Manager of Clinical Support Operations

Healthfirst • Florida, Florida • 1d ago

Duties & Responsibilities:

Manages Support Operations employees such as Team Leads, Sr. Support Specialists, and Coordinators to ensure compliance with regulatory requirements and defined performance standards

Collaborates with CM, UM, and BH leadership to identify and execute on opportunities for administrative support such as but not limited to managing CM caseloads, managing and validating audit documentation, and managing the organizational case list in support of the Uniform Assessment System for New York (UAS-NY)

Serves as liaison between Support Operations and other core clinical operations units to ensure support services align with stakeholder expectations, service level agreements and performance targets

Oversees the analysis, organization, and execution of work efforts- both standard and special in support of core Clinical Operations departments teams as appropriate

Analyzes internal processes and implements operational and/or policy changes to improve effectiveness and efficiency of teams and deliverables

Balances multiple concurrent priorities in a dynamic environment

Additional duties as assigned

Minimum Qualifications:

Associate Degree from an accredited institution or equivalent work experience

Leadership experience in an operations environment

Experience leading staff development and performance

Work experience requiring written and verbal communication that is clear, concise, grammatically correct, and professional

Experience analyzing workflows, identifying opportunities for improvement and implementing solutions

Project management experience

Preferred Qualifications:

Bachelors Degree

Experience in managed care industry with advanced knowledge of healthcare regulations

Experience collaborating with clinical professionals (e.g., nurses and medical directors)

Compliance & Regulatory Responsibilities: Noted Above

License/Certification: n/a

Hiring Range*:

Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430

All Other Locations (within approved locations): $88,700 - $131,920

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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