Job details
Job type full-time
Full job description
Job summary:
The director, clinical operations – administration assists the vp with all open projects and progress towards completion, program enhancements, development, and execution activities related to implementation and ongoing design/standardization.
Essential functions:
Manages and prioritizes operational projects and ensures timeliness and adherence to completion
Responsible for gathering and prioritization of business and technical requirements for departmental requests including regulatory reporting
Monitors performance across programs to identify improvement opportunities, leverage best practice and knowledge sharing for the purpose of improving outcomes through the standardization of evidence based practices
Leads collaboration with all clinical ops teams and other stakeholders to ensure coordination and communication
Assists the vp with the monitoring of legislative/governmental activities with the goal of advocating for the full integration of clinical services, identifying opportunities and issues
Collaborates with senior leadership to establish strategic and operational goals for high touch clinical ops programs
Supports the ongoing, data-driven approach to improve outcomes and experiences for members
Designs and implements new programs
Develops program documents and operational workflows
Engages stakeholders to ensure alignment
Leads activities ensuring the delivery of high quality, consistent initiatives that result in optimum outcomes for members, providers and department business goals
Adds services and processes related to the development of new lines of business as required
Recruits, develops and leads key staff
Perform any other job related instructions, as requested
Education and experience:
Bachelor’s degree or equivalent years of relevant work experience is required
Master’s degree in a human service field and two years of post-degree professional experience is preferred
Minimum of five (5) years of clinical operations experience is required leadership, program, or management experience is required
Experience implementing programs with focus on integration is preferred
Experience with medicaid, medicare, commercial and managed care is preferred
Competencies, knowledge and skills:
Strong knowledge of visio, microsoft word, excel, powerpoint and project
Strong communication skills; written and verbal
Ability to work independently and within a team environment
Strong organizational, time management, analysis, and problem solving skills
Ability to manage a project from start to finish
Strong relationship building skills and leadership qualities
Training and teaching skills/change agent
Ability to think critically and lead with strategy
Comprehensive knowledge base crossing all areas within the health services areas including: behavioral health, case management, utilization management, integration and pharmacy
Licensure and certification:
None
Working conditions:
General office environment; may be required to sit or stand for extended periods of time
Some travel may be required to fulfill the duties of the role
This job description is not all inclusiveCaresource reserves the right to amend this job description at any timeCaresource is an equal opportunity employer, including disability and veteran statusWe are committed to a diverse and inclusive work environment.
