Clinical Program Manager CCM Certified Candidates Sample Search Report

95%

K W**

RN- Business/Clinical Project Manager at CIGNA Healthcare

Glendale, Arizona, United States 25 years 3 months

This candidate clearly holds the exact requested title 'RN- Business/Clinical Project Manager' and explicitly lists CCM certification and Case Management supervision experience. RN- Business/Clinical Project Manager at CIGNA → R.N Case Managment Supervisor → R.N, CCM- Project Manager all within CIGNA. Excellent.

LinkedIn Email Phone

Work Experience

CIGNA Healthcare

RN- Business/Clinical Project Manager · 20 years 10 months

Wesley Academy

School Nurse & Behavioral Health Counselor · 4 years 7 months

CIGNA Healthcare

R.N Case Managment Supervisor- Medicare dept · 2 years 7 months

CIGNA Healthcare

R.N, CCM- Project Manager · 2 years 1 month

Qualification Criteria 4 met

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

project manager behavioral health case managment clinical health r medicare

95%

B B

Manager of Clinical Documentation

Minneapolis, Minnesota, United States 15 years 2 months

Excellent match combining clinical management, quality programs (HEDIS), and required case management certification/experience background. Alignment/WellCare/Inovalon RN roles → Manager of Clinical Documentation, Certified Case Manager (CCMC). Excellent.

LinkedIn Email Phone

Work Experience

UnitedHealthcare

Trainer · 6 months

Imperial Health Plan of California, Inc.

Quality Program Manager · 5 months

Level2

Virtual Diabetes Registered Nurse · 1 year 5 months

Alignment Healthcare

Quality Management RN · 1 year 10 months

+ 5 more positions

Qualification Criteria 4 met

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

healthcare clinical documentation trainer health management quality management

92%

J L

Previous Senior Clinical Educator, Commissioner for CCMC (Commission for Case Management Certification)

Walton, Kentucky, United States 20 years 6 months

A clear and current match, this candidate explicitly holds the CCM certification and has roles leading programs, managing staff, and deep experience in Case Management and Quality within the Healthcare industry. Senior Clinical Educator → Manager, TRICARE Service Center (Management). Excellent.

LinkedIn Email Phone

Work Experience

Humana Military Healthcare Services

Quality Management Coordinator · 10 months

Intellica

Senior Clinical Informatic Analyst · 1 year

Aetna

Senior Clinical Trainer · 2 years 6 months

Mindleaf Technologies

Referral Management Nurse · 1 year 6 months

+ 4 more positions

Qualification Criteria 4 met

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

program development case management sign language quality management design development information systems clinical operations utilization management quality assurance risk management utilization review patient care +8 more

90%

A B

Director, Non-Clinical Operations Case Management

Belleville, New Jersey, United States 25 years 4 months

This director role explicitly titles 'Case Management' and involves significant oversight of care management vendors against NCQA standards, aligning strongly with the required experience and role type, although CCM certification is not explicitly listed. Director Cse Mgmt Ops → Lead Medical Mgmt Specialist, deep NCQA/Care Management oversight. Care Management Director experience is very relevant. Strong.

LinkedIn Email Phone

Work Experience

EmblemHealth

Director, Non-Clinical Operations Case Management · 6 years 1 month

EmblemHealth

Sr. Program Specialist, Disease Management (DM) · 6 years 3 months

EmblemHealth

Clinical Specialist, Pharmacy Operations · 2 years 4 months

EmblemHealth

Lead Medical Management Specialist · 5 years 1 month

+ 2 more positions

Qualification Criteria 3 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

director clinical operations management integration design accreditation newsletters ivr responsible vendor rfp +8 more

85%

C L

Quality Improvement Consultant

Colorado Springs, Colorado, United States 15 years 11 months

This individual has recent direct experience in quality improvement, HEDIS/STARS, and transitional care management, fitting the CCM area of focus well. → Transitional Care Manager → Quality Consultant at Humana → Quality Coordinator roles. Strong.

