Director, Clinical Operations – Integrated Duals CM
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $160,800 - $296,600 per year
Job Level
About the role
- Directs the development and implementation of clinical initiatives and/or programs to improve care coordination, efficiency, and health and quality outcomes
- Oversees the clinical operations team and ensures clinical processes are consistent with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
- Directs process improvements for clinical initiatives and/or programs to improve care coordination, efficiency, and health and quality outcomes
- Leads the clinical operations team on performance, improvement, and career growth considerations
- Oversees the development of clinical initiatives and monitors programs to ensure appropriate metrics are in place to deliver efficient health and quality outcomes, improve care coordination, and meet requirements of contracts
- Leads, develops, and ensures clinical initiatives and/or programs are in accordance with NCQA guidelines, state mandates, and/or government contract requirements
- Develops long-term clinical operations strategies and influences decisions by providing recommendations that align to organizational objectives
- Develops the department budget while collaborating inter-departmentally with senior leadership team
- Develops the overall strategy for onboarding, hiring, and training clinical operations team members to ensure adequate training and high-quality clinical initiatives and/or programs
- Works cross functionally to drive process improvements to manage costs and support initiatives to improve health and quality outcomes
Requirements
- Requires a Bachelor's degree
- 7+ years of related experience, including prior management experience
- Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical initiativescare coordinationprocess improvementsperformance metricsbudget developmentonboardingtraining programsmanagement experiencestrategic planningquality outcomes
Soft Skills
leadershipcollaborationcommunicationorganizational skillsinfluencingteam developmentcross-functional teamworkproblem-solvingcareer growth facilitationinter-departmental collaboration
Certifications
Bachelor's degree