USRN Program Manager (Hartford Account)
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Work Set-up/Location: Temporary WFH; with onsite reporting as needed at the nearest Shearwater site in any of the following locations: Cebu, Manila, Pampanga, or Davao Required License/Credentials: Active USRN license, any state Account Type: Non-Voice Job Overview Level Up Talent Solutions is looking for a Lean-Pro USRN Program Manager to lead and support healthcare operations for a non-voice clinical account. This role is responsible for overseeing program performance, supporting clinical operations teams, ensuring quality and productivity standards are met, and serving as a clinical subject matter expert for Utilization Management-related processes. The ideal candidate is an active USRN with recent clinical or hospital experience, solid Utilization Management background, and proven supervisory or managerial experience in a healthcare, BPO, CPO, hospital, or similar environment.
Responsibilities Oversee day-to-day operations for the assigned healthcare account Lead clinical operations teams and ensure process, quality, productivity, and compliance targets are met Serve as a clinical subject matter expert for Utilization Management-related work Monitor team performance, identify operational gaps, and support improvement plans Coordinate with internal stakeholders to ensure smooth account delivery and process alignment Support team leaders or staff through coaching, guidance, and performance follow-through Ensure adherence to clinical, documentation, compliance, and account-specific standards Prepare reports, updates, and recommendations related to team and process performance
Requirements Active USRN license from any U.S. state At least 1 year of recent and relevant clinical, hospital, or similar healthcare experience At least 2 years of Utilization Management experience At least 2 years of recent supervisory, team lead, or managerial experience Strong clinical subject matter expertise and ability to apply clinical knowledge to operational processes Strong leadership, communication, reporting, and stakeholder management skills Able to manage performance, quality, and process-related concerns in a healthcare BPO/CPO setting Nice to Have Experience managing non-voice healthcare accounts Background in Utilization Review, payer-side healthcare operations, or clinical process outsourcing Experience supporting U.S. healthcare accounts