LinkedIn Email Phone

Work Experience

KaiserPermanente (CPMG)

Physician Educator · 7 months

UCHealth

Quality Clinical Coordinator

United Health Group, Evercare

Telephonic Service Coordinator · 2 years

Access Health Providers (Northwest Diagnostic Clinic)

Precertification/ Utilization Management · 1 year

+ 3 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

clinical cardiology health management documentation physicians risk emr medicare medicaid healthcare counseling +8 more

85%

K Q

Care Management Operations Director, Medicare - Digital Initiatives

Denver, Colorado, United States 43 years 2 months

This applicant directed digital Care Management programs for Medicare, strongly hitting relevant program management and case management areas, though without explicit CCM certification mentioned. Anthem Inc. → Director of Care Management Operations (Medicare digital initiatives), focusing on Heart Failure/Diabetes programs. Strong.

LinkedIn Email Phone

Work Experience

Anthem, Inc.

Business Change Director, National Product, Strategic Initiatives · 1 year

Anthem, Inc.

Business Change Director, Ohio Commercial Clinical Operations · 2 years

Trizetto Group, Inc.

Manager, CareAdvance Enterprise Clinical Consultant · 3 years 9 months

Anthem, Inc.

Business Change Director, Specialty Business and Strategic Initiatives · 2 years

+ 6 more positions

Qualification Criteria 3 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

operations training management director medicare digital directing reporting production leadership operation efficiency +8 more

85%

J O

Member Navigation Solutions Program Director, United Healthcare

Albuquerque, New Mexico, United States 12 years

This candidate is a CPHQ/Six Sigma certified professional who manages quality programs and has deep regulatory experience involving CMS, suggesting strong management ability in a clinical context, though exact title isn't CPM. Quality Programs Mgr → Project/Quality Management, CPHQ/Six Sigma BB. Strong.

LinkedIn Email Phone

Work Experience

Lovelace Health Plan

Accreditation Program Manager, NCQA · 1 year

UNM Cancer Center

Quality Programs Manager · 1 year 6 months

Lovelace Health System

Process Improvement Supervisor · 1 year 8 months

UnitedHealth Group

Accountable Care · less than a year

+ 2 more positions

Qualification Criteria 1 met, 2 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

lean six sigma training purchasing compliance manufacturing healthcare trainer lean documentation cms audit veterans +8 more

85%

N N

Healthcare Technology | Operational Excellence

Seattle, Washington, United States 12 years 8 months

Strong background including a recent Clinical Program Manager role, relevant healthcare operations/quality experience, and an MBA candidate in progress. Nurse Coordinator → Nurse Consultant QA → Clinical Program Manager → RN → Nurse Assistant. Strong.

LinkedIn Email Phone

Work Experience

Fred Hutch

Nurse Coordinator · 2 years 2 months

Prescryptive Health, Inc.

Project Analyst · 11 months

Swedish

Clinical Program Manager · 1 year 1 month

Villa Vecchio Adult Family Home

Nurse Assistant · 1 year 8 months

+ 4 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

healthcare management clinical health operations assurance project management quality assurance

85%

A D

United States 26 years

This candidate has direct experience leading quality management projects and explicitly mentions utilization review and case management experience within managed care. Senior Strategist roles → Quality/Risk Adjustment/Case Management (CM) experience noted. Strong.

LinkedIn Email Phone

Work Experience

Accountable Care Associates

Manager, Medicare Risk Adjustment, Coding & Documentation Education · 6 years 9 months

Health New England

Manager, Disease Management Program · 9 years 5 months

CVS Health

Senior Clinical Strategist · 11 months

CVS Health

Senior Quality Manager, Medicare Risk Adjustment · 1 year 2 months

+ 1 more positions

Qualification Criteria 3 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

quality management disease management managed care utilization review case management patient care healthcare driving kpi strategy health integrity +8 more

85%

L S

Director at Huron Consulting Group

Ashburn, Virginia, United States 36 years 11 months

This director has substantial experience in Case Management leadership roles within the healthcare industry, although the specific title 'Clinical Program Manager' isn't explicitly listed in recent roles, director/VP of Case Management is highly relevant. Huron Consulting → VP Case Management at Inova Health System → Board Member ACMA. Strong.

