Clinical Vendor Governance – Program Manager
Job Title: Clinical Vendor Governance – Program Manager
Location: Remote – U.S.
Work Hours: Primarily U.S. Central working hours
Job Type: Contract
Experience: 7+ Years
Job Summary
We are seeking an experienced Clinical Vendor Governance – Program Manager to manage a structured governance process for clinical vendors and provider organizations requiring elevated review.
The Program Manager will coordinate with senior stakeholders across Healthcare Operations, Network, Contracting, Medical Affairs, Legal, Compliance, and Payment Integrity to ensure cases are properly reviewed, decisions are documented, and follow-up actions are completed.
Key Responsibilities
Manage end-to-end governance and review processes for clinical vendors.
Own meeting schedules, agendas, case intake, pre-read materials, decision documentation, and follow-up.
Review cases and ensure required business, financial, utilization, contract, legal, network, and compliance information is available.
Coordinate with cross-functional teams to close information gaps before executive review.
Prepare executive-ready presentations, decision summaries, escalation briefs, and meeting recaps.
Maintain action items, owners, deadlines, dependencies, and follow-up activities through closure.
Track cases, decisions, risks, aging items, and open actions.
Coordinate with senior stakeholders and executive leadership.
Support corrective action plans, governance restrictions, contracting activities, renegotiation, and other downstream workstreams.
Maintain governance documentation, templates, SOPs, and shared resources.
Identify process gaps and recommend improvements to governance and decision workflows.
Required Skills & Experience
7+ years of Program Management, Project Management, or Chief of Staff experience.
Experience supporting executive-level governance forums or decision committees.
Strong experience in healthcare, managed care, health plans, provider organizations, or clinical vendor environments.
Knowledge of clinical vendor management, network operations, utilization management, and vendor performance.
Working knowledge of contracting, contract obligations, termination provisions, renegotiation, and contracting restrictions.
Understanding of medical policy, clinical appropriateness, utilization controls, and policy alignment.
Excellent written and verbal communication skills.
Strong executive presentation and stakeholder management skills.
Proven ability to manage multiple priorities and drive action items to closure.
Advanced proficiency with PowerPoint, Excel, SharePoint, and Microsoft Teams.
Preferred Qualifications
Experience with vendor governance, risk, compliance, or credentialing committees.
Experience with Medicare, Medicaid, and Commercial healthcare lines of business.
Experience working with Legal, Compliance, SIU, and Payment Integrity teams.
Experience with Asana, QuickBase, or similar work-management platforms.
PMP certification or equivalent program management experience.
Ideal Candidate
The ideal candidate is a senior healthcare Program Manager with experience in clinical vendor governance, executive stakeholder management, healthcare operations, and cross-functional program delivery.
Key Skills:
Healthcare Program Management | Clinical Vendor Governance | Managed Care | Health Plan | Provider Network | Clinical Vendor Governance | Utilization Management | Contracting | Medical Policy | Executive Stakeholder Management | Risk & Compliance | Program Governance | PowerPoint | Excel | SharePoint
