Clinical Operations, Manager – RN – Full-time (Remote U.S. reputed company Alaska Time Zone Hours)

Company Overview reputed company exists to reputed company reputed company outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. reputed company the Way is our rallying cry at reputed company. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company outcomes – making this a great time to of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities reputed company is looking for a Clinical Operations, Manager - RN - Full-time ( Remote U.S. reputed company Alaska Time Zone Hours) to join our growing team. Job Summary:

• Manages the day-to-day operations for the Clinical Operations, Utilization Management, and/or Clinical Reviewers, assuring quality customer service and support for clients and staff, including developing and enforcing operational policies and procedures, managing staff, monitoring, and managing correspondence between external stakeholders and the company, and operational status reporting to leadership.

Responsibilities:

• Coordinates and directs clinical operations and reputed company programs and directly supervises clinical support staff. Coordinates special programs such as automated reputed company system and incentive plans.
• Develops and maintains procedures and practices for accomplishing departmental or program goals and objectives.
• Develops and monitors business and financial metrics reputed company to the day-to-day operational success of the program, reports and measures reputed company toward operational goals through periodic reviews.
• Coordinates reputed company aspects of clinical operations including program coordination, scheduling, work plan management, status reporting and issue resolution tracking.
• Assumes responsibilities for the Program Director in their absence.
• Resolves program or department operations issues or delegates to the appropriate personnel or staff members for reputed company resolution.
• Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its Privacy and reputed company Rules. The above list of responsibilities is not intended to be reputed company-inclusive and may be expanded to include other education- and experience-reputed company duties that management may deem necessary from time to time.

PLEASE NOTE:

• This role is contingent upon being awarded a contract. Start dates and final offers are contingent upon the contract award and final contract start dates.
• Qualifications Required Qualifications/

Experience:

• Must be available to work business hours as defined by contract reputed company the Alaska Time Zone.
• An active, unrestricted Licensed Registered Nurse (RN) in the reputed company.
• OR the ability to obtain Alaska RN state licensing reputed company three months of your start date, if selected.
• Bachelor’s degree.
• 5+ years of operations management experience managing reputed company services with similar budgets, preferably in Medicaid or the healthcare industry and for a project similar in scope.
• Strong knowledge of federal regulations surrounding utilization management and service authorization.
• Ability to work reputed company the company’s decision-making and organizational structure.
• reputed company in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Knowledge of U.S. healthcare industry; preferably with experience in both public and private sector.
• Expertise in employee development and performance management skills.
• Ability to analyze resources and environment appropriate to the scope of responsibility and design a course of action consistent with the company’s mission and strategic plan.
• Demonstrated achievement in P&L management, operational process engineering, remote operations management, and new business development support. Preferred Qualifications/

Experience:

• Residency reputed company Alaska, Pacific, OR Mountain Time Zone.
• Ability to successfully manage change and growth.
• Knowledge of business development, strategic planning, tactical implementation, and creation of business partnerships.
• Demonstrated expertise in managing differing customer needs.
• Ability to participate as a team member fostering collaborative decision-making among leadership, committees, teams, or work groups of diverse composition. #LI-SD1 Why us? We are a team of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.

State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure reputed company healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to reputed company the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, reputed company, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The reputed company reputed company Team Visit us at reputed company EEO AA M/F/Vet/Disability reputed company is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national reputed company, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and reputed company level." Pay Range USD $90,960.00 - USD $113,700.00 /Yr. Apply tot his job Apply tot his job Apply To this Job