Your Future is our Future

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Position:

Clinical Operations Manager

Position Summary:

Responsible for ensuring the program management delivery of Primarily Home and Healthy House calls. Collaborates with cross-functional partners in the development and execution of clinical delivery operations including logistics, technology, partner engagement and relationships, clinic operations, scheduling and routing, patient engagement, program effectiveness, payer contracting, referrals, and program optimization in the market. Owns and is accountable for delivery results on all assigned programs or projects. Acts a subject matter expert and single point of contact.

Job Description:

Primary Responsibilities

Develops and fosters collaborative relationships with internal stakeholders, PCP Offices, vendors, and partners to establish priorities, effectively communicate and manage program expectations, and ensure overall success, including ensuring timelines, resourcing, and budget parameters are met.

Collaborates cross-functionally on operational planning, and implementation planning of the program to align with both Lumeris and client's vision and contractual delivery timelines.

Supervising patient and staff schedules

Supervising the patient registration process

Organizing and maintaining medical records and staff records

Improving customer service and patient satisfaction

Implementing and following office policies and procedures

Ensuring compliance with federal, state, and local regulations, including OSHA and HIPAA regulations

Planning staff meetings for clinical staff, non-clinical, and administrative staff

Training medical staff and conducting operational training

Coordinates and helps execute on referral workflows

Facilitates provider credentialing and licensure

Help coordinate and monitor payer contracting and market relationships with vendors

Partners with account management and clinical leadership to develop plans to meet key initiatives and targets.

Partners closely with client account partners to ensure collaboration with operational initiatives and implementations.

Qualifications

Bachelor's degree or equivalent

6+ years of related experience or the knowledge, skills, and abilities to succeed in the role (i.e., Project Management Office; Healthcare Management Consulting, equivalent position in the Healthcare Industry, etc.)

Administrative clinical operations experience

Significant proven success in overseeing multiple large complex health plan stand up or population health services organization client implementation programs, including delivery operational and/or technical solutions across multiple teams

Excellent project and program management skills with the proven ability to guide teams to meet performance metrics and deliver on time and within budget

Advanced understanding of program management methodologies (e.g. Agile, Waterfall, Scrum, Six Sigma)

Exceptional presentation, facilitation, written, and verbal communication skills with the ability to bring people to a common understanding and reach consensus

Top notch risk mitigation skills with the ability to identify and resolve imped impediments, develop detailed timelines, perform resource allocations and run team meetings

Proven ability to develop and execute complex collaborative strategic process redesign and performance improvement initiatives for optimized implementation delivery

Ability to craft a compelling message and tailor it for a given audience, including converting technical insights into simple, everyday language to deliver a story that is understandable

Executive presence with excellent interpersonal, data review, problem-solving, negotiating, influencing, facilitation, organizational, prioritization, and conflict resolution skills

Strong technical acumen with the ability to ensure that technical solutions, strategies, practices, and governance deliver business and customer value during implementation;

Ample experience with Atlassian, Smartsheet, Salesforce, ServiceNow, and Tableau tools

Ability to develop metrics, collect and review data to identify root cause, and measure performance.

Demonstrated ability to effectively guide, support, motivate, and direct team members and internal/external partners to successfully achieve defined goals

Travel 25-50% to client site and other locations a directed by the business need

Preferred

PMP (Project Management Professional) and/or PMI-ACP (Agile Certified Practitioner) Certification

Lean and/or Six Sigma at Green or Black Belt level certification

Working Conditions

While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Pay Transparency:

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is:

$84,600.00-$113,775.00

Benefits of working at Lumeris

Medical, Vision and Dental Plans

Tax-Advantage Savings Accounts (FSA & HSA)

Life Insurance and Disability Insurance

Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)

Employee Assistance Program

401k with company match

Employee Resource Groups

Employee Discount Program

Learning and Development Opportunities

And much more...

Be part of a team that is changing healthcare!

Member Facing Position:

No- Not Member or Patient Facing Position

Location:

St. Louis, MO

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

Disclaimer:

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

Join Our Growing Team!

Lumeris is bringing common sense back to the business of healthcare by empowering value-based care. We create the partnerships and perspectives that are making healthcare safer, more affordable and more personalized for providers, patients and payers alike.

We were founded on the belief that it should be easier to provide the right care, at the right time, at the right cost. Our model is bringing that belief to life, improving outcomes and empowering financial sustainability along the way.

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation's healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.

Lumeris

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