Clinical Operations Manager, Operations and Accidents Benefits
Desjardins
full-time
Posted on:
Location Type: Hybrid
Location: Calgary • Canada
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About the role
- Lead the national clinical strategy for accident benefits, casualty, bodily injury, and disability claims, ensuring alignment with organizational goals.
- Including positioning the organization for Alberta Accident Benefits reform and applying transferable insights from worker’s compensation systems and provincial auto insurance systems (i.e. WSIB/WCB, ICBC and MPI).
- Ensure all clinical programs meet legislative, regulatory, college, and privacy requirements across all jurisdictions.
- Provide strategic clinical guidance to senior leaders and translate complex clinical insights into clear, actionable recommendations.
- Lead and develop multidisciplinary clinical teams nationally, setting standards for clinical quality, service excellence, and operational performance.
- Oversee national clinical governance, including audits, quality indicators, continuous improvement, and identification of systemic risks or opportunities.
- Direct national vendor management strategies, including onboarding, governance, performance evaluation, and collaboration with procurement.
- Drive major enterprise initiatives by contributing clinical expertise to project work, assessing training needs, and supporting change management and modernization efforts.
- Conduct data‑driven analysis of claims and financial trends, complete gap analyses, and recommend solutions to optimize clinical outcomes and operational efficiency.
Requirements
- Bachelor’s degree in a related field
- A minimum of ten years of relevant experience including four years of management experience in insurance, rehabilitation, assessments, or health operations
- Experience leading leaders and drive performance across multidisciplinary teams
- Experience leading multidisciplinary clinical teams and managing clinical programs or medical vendors
- Experience in Accident Benefits, casualty (Bodily Injury), or disability claims (including WSIB or WCB)
- Regulated clinical designation (RN, OT, PT, Psych, or equivalent)
- Advanced proficiency in English due to the nature of the duties or work tools or because the position involves interactions with English speaking partners, members and/or clients
- Expert knowledge with IME or medico‑legal assessment programs
- Advanced knowledge of Alberta Accident Benefits reform, BC and Manitoba no fault systems
- Advanced knowledge with SABS, FSRA guidelines, HCAI standards, and privacy legislation
- Advanced knowledge of Canadian healthcare systems and provincial regulations
- Advanced knowledge of Disability Claims, WSIB, WCB
- Available for travel between Ontario and Alberta (4-6 times/year)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data-driven analysisgap analysisclinical governanceperformance evaluationclinical quality standardsoperational performanceAccident Benefitsmedico-legal assessmentdisability claimsvendor management
Soft Skills
strategic guidanceleadershipcommunicationcollaborationchange managementteam developmentservice excellenceoperational efficiencyinsight translationrisk identification
Certifications
RNOTPTPsychregulated clinical designation