[Hiring] Manager - Clinical Operations @GEHA Health

Role Description

Manages the operations of internal and external clinical, cost containment and population health programs and ensures quality patient care and cost-effective utilization of resources for members and dependents across the continuum of care. Develops and monitors program goals consistent with the department strategic plan. Develops, maintains, and reviews internal and external reporting and audit results to measure program and staff performance. Manages mobilization and engagement of staff needed to accomplish department and corporate goals. Manages integrated care processes as well as clinical interventions to support HEDIS performance. Identifies program gaps and opportunities, recommends action, and deploys staff to implement programs and improvements. Facilitates multi-discipline teamwork across departments to implement new initiatives or resolve issues affecting the department. Responsible for management of budget for assigned programs and staff.

Qualifications

• Requires a bachelor’s degree in healthcare, healthcare payer, or wellness related field.
• RN with equivalent years of experience will be considered.
• 5 years clinical experience.
• Requires 3 years of managerial experience.
• Requires strong analytic and problem-solving capabilities.
• Ability to identify solutions and recommendations that effectively address business and control needs along with how to train and guide others in this area.
• Requires the ability to effectively communicate (oral and written) and direct area staff.
• Strong analytical ability to solve complex problems.
• Must possess advanced interpersonal skills to effectively interface with all levels of staff as well as external business-related associates.
• Knowledge of Microsoft Office.
• Requires the ability to multi-task effectively, responding to changing business priorities and deadlines.
• Requires the ability to work collaboratively with team members across multiple divisions and departments.

Requirements

• Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
• A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
• Latency (ping) response time lower than 80 ms.
• Hotspots, satellite and wireless internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Benefits

• Competitive pay/salary ranges.
• Incentive plan.
• Health/Vision/Dental benefits effective day one.
• 401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution.
• Robust employee well-being program.
• Paid Time Off.
• Personal Community Enrichment Time.
• Company-provided Basic Life and AD&D.
• Company-provided Short-Term & Long-Term Disability.
• Tuition Assistance Program.