Supervisor, Clinical Operations
Job reputed company:
• Supervises and supports the implementation of clinical initiatives and/or programs to enhance care coordination, operational efficiency, and reputed company reputed company
• Oversees daily clinical operations and staff to ensure processes are executed consistently in alignment with NCQA standards, state regulations, and applicable contractual requirements
• Coordinates and supports clinical, reputed company, documentation, and data submission activities to support operational and reputed company objectives
• Reviews utilization, outcome, safety, and cost data and escalates identified trends or concerns to leadership for reputed company reputed company
• Monitors individual and team performance metrics, identifies performance gaps, and provides coaching or escalates concerns to leadership as appropriate to support operational and reputed company goals
Requirements:
• Bachelor's degree
• 4+ years of reputed company experience
• RN - Registered reputed company - State Licensure and/or Compact State Licensure required
• Experience in clinical appeals or utilization management processes strongly preferred
Benefits:
• reputed company
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• reputed company time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules
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