Director, Clinical Operations

Job Description

Job Summary

The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team.

Job Duties

Directs all Clinical Contact Center operations

Implements direction and performance standards for multiple lines of business to assure that service targets are achieved.

Manages and evaluates the performance of various clinical management activities.

Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met.

Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements.

Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives.

Develops standardized methods of improving production, quality, and efficiency

Ensures partners receive support for operational issues.

Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure.

Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget.

Engaged in clinical training activities and outcomes.

Determines clinical and quality measures for success.

Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input.

Ensures monthly auditing is occurring with appropriate follow-up.

Utilizes excellent verbal and written communication skills

Utilizes advanced teambuilding and conflict resolution skills

Performs other duties as required

Job Qualifications

REQUIRED EDUCATION :

Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing

REQUIRED EXPERIENCE / KNOWLEDGE, SKILLS & ABILITIES :

Minimum 7 years experience in a healthcare environment with directly transferable skills highly preferred.

Minimum 7 years experience performing supervisory / management work including Clinical Operations.

Experience with Contact Center operations.

Experience managing professional staff in a clinical Contact Center.

Experience managing process improvement activities.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION :

Active, unrestricted State Registered Nursing (RN) license in good standing

PREFERRED EXPERIENCE :

• 9 years experience in a healthcare environment with directly transferable skills highly preferred
• 9 years experience performing supervisory / management work including Clinical Operations.

To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

Pay Range : $97,299 - $227,679 / ANNUAL

Required

Preferred

Job Industries