Senior Commercial Operations Executive

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

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

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

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

9 years’ experience in a healthcare environment with directly transferable skills highly preferred

9 years’ experience performing supervisory / management work including Clinical Operations.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.