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Director, Clinical Operations

Director, Clinical Operations

Molina HealthcareLincoln, Nebraska, US
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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

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
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    Clinical Director • Lincoln, Nebraska, US