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UM Clinical Operations Manager in Remote at Beacon Health Options

Date Posted: 1/11/2019

Job Snapshot

Job Description

About the Position:

Beacon Health Options is currently seeking a dynamic Manager of Clinical Operations for our Utilization Management team! The Manager is responsible for driving operational excellence. The Manager serves as the subject matter expert for Clinical Operations processes and is responsible for development of business requirements, facilitating process improvement, data mapping, problem resolution, project management, system functional design and system testing.

Through exceptional interpersonal and communication skills, effective leadership, planning, process management and information analysis, the Manager will build a customer focused environment, coupled with innovation and building knowledge and capabilities.

Position Responsibilities:

  • Effectively lead transformational initiatives or act as a subject matter expert in collaboration with the project manager for the Clinical Operations team that will result in a reduction of operating costs, increased member and provider satisfaction, and compliance with internal, client, regulatory and accreditation standards.
  • Work collaboratively with Clinical Shared Service leaders to drive operational efficiencies, execute strategic initiatives and ensure services delivered are of the highest quality and are compliant with client and state requirements.
  • Act as liaison and maintain productive working relationships with all Beacon departments and Service Centers. Participate (when needed) in monthly accountability reviews with internal customers (service centers, account teams, etc.)
  • Through process management will ensure key processes are examined for quality, timeliness, cost control, retention and transfer of learning from past projects or other divisions of the organization, new technology opportunities, systematic enhancements, and other efficiency/effectiveness factors
  • Demonstrate in-depth knowledge of Clinical Operations and good judgment in evaluating requests – know when to raise an issue to management because it has the potential to result in poor outcomes with a significant impact.
  • Other duties as assigned.

Position Requirements:

  • Education: HS Diploma or GED equivalent is required. Bachelor’s Degree is preferred.
  • Relevant Work Experience:  5 years overall work experience in Clinical Operations required, 2 years supervisory or management experience in a health care organization, managed care preferred

To Apply:

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Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.  EOE/AA/M/F/Veterans/Disabled