LinkedIn Email Phone

Work Experience

Tenet Health System

Regional Director of Clinical Quality Improvement · 4 years

Brookwood Medical Center

Outcomes Manager · 11 years

Huron Consulting Group

Director · 14 years

Independent Consultant

Independent Consultant · less than a year

+ 4 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

healthcare director clinical management risk pharmacy training manuals software hospitals coordination documentation +8 more

85%

H R

Director of Quality Improvement and Health Informatics

Festus, Missouri, United States 29 years 1 month

Strong candidate with recent Complex Case Manager role and extensive quality/program leadership in healthcare. Director of Quality Management → Complex Case Manager → Director of Quality Improvement, 29 years experience. Strong.

LinkedIn Email Phone

Work Experience

DaVita Kidney Care

Group Facility Administrator · 1 year 10 months

St. Luke's Hospital

RN - Labor and Delivery/Post Partum/GYN · 9 years

Kindred

Director of Quality Management · 5 months

Lumeris

Complex Case Manager · 1 year 1 month

+ 6 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

key performance indicators healthcare leadership teamwork director management education medicare clinical informatics documentation cpoe +8 more

85%

S** T*

Healthcare Executive/Clinical Program Development/Quality/ACO's

Burnsville, Minnesota, United States 20 years 2 months

This executive has explicit experience developing and scaling clinical management programs and lists 'Certified Case Manager' in specialties, making this a very strong fit despite not having the exact job title. SVP Disease Management → National Director Medicaid Clinical Programs, WellPoint → UnitedHealth Group. Strong.

LinkedIn Email Phone

Work Experience

Blue Cross and Blue Shield of Minnesota

Director of Care Management · 5 years 7 months

Nation's CareLink

Sr. VP/ Director of Clinical Services · 4 years 1 month

OptumHealth

Clinical Director · 6 years

WellPoint

SVP Disease Management · 4 years 6 months

+ 1 more positions

Qualification Criteria 2 met

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

healthcare industry quality improvement performance management process improvement case management medical records project manager call centers motivational interviewing product development decision support design development +8 more

85%

A P

Clinical Process Owner - Program Team Lead

Dayton, Ohio, United States 19 years 6 months

This person has recent explicit Case Management Manager experience and is a Clinical Process Owner/Lead, strongly implying Clinical Program Management experience, though missing the CCM certification. RN → Manager-Case Management → Clinical Process Owner/Team Lead. Strong.

LinkedIn Email Phone

Work Experience

Alternate Solutions HomeCare

Registered Nurse-Case Manager · 3 months

Humana

Associate Director · 11 months

Humana

Manager-Case Management · 5 years 8 months

Hospice of Dayton

Registered Nurse-Care Manager · 11 months

+ 4 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

clinical director management case management critical care

85%

J T

Network Program Consultant, HCA at Optum

United States 25 years 10 months

This candidate explicitly mentions extensive focus on CCM and population health while acting as a lead for care coordination, demonstrating strong alignment with the functional aspects of a Clinical Program Manager role within Healthcare. LPN → Clinical Business Systems Analyst/Lead of Care coordination (Optum/Evernorth context). Explicit CCM focus mentioned. Strong.

