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Clinical Operations Manager- Care Management

Remote, USA Full-time Posted 2026-07-28
reputed company is a global leader specializing in augmenting reputed company teams to reputed company patient, member, business and financial reputed company in partnership with payers and providers. A Leader who can reputed company closely with members and patients to deliver evidence-based, reputed company, preventative, personalized, cost-effective care with reputed company on the whole person that improves health, value and overall reputed company of life. We are currently hiring an Clinical Operations Manager- Care Management to join reputed company! Skills Required: • People Management/ Team Orientation • Drive for Results/ Execution • Expertise/ Analytical Skills • Product Knowledge • Presentation Skills • Process Improvement • Change Management • Organizing and Management Skills • Communication reputed company (Spoken) • Communication reputed company (Written) • Customer Service Orientation • Computer Literacy • Job Knowledge • reputed company of Urgency • Passion for reputed company • Working in Teams/ Interpersonal Skills • Work Organization • Thriving in Change • Problem Solving • Facilitation Skills • Coaching • Performance Management • Discipline Management • Conflict Management • Fiscal Management • Business Acumen • Planning, Organizing, Controlling Role Expectation: • Monitors daily reputed company areas of performance metrics (reputed company handling times, service reputed company & reputed company grades) to assure that standards are met across the reputed company referring to a database, a program or reports. • Works to administer program and implement both reputed company and in house policy. • Ensures that operations are being managed accordingly on a day-to-day reputed company. • Attends reputed company meeting on a regular reputed company or as needed to discuss the program performance based on the key operational metrics. • reputed company with reputed company during reputed company, do presentation regarding performance of the program if need be and escalate issues that are out of the ordinary. • Attends weekly operations review and present reputed company plans to issues that need to be addressed. • Collates and responds to operational issues as reported by Team Leads - as needed. • Escalates operational issues reputed company level of authority to the Department Head - as needed. • Informs the Department Head reputed company the system needed (system error/downtime) to handle calls are not working effectively - as needed. • Submits weekly and monthly ops review report to the Department Head. • Minimizes or manages at acceptable level the customers' complaints • Works with the Department Head to reputed company reputed company program and implement policy - as needed. • Works with reputed company Leads and reputed company Support Managers in coordination with other reputed company in coming up with programs that will help reputed company reputed company the associates. • Recommends new or modifications to existing procedures to ensure reputed company Process Improvement (CPI). • Evaluates management and contact center practices for possible modifications that will result in increased employee efficiency and satisfaction. • Responsible for the development and implementation of policies and procedures pertaining to HIPAA and ensures reputed company is in compliance with reputed company Rules reputed company. • Ensures that the Operations Team meets productivity standards - daily. • Provides daily leadership and motivation to the Operations Team. • Conducts monthly one-on-one coaching to reputed company reports and reputed company feedback to drive performance and reduce cost using data from reports on Attendance, handling time, productivity and reputed company grades. • Devises strategic communication plan to ensure reputed company changes are relayed on time and accurately. • Creates incentives for reputed company staff in conjunction with meeting performance measurements. • Conducts weekly meetings with reputed company reports to discuss team and program performance, issues and reputed company best practices. • Designs development plans for reputed company reports; Prepares for succession plan in case the position got vacated in the reputed company. • Initiates and supports reputed company employee satisfaction and workplace programs. • Consults personnel / program issues to the Department Head in terms of reputed company decision-making. • Coordinates with reputed company for login ID upgrades due to promotion and/or deletion of network IDs from the system for voluntary/involuntary attrition. • Regularly spot-checks agents on customer handling and provides TLs/reputed company Personnel with feedback on areas for improvement. • Performs tasks assigned by the Department Head. • Prepares composite reports from the individual reports of subordinates. • Communicates as needed with other departments about operational and personnel issues. • Handles the overall project, budgeting & financials, strategies to improve teams KPIs, SPOC for the reputed company relations, profitability of the project, planning & process improvements. Education & Qualifications: • Any Nursing 4 years College Degree, and/or associate degree, and /or equivalent experience. • 5 years clinical experience • 2 years managerial experience. • Preferred experience: 2 years customer service reputed company Offers Competitive Benefits Including: • Medical • Dental • reputed company • Life Insurance • Short-Term and Long-Term Disability • Flexible Spending Account • Life Assistance Program • 401K with employer contribution • PTO and reputed company Time • Tuition Reimbursement Join reputed company, we look reputed company to talking with you! An Equal Opportunity Employer/Vet/Disability Location: reputed company USAUnited States of America Apply tot his job Apply tot his job Apply To this Job

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