Overview

As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.

It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?

Showing Up Somatus Strong

We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:

Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.

Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.

Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests.

Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.

Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners.

Showing Up for You

We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:

Subsidized, personal healthcare coverage (medical, dental vision)

Accrual of 3 weeks' Vacation (PTO)

Professional Development, CEU, and Tuition Reimbursement

Curated Wellness Benefits supporting teammates physical and mental well-being

Community engagement opportunities

And more!

The Clinical Operations Manager- VBC supervises an interdisciplinary team of clinical and non-clinical field team members and directs the team to manage Affordability and advance clinical quality for patients with kidney disease and congestive heart failure. The Clinical Operations Manager- VBC also supports the engagement of key stakeholders needed to be successful with operational initiatives in the field. The Clinical Operations Manager- VBC is responsible for outcome metrics, productivity, and patient experience related to VBC initiatives. The Manager supports customer relations in the assigned territory of field-based healthcare teams tied to Population Health, affordability, and the value-based kidney care space and work closely with our Provider Engagement Team.

This role is a fully remote position with expected travel within your market- TN, GA and KY. There will be travel requirements for on-site needs to support the care team and practice relationship management.

Responsibilities

Overall knowledge of Profit & Loss (P&L) business management (pricing, financial reporting, census measures, variance reports, labor reports, etc.) in a healthcare setting.

Understands and utilizes business intelligence reports/tools to manage and enhance business operations.

Maximizing profitability through revenue generation, expense control, and ongoing market analysis

Setting targets and supporting the region's quality and financial performance, evident through growth in the region`s contribution and quality outcomes.

Review, manage and coordinate case assignments with care teams for identified patient populations.

Supervises the care team of field-based nurse care managers, social workers, Patient Health Advocates, and dietitians and monitors performance, growth, and development.

Manages transitional care teams in assigned region(s) to support members throughout transitions of care (in patient, SNF, home, etc.) to prevent avoidable admissions and re-admissions.

Manages staff adherence to Somatus workflows, protocols, best practices, and documentation expectations via documentation and call audits.

Supports training, advancing the clinical model and re-training efforts, and identifies gaps where additional staff training/coaching is needed; facilitates ongoing training in the market.

After training, show proficiency in the Somatus care management and RenalIQ applications.

Supports the Director of Operations in tracking Somatus Payor partner requirements and standard reports.

Supports data collection, report preparation, and material creation for Somatus payer partner meetings, including Joint Operating Committees (JOC).

Works with market leadership to track market progress to goal for engagement, quality, SLAs, etc.

Audit care team documentation to drive improvements and audit recorded calls for coaching opportunities and quality performance.

Performs shadow visits in the field as needed to support performance improvement.

Creates on-call schedules for the care team (if needed).

Reports/resolves issues and system barriers to efficient and effective care.

Participates in care team meetings, performance improvement, and patient satisfaction initiatives.

Utilizes population management data and resources to identify patients at risk and facilitate appropriate support and resources.

Maintains compliance with organizational policies, procedures, and evidence-based guidelines.

Ensures pertinent patient information and performance reports are appropriately shared with customers.

Oversees an effective communication link between patient and medical staff, including relaying messages from providers, gathering information from patients for providers etc.

Coordinates with Operations Director to track and share data with corporate teams and customers on patient outcomes measures and performance against outcomes and financial goals.

Working collaboratively with Technology, Finance, Population Health Product & Innovation, and Human Resources.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Qualifications

Required Education and Experience:

3-5 years of leadership experience.

Experienced clinical profit and loss (P & L) leader with ability to oversee budgeting, reporting, planning, and auditing.

Preferred Education and Experience

Master of Business Administration.

Knowledge, Skills, and Abilities:

Strong interpersonal and customer service skills required to communicate with patients, family members, physicians, and other health care providers, as well as other colleagues.

Must possess strong problem-solving abilities and analytical skills.

Demonstrates, after training, ability to use all applicable electronic systems/applications including population management systems to input, retrieve, and manipulate clinical information. Must be highly attentive to detail, accuracy, and achieving end results.

Utilizes critical thinking and good judgement in performance of tasks.

Must possess good organizational skills and the ability to multitask and to prioritize daily assignments to ensure smooth workflow.

Intermediate skills with Microsoft applications which may include Word, Excel, PowerPoint, and other web-based applications. May produce complex documents, perform analysis, and maintain databases.

Understands and complies with highest standards of confidentiality.

Positive and inspiring team leadership style to drive outcomes while driving a culture of excellence by keeping team members engaged.

Knowledge and experience to coach team members empower patients in self-management and shared decision making.

Ability to travel throughout the assigned region(s) to shadow staff and travel to HQ as needed.

Other Duties

Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any @type will not be tolerated.

Somatus

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