LinkedIn Email Phone

Work Experience

Monadnock Community Hospital

Clinical Business Systems Analyst- Care Coordination Lead · 6 years 9 months

American Red Cross

Clinical Coordinator/Instructor for LNA Program · 1 year 5 months

Optum

Network Program Consultant, HCA

Monadnock Community Hospital

Office Nurse · 7 years 10 months

+ 1 more positions

Qualification Criteria 3 met

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

information technology patient care project management microsoft office ms project home care clinical coordination technology emr operations health +8 more

85%

M L

Lighting the way to health

Camdenton, Missouri, United States 41 years 9 months

This individual has strong experience covering Case Management, utilization management, and quality, making them a strong fit despite lacking the CCM certification explicitly listed. Diverse healthcare professional → MedeAnalytics SME, 41 years experience covering utilization management, case management, quality. Strong.

LinkedIn Email Phone

Work Experience

Meridian Health Plan

Director, Quality · 1 year 11 months

URAC

Health Standards Committee Member · 4 years 11 months

Simpson College

Adjunct Professor

Des Moines University

Adjunct Professor · 10 months

+ 6 more positions

Qualification Criteria 3 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

direct patient care patient care quality improvement utilization management regulatory compliance program development quality management utilization review case management disease management process improvement data collection +8 more

85%

S M

Manager Clinical Quality

West Henrietta, New York, United States 13 years 2 months

This professional has direct experience as a Senior Clinical Program Manager focused on healthcare improvement programs. Sr Clinical Program Manager at UnitedHealth Group → Manager Clinical Quality at UnitedHealthcare, focused on utilization management and ACO Pop Health; previous roles focused on clinical analysis and quality reporting. Yes. No. No. Yes.

LinkedIn Email Phone

Work Experience

UnitedHealth Group

Sr Clinical Analyst (Performance Manager) · 4 years 6 months

Optum

Sr Business Systems Analyst · 2 years 9 months

UnitedHealthcare

Manager Clinical Quality C&S · 8 months

UnitedHealth Group

Community Outreach Coordinator · 3 years 10 months

+ 2 more positions

Qualification Criteria 2 met, 2 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

healthcare networking sales marketing clinical c education reporting analysis coaching consulting presentations +8 more

80%

J H

Director of Clinical Informatics at Baylor Scott & White Health

United States 41 years 5 months

This candidate explicitly holds Certified Case Manager (CCM) status and has extensive experience as a Director of Clinical Informatics and Public Health Nurse, strongly covering the case management and healthcare industry aspects required. Military Nurse → Clinical Informatics Director at Baylor Scott & White Health. Strong.

LinkedIn Email Phone

Work Experience

US Army

Public Health Nurse

Humana

Clinical Advisor/Case Manager · 5 years 8 months

Baptist Health System

Clinical Informaticist · 4 years 2 months

Baylor Scott & White Health

Director of Clinical Informatics

+ 1 more positions

Qualification Criteria 3 met

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

clinical informatics director health military lean green management healthcare safety training nursing +8 more

80%

N B

Strategic Design & Program Oversight

Olympia, Washington, United States 23 years 9 months

This candidate has direct experience as a Program Manager in healthcare settings, coaching individuals on health management and coordinating care, which strongly aligns with the program management aspect of the role, despite the lack of CCM or explicit Case Management title. WA Health Care Authority → Optum, serving as Program Manager supporting Care Coordinators. Strong.

LinkedIn Email Phone

Work Experience

Optum

Program Manager · 9 years 4 months

Washington State Health Care Authority

Contract Manager · 7 years 2 months

Windstream Communications

Fraud Analyst / Coordinator · 7 years 9 months

Qualification Criteria 1 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

health management analytics training p less trainer healthcare coordination billing software mentoring +8 more

80%

C R

ICCT Medicare West Region Complex Case Manager at UnitedHealthcare

Mesa, Arizona, United States 13 years 11 months

This candidate has extensive experience as a Complex Case Manager, which is highly related to the required role, though CCM certification isn't specified. Complex Case Manager at UHC → Clinical Trainer at UHG. Strong.

