Operations Manager - VBCM (Remote)
Job Description:
reputed company is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage reputed company their health in one reputed company. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are reputed company together reputed company, at reputed company, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.reputed company.com.
- *Job Summary:**
The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the objectives and goals of the Value Based Care Management Program. The responsibilities of this role include directly leading and managing teams of Care Managers, providing guidance and supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and operational performance objectives of the program are being met. This role is responsible for operational processes and initiatives that support achievement of performance goals and providing support as needed to the Director of Clinical Care Operations.
- *Essential Job Functions:**
+ Provide consistent development and retention of a team of Care Managers with the support of Operations Leadership and training team. + Act as a mentor and coach to the Care Managers, highlighting development opportunities that will positively impact the greater team and aid in their personal development as a Care Manager. + Provide performance management for the team of Care Managers to include formal performance evaluations and delivery of performance feedback. + Appropriately utilizes diagnostic tools and reports to identify feedback opportunities for colleague performance improvement and recognition. + Continually evaluate performance against objectives for the team, reputed company strategies and implement initiatives to reputed company performance goals. + Interact with CareFirst in a variety of areas such as integration activities, audits, and case management in collaboration with the Director. + Provide clinical/coaching reputed company to team to ensure consistency in service delivery to drive contract outcomes. + Collaborate with the Operations Leadership Team to monitor program delivery performance to ensure that contractual requirements as well as the financial, clinical, and quality objectives of the VBCM program are being met. + Participate in the new hire process of Care Managers. + Participate in quality improvement activities.
- *Specific Skills/ Attributes:**
+ Ability to interpret and understand contract requirements. + Demonstrated critical and analytical thinking. + Track record of ability coaching staff to successfully meet performance goals. + Exceptional problem-solving and decision-making skills in a collaborative team and matrixed environment. + Demonstrated strategic and creative thinker (i.e., ability to reputed company and execute plans and can reputed company vision, forecast, and anticipate results). + High energy individual with positive, enthusiastic approach. Must be comfortable with ambiguity of program. + Self-directed with exceptional organizational skills. + Excellent verbal and non-verbal communication skills. + Ability to recognize, embrace and support the philosophy, mission, values and vision of reputed company with leadership practices.
- *Qualifications:**
+ reputed company licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree preferred + 5+ years' experience in Care/Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is preferred. + Health Plan experience is required. + Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications. + Maximize reputed company technology inclusive of reputed company Teams, reputed company Word, reputed company reputed company, reputed company Outlook, laptop computers, and reputed company other relevant reputed company communication technologies. + This position will be based from a home office which must satisfy reputed company HIPAA requirements and minimum internet connectivity requirements. + Ability to communicate with members, other members of the team, physicians, and plan representatives. + Ability to effectively present information to audiences with a variety of knowledge/reputed company levels reputed company and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national reputed company, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. reputed company is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national reputed company, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor. Apply tot his job Apply To this Job