Talent.com
Sr Manager Government Programs Clinical Operations
Sr Manager Government Programs Clinical OperationsHealth Care Service Corporation • Downers Grove, IL, US
Sr Manager Government Programs Clinical Operations

Sr Manager Government Programs Clinical Operations

Health Care Service Corporation • Downers Grove, IL, US
7 days ago
Job type
  • Full-time
Job description

Supervisor, Medical Management

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for supervising staff involved in a variety of medical management operations. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet / exceeds goals and initiatives. Implement processes, procedures and initiatives and monitor results, ensure delivery of effective customer service, ensure department is meeting account contracts, and work across the organization in delivery of services to the customer. Ability and willingness to travel including overnight stays.

Required Job Qualifications

  • Bachelor degree OR clinical licensure (RN, LISW, LMSW, LPC, RD, etc.) with unrestricted, current clinical license in the state of operations.
  • 3 years of experience in one or more of these fields : managed care operations, case management, customer quality of care in clinical settings, public or government health sponsored programs.
  • 1 year supervisory / management experience.
  • Leadership skills. Knowledge of medical terminology and procedures. Knowledge of accrediting body requirements (i.e. NCQA, EQRO).
  • Verbal, written and interpersonal communication skills Analytical skills and sound judgment. PC proficiency to include Microsoft suite of applications.
  • Ability and willingness to travel including overnight stays.

Preferred Job Qualifications

  • Case Management Certification
  • Knowledge of / experience with managing Medicare benefits / programs i.e. traditional Medicare, dual eligible populations
  • 3 years supervisory / management experience
  • Experience in program development and driving results of managed care or related program(s).
  • Maternal Infant Health experience.
  • This is a Flex (Hybrid) role : 3 days in office; 2 days remote. Sponsorship is not available.

    HCSC Employment Statement :

    We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

    Base Pay Range

    $90,900.00 - $164,200.00 Exact compensation may vary based on skills, experience, and location.

    Create a job alert for this search

    Sr Program Manager • Downers Grove, IL, US

    Related jobs
    Business Transformation - Sr Manager - Healthcare Provider - Acute Care

    Business Transformation - Sr Manager - Healthcare Provider - Acute Care

    EY • Chicago, IL, US
    Full-time
    Do not pass up this chance, apply quickly if your experience and skills match what is in the following description.At EY, we're all in to shape your future with confidence.We'll help you succeed in...Show more
    Last updated: 9 hours ago • Promoted • New!
    Oncology Reimbursement Manager

    Oncology Reimbursement Manager

    Regeneron • Chicago, IL, US
    Full-time
    Oncology Reimbursement Manager Chicago, IL / Minneapolis, MN.The Oncology Reimbursement Manager reports to the Regional Director, Field Market Access & Reimbursement. This position is a critical fron...Show more
    Last updated: 30+ days ago • Promoted
    Texas Licensed Clinical Manager

    Texas Licensed Clinical Manager

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Senior Manager, Clinical to join their Case Management team.Key Responsibilities Review and maintain policies and procedures to meet regulatory, accreditation, and orga...Show more
    Last updated: 30+ days ago • Promoted
    Sr. Manager

    Sr. Manager

    Colgate Polmolive • Des Plaines, IL, US
    Full-time
    Manager, Catman & Shopper Insights - Healthcare.Established in 1806 as a small soap and candle business in New York City, Colgate-Palmolive is now a truly global company with products sold in over ...Show more
    Last updated: 3 days ago • Promoted
    Sr Product Solutions Manager (Hybrid)

    Sr Product Solutions Manager (Hybrid)

    American Medical Association • Chicago, IL, United States
    Full-time
    Sr Solutions Delivery Manager (Hybrid).The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization.We are a unifying voice an...Show more
    Last updated: 26 days ago • Promoted
    Clinical Trial Project Manager