LinkedIn Email Phone

Work Experience

UnitedHealthcare

ICCT Medicare West Region Complex Case Manager

UnitedHealth Group

Clinical Trainer · 13 years

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

medicare clinical trainer

80%

D H**

AVP, Clinical Management Services at Clearlink Partners

United States 32 years 5 months

Strong background in clinical management services within managed care insurance, suggesting program experience, though CCM and direct Case Management are not listed. RN experience (1977-1990) → Managed Care Leadership (13yr, Medicare/Medicaid) → Clinical Product Dev (5yr) → AVP/Director Clinical Management Services. Strong.

LinkedIn Email Phone

Work Experience

Clearlink Partners

Director, Clinical Management Services · 10 months

Anthem, Inc

Regional Director · 12 years

Clearlink Partners

AVP, Clinical Management Services

Hagemann Healthcare Consulting, LLC

Founder · 3 years

+ 6 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

customer service managed care health insurance product development business innovation call centers quality management weight management utilization management organizational design case management system requirements +8 more

80%

N* B**

Healthcare | PM | Quality | MBA | MPH

Chicago, Illinois, United States 11 years 11 months

Strong experience aligns well with clinical program management in quality/collaboration, and they have some exposure to case management auditing. Northwestern Memorial → Cleveland Clinic (11+ years in healthcare quality/program roles). Strong.

LinkedIn Email Phone

Work Experience

Memorial Sloan Kettering Cancer Center

Healthcare Management Intern · 4 months

Memorial Sloan Kettering Cancer Center

Clinical Research Coordinator II (Pediatric Surgery) · 1 year 10 months

Cleveland Clinic

Quality Assurance Coordinator · 3 years 11 months

Northwestern Memorial Hospital

Program Manager (Collaborative Care and Outreach) · 2 years 7 months

+ 2 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

quality assurance project management process improvement healthcare management clinical research data entry healthcare assurance management budget clinical research +8 more

80%

L H

Medicare Stars Director at Aetna, a CVS Health Company

Truckee, California, United States 17 years 6 months

Strong experience in healthcare quality and operations leadership, including coordinator of clinical meetings for gap closure, suggesting relevant program management skills, though CCM is unconfirmed. RN → Medicare Stars Director at Aetna → Sr. Mgr Business Consulting at Aetna. Strong.

LinkedIn Email Phone

Work Experience

Childrens Hospital Oakland

Registered Nurse - NICU · 1 year

Community Memorial Hospital of Ventura

Registered Nurse - NICU · 5 years

Aetna, a CVS Health Company

Sr. Mgr Business Consulting, Value Based Operations · 1 year 7 months

Inovalon

Site Review Consultant · 6 months

+ 4 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

managed care project management strategic planning quality improvement data analytics intensive care system development production support risk management medical records critical thinking business requirements +8 more

80%

L** K*

Client Success/RPM/Clinical Program Development/Implementation

Minneapolis, Minnesota, United States 22 years

This person has direct experience as a Clinical Account Program Director and focuses heavily on Clinical Program Development for digital health, strongly hitting the 'manager' and 'program' aspect in healthcare. Engagement Director → Director Client Success → Clinical Account Program Director, Medtronic/Vivify Health. Strong.

LinkedIn Email Phone

Work Experience

Vivify Health®

Clinical Consultant · 2 years 1 month

Presbyterian Homes & Services

Home Care Director · 3 years 5 months

Bigfoot Biomedical

Director, Client Success · 1 year 9 months

Baptist Health

Assistant Nurse Manager · 2 years

+ 4 more positions

Qualification Criteria 1 met, 2 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

health digital proactive clinical management sales training education dialysis engagement director tailoring +5 more

80%

W L

Clinical Manager, Integrated Care Management at NextLevel Health Partners

Algonquin, Illinois, United States 17 years 5 months

This candidate has recent experience as a Clinical Manager overseeing Integrated Care Management, which strongly implies Case Management oversight and clinical program effectiveness, but is missing the CCM certification. Clinical Manager, Integrated Care Management at NextLevel Health Partners. Strong.

