Primary duties may include, but are not limited to: Oversees vendor contracts, negotiations and service-level agreements and continuously monitors vendor performance. Ability to create workflows, prioritize work and manage multiple projects while meeting deadlines. Evaluates industry best practices, medical research and other resources to develop clinical programs and tools which facilitate and support quality, cost-effective care. Develops and implements an annual plan detailing the strategies, programs and tools to be implemented. Leads program development activities. Develops and coordinates presentations, communications and implementation for all phases of the clinical programs/tools development and implementation. Ensures all programs and tools are compliant with regulatory directives and state/federal laws and policies. Identifies system needs to implement clinical programs. Develops system requirements and ROI. Tracks program performance and results and modifies as needed. Provides leadership and guidance to associates involved in program development and implementation activities. Minimum Requirements:Requires a BA/ BS in business, public health, nursing, epidemiology biostatistics, or related field and minimum of 5 years experience involving analyses of health care data and clinical program development; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences:Skilled in designing AI prompts for healthcare solutions. Demonstrated ability in improving member experience in healthcare. Experience in ideation, development and implementation of Quality Medicare Star, Provider and/or CAHPS programs. Demonstrated experience in program improvement. Experience with vendor management preferred. Medicare Part D experience preferred. Experience with successfully managing member populations preferred. Thorough knowledge of CMS regulations related to CMS Star Ratings. Excellent analytical skills Job Level:Non-Management Exempt. Workshift:1st Shift (United States of America)