payer regulations and compliance frameworks

Mandatory Skills:

• Strong understanding of US healthcare workflows

• Team management and people leadership skills

• Stakeholder and client management

• Process improvement and productivity optimization

• Knowledge of clinical documentation and quality standards

• Strong communication and escalation management skills

• Experience with reporting, metrics, and SLA/KPI management

Preferred Skills:

• Clinical qualification (USRN / PharmD / BSc Nursing / Allied Health / MBA Helathcare)

• Exposure to value-based care models

• Experience in transition management and process setup

• Knowledge of automation / digital tools in healthcare operations

• Lean Six Sigma (Green Belt/Black Belt)

• Experience in training, mentoring, and capability building

Roles & Responsibilities:

• Operational Leadership

• Manage end-to-end clinical program delivery (PA, UM,etc.)

• Ensure adherence to SLAs, KPIs, and quality benchmarks

• Drive productivity and cost optimization initiatives

• People Management

• Lead, mentor, and develop clinical teams (USRN/PharmD/coders)

• Drive employee engagement and retention initiatives

• Manage performance reviews and capability development

• Client & Stakeholder Management

• Act as primary point of contact for client interactions

• Provide regular updates, insights, and performance reports

• Manage escalations and ensure timely resolution

• Process & Quality Management

• Implement SOPs, governance frameworks, and quality controls

• Drive continuous improvement initiatives

• Ensure compliance with regulatory and client requirements

• Strategic Initiatives

• Support new transitions and program expansions

• Identify automation and innovation opportunities

• Contribute to business growth and capability building

BangaloreIndia