Clinical Operations

• Lead clinical operations and case management programs across Premium Solutions client segments
• Drive performance across quality, engagement, operational efficiency, and client experience metrics
• Support the implementation and optimization of enhanced client service models
• Oversee audit readiness, accreditation activities, and quality governance programs
• Partner across Product, Clinical, Operations, Sales, and Account Management to align strategy with service delivery
• Support client retention, growth initiatives, and operational readiness efforts
• Contribute to workforce planning, staffing strategy, financial stewardship, and operational efficiency initiatives
• Monitor performance guarantees and support measurement and achievement activities
• Lead and develop leaders across clinical and operational functions

Clinical Operations Director

• Responsible for developing, implementing, and monitoring quality assurance and performance improvement (QAPI) programs
• Oversee clinical outcomes and coordinate quality initiatives
• Ensure adherence to regulations and promote patient safety
• Lead or participate in QAPI program in alignment with CMS, state, and organizational standards
• Develop and implement action plans to address deficiencies and improve care delivery
• Conduct regular audits and quality reviews to ensure compliance
• Facilitate staff education and training related to quality improvement, patient safety, and best practices
• Collaborate with interdisciplinary team members
• Prepare and present quality reports to clinic leadership

Strategic Clinical Quality Manager

• Coordinate, support, and continuously optimize clinical workflows, provider schedules, onboarding/deboarding processes, and platform troubleshooting to ensure a seamless care delivery experience.
• Review clinical dashboards for continual improvement and quality assurance.
• Assessment and distribution of weekly clinical dashboards.
• Coordinate clinicians’ calendars, ensuring alignment with patient appointments, supervision sessions, and other required or optional meetings.
• Monitor clinician schedules to ensure clinician productivity and appropriate time and calendar management practices. Identify opportunities for improvement with calendar management and share feedback and recommendations with clinicians and clinical leaders.
• Support the facilitation of patient transfers as necessary, ensuring a smooth process for both clinicians and patients.
• Troubleshoot EHR systems and business platforms to resolve technical issues efficiently.
• Provide clinicians with enrollment assistance, access troubleshooting, and account information management for our EHR.
• Provide onboarding support by training and assisting incoming clinicians.
• Close out patient charts with appropriate documentation and notification.
• Periodically review the Website Directory of providers and escalate to the Clinical Operations Supervisor if a discrepancy or an update is needed.
• Consistently evaluate workflows and Standard Operating Procedures (SOPs) to ensure alignment with organizational priorities, enhance operational efficiency, and maintain high-quality standards.
• Act as a consistent point of contact for assigned care teams, facilitate bi-annual clinician check-ins, and provide year-round guidance, resource-sharing, and operational support. Liase with patients on behalf of providers.
• Ensure providers receive an efficient, thorough, and positive onboarding and deboarding process with thoughtful collaboration of key departments and contributors (People Operations, Marketing, Supervisor of clinician, etc.)
• Conduct formal check-ins twice annually with each clinician to review updates, provide resources, and collaboratively address clinical or patient care needs.
• Lead and contribute to meaningful conversations during check-ins, advocating for patient needs and sharing actionable updates to support clinician success.
• Leverage internal dashboards and reporting tools to monitor productivity, documentation compliance, and patient reengagement opportunities.
• Develop and maintain collaborative professional relationships between operations and clinical departments.

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