LinkedIn Email Phone

Work Experience

Molina Healthcare of Illinois

Manager of Healthcare Services · 4 years 8 months

UnitedHealth Group

Clinical Manager · 5 years 1 month

NextLevel Health Partners

Clinical Manager, Integrated Care Management · 7 years 7 months

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

healthcare management compliance planning nursing risk clinical directing reports operations responsible hiring +8 more

80%

A S

Stars Improvement Lead at Humana

Pekin, Indiana, United States 18 years 2 months

Strong candidate with recent experience as Case Manager and Clinical Integration Manager at a major payer (Humana), showing direct case management and clinical oversight, despite missing the explicit CCM certification. Ex-Humana roles: STARS Improvement Lead → Stars Director → Clinical Integration Manager → Case Manager (1.5 yrs). Strong.

LinkedIn Email Phone

Work Experience

Humana

Post Acute Utilization Manager · 4 years 8 months

Humana

Utilization Review Nurse · 1 year 3 months

Humana

Post acute team lead · 2 years 2 months

Humana

Stars Director · 4 years 1 month

+ 3 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

director clinical integration utilization review

80%

T R

Manager of Quality & Performance, Clinical Integration at SoNE HEALTH

North Haven, Connecticut, United States 18 years 9 months

An experienced leader in Quality and Performance management, demonstrating strong clinical quality, program management, and population health experience within health plans. Manager Quality w/ Anthem → Manager Quality & Performance at SoNE HEALTH, extensive quality/regulatory background. Strong.

LinkedIn Email Phone

Work Experience

Anthem, Inc.

Medicare Clinical Quality Manager · 1 year 6 months

UnitedHealth Group

Sr. Business Analyst/UAT Super-User · 1 year 1 month

Health Net

Project Coordinator · 1 year 4 months

SoNE HEALTH

Manager of Quality & Performance, Clinical Integration · 2 years 9 months

+ 6 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

results oriented program management disease management operations management financial analysis regulatory compliance people management problem solving project management process mapping disaster recovery vendor management +8 more

80%

L* M**

Senior Manager, Product Management | Product Owner

St. Cloud, Florida, United States 18 years 5 months

This individual directs clinical product strategy related to Utilization Management, which aligns closely with clinical program management. Product Owner → Senior healthcare leader/Product Strategist (CVS Aetna) → Clinical-to-Digital Leadership. Clinical background (RN) present, but no direct mention of CCM certification or specific Case Management role. Experience in Healthcare industry is strong. Strong.

LinkedIn Email Phone

Work Experience

St. Luke's University Health Network

Clinical Coordinator · 7 months

Aetna, a CVS Health Company

Case Manager - RN · 2 years 9 months

St. Luke's University Health Network

Lead Client Service Associate · 1 year 9 months

Aetna, a CVS Health Company

Sr. Manager - Product Mgt · 3 years 8 months

+ 4 more positions

Qualification Criteria 1 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

healthcare clinical innovation digital leadership operations cvs management health medicare commercial strategy +8 more

75%

F T

IT Audit Project Manager at University of Maryland Medical System

Baltimore, Maryland, United States 17 years

This candidate has significant project management experience in healthcare organizations, but the titles suggest IT focus over clinical program management specifically. Ex-Johns Hopkins HealthCare → UMMC, 17 total years, Project Management Professional certified. Strong.