    Clinical Trial Project Manager

    VirtualVocations • Lincolnwood, Illinois, United States
    Full-time
    A company is looking for a Clinical Trial Mid-Level Project Manager to provide operational oversight and coordination for pediatric acute leukemia clinical trials. Key Responsibilities Support bid...Show more
    Last updated: 15 days ago • Promoted
    Sr Health Care Trends Manager (Hybrid)

    Sr Health Care Trends Manager (Hybrid)

    American Medical Association • Chicago, IL, United States
    Full-time
    Sr Health Care Trends Manager (Hybrid).The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization.We are a unifying voice an...Show more
    Last updated: 26 days ago • Promoted
    Project Manager I - Clinical

    Project Manager I - Clinical

    VirtualVocations • Lincolnwood, Illinois, United States
    Full-time
    A company is looking for a Project Manager I in the Medical Group.Key Responsibilities Develops and implements strategic initiatives to drive organizational growth and success Manages project co...Show more
    Last updated: 4 days ago • Promoted
    Senior Manager Clinical Operations

    Senior Manager Clinical Operations

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Senior Manager Clinical Operations.Key Responsibilities Drive operational results to achieve quality outcomes and reduce avoidable hospitalizations Manage performance ...Show more
    Last updated: 1 day ago • Promoted
    Manager, Clinical Project Management

    Manager, Clinical Project Management

    Illinois Staffing • Chicago, IL, US
    Full-time
    Manager Of Clinical Project Management.Imagine how your ideas and expertise can change a patient's life.We generate extensive clinical evidence to demonstrate the effectiveness and safety of our in...Show more
    Last updated: 3 days ago • Promoted
    Sr. Manager, Program Management (Hybrid)

    Sr. Manager, Program Management (Hybrid)

    American Medical Association • Chicago, IL, United States
    Full-time
    Manager, Program Management (Hybrid).The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization. We are a unifying voice and ...Show more
    Last updated: 24 days ago • Promoted
    California Licensed Clinical Program Manager

    California Licensed Clinical Program Manager

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a RN Clinical Program Manager.Key Responsibilities Lead the alignment, standardization, and improvement of patient length of stay for designated populations Serve as a l...Show more
    Last updated: 4 days ago • Promoted
    Sr Product Manager (Hybrid)

    Sr Product Manager (Hybrid)

    American Medical Association • Chicago, IL, United States
    Full-time
    The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization. We are a unifying voice and powerful ally for America's physician...Show more
    Last updated: 4 days ago • Promoted
    Sr. Manager

    Sr. Manager

    Colgate-Palmolive • Des Plaines, IL, US
    Full-time
    Manager, Catman & Shopper Insights - Healthcare.Established in 1806 as a small soap and candle business in New York City, Colgate-Palmolive is now a truly global company with products sold in over ...Show more
    Last updated: 3 days ago • Promoted
    Arizona Licensed Clinical Director

    Arizona Licensed Clinical Director

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Director, Clinical Performance Oversight.Key Responsibilities Lead and direct a team focused on clinical performance improvement activities Monitor and evaluate clinic...Show more
    Last updated: 21 hours ago • Promoted • New!
    Licensed Clinical Services Manager

    Licensed Clinical Services Manager

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Clinical Services and Operations Manager.Key Responsibilities Oversee day-to-day operations for all clinical programs, ensuring compliance and performance standards Mo...Show more
    Last updated: 3 days ago • Promoted
    Manager, Clinical Services

    Manager, Clinical Services

    Davita Inc. • Oak Brook, IL, United States
    Full-time
    W 22nd stSte 603, Oak Brook, Illinois, 60523, United States of America.At DaVita, we find that our best leaders are those who create an inspiring vision for the future and empowers their team to ac...Show more
    Last updated: 1 day ago • Promoted
    Sr. Director, Pharmacy

    Sr. Director, Pharmacy

    Lurie Children's Hospital • Chicago, IL, US
    Full-time +1
    Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design.As the ...Show more
    Last updated: 30+ days ago • Promoted