LinkedIn Email Phone

Work Experience

Johns Hopkins HealthCare

Reporting & Compliance Analyst · 7 months

Johns Hopkins HealthCare

Project Coordinator · 3 years 9 months

Johns Hopkins HealthCare

Medical Policy Specialist · 9 months

Wolters Kluwer Health

Project Manager II · 1 year 10 months

+ 4 more positions

Qualification Criteria 1 met, 2 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

project management medical coding software documentation process improvement project manager process management change control managed care case management utilization management policy development cost savings +8 more

75%

A** H*

Manager, Customer Success at Collective Medical a PCC Company

Richmond, Virginia, United States 14 years 5 months

This person has direct Case Management training experience and works in the healthcare tech industry, showing program/managerial oversight. Manager, Customer Success at Collective Medical → Clinical Trainer at Virginia Premier (Medicaid/Medicare Case Management training). Strong.

LinkedIn Email Phone

Work Experience

TrainingWheel, Inc.

Clinical Informatics Specialist · 1 year 6 months

Virginia Premier

Clinical Trainer · 1 year 4 months

Medical Solutions

Travel RN · 1 year 9 months

NurseChoice

Travel RN · 4 months

+ 3 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

clinical informatics cerner meditech management training inpatient ambulatory surgery anesthesia physicians education +8 more

75%

L* B**

Clinical Quality Analyst Sr

Bowling Green, Kentucky, United States 26 years

This candidate has long-term case management experience demonstrated through their skills and past roles, coupled with current work as a Senior Clinical Quality Analyst in the insurance sector, suggesting program oversight capability, but lacks the CCM certification specifically. UnitedHealth Group (Sr. Clinical Quality Analyst) → Choctaw Nation Health Authority (RN/CDE). Strong.

LinkedIn Email Phone

Work Experience

Choctaw Nation Health Authority

Labor and Delivery · 4 years 10 months

WellCare Health Plans

Quality Practice Advisor · 2 years 8 months

HealthBack Home Health

RN per diem · 2 years

Choctaw Nation Health Authority , Diabetes Wellness Center

RN, CDE · 10 years

+ 2 more positions

Qualification Criteria 2 met, 1 not

CCM certification

Healthcare industry

Clinical Program Manager

Case Management experience

Skills & Expertise

case management quality assurance enthusiast creative collaboration blogger insurance pumps management medicaid assurance nursing +1 more

Candidate Profiles

K** W****

Work Experience

Qualification Criteria 4 met

Skills & Expertise

B**** B****

Work Experience

Qualification Criteria 4 met

Skills & Expertise

J**** L****

Work Experience

Qualification Criteria 4 met

Skills & Expertise

A**** B****

Work Experience

Qualification Criteria 3 met, 1 not

Skills & Expertise

C**** L****

Work Experience

Qualification Criteria 2 met, 1 not

Skills & Expertise

K**** Q****

Work Experience

Qualification Criteria 3 met, 1 not

Skills & Expertise

J**** O****

Work Experience

Qualification Criteria 1 met, 2 not

Skills & Expertise

N**** N****

Work Experience

Qualification Criteria 2 met, 1 not

Skills & Expertise

A**** D****

Work Experience

Qualification Criteria 3 met, 1 not

Skills & Expertise

L**** S****

Work Experience

Qualification Criteria 2 met, 1 not

Skills & Expertise

H**** R****

Work Experience

Qualification Criteria 2 met, 1 not

Skills & Expertise

S**** T***

Work Experience

Qualification Criteria 2 met

Skills & Expertise

A**** P****

Work Experience

Qualification Criteria 2 met, 1 not

Skills & Expertise

J**** T****

Work Experience

Qualification Criteria 3 met

Skills & Expertise

M**** L****

Work Experience

Qualification Criteria 3 met, 1 not

Skills & Expertise

S**** M****

Work Experience

Qualification Criteria 2 met, 2 not

Skills & Expertise

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Work Experience

Qualification Criteria 3 met

Skills & Expertise

N**** B****

Work Experience

Qualification Criteria 1 met, 1 not

Skills & Expertise

C**** R****

Work Experience

Qualification Criteria 2 met, 1 not

Skills & Expertise

D** H****

Work Experience

Qualification Criteria 2 met, 1 not

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