Director, Clinical Operations

JOB DESCRIPTION Job Summary

Leads and directs team responsible for member outreach and scheduling of Care Connections visits across all lines of business and states.  Participates with senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Directs Care Connections outreach team operations to ensure successful member engagement and scheduling of Care Connections Nurse Practitioners. 
• Implements direction and performance standards to assure that goals are achieved.
• Manages and evaluates performance of various outreach management activities.
• Aligns with leadership, to ensure operational goals and objectives for operations are understood and met.
• Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements.
• Demonstrates proficiency in execution of procedures, protocols, benefits and services.
• Assists with training of new leaders/employees as needed.
• Demonstrates flexibility in meeting changing performance objectives consistent with department objectives.
• Develops standardized methods of improving production, quality and efficiency.
• Ensures internal partners receive operational issue support.
• Produces solutions to problems or issues before making decisions, calculates risks for authority level and takes decisive actions where necessary - ensuring that guidance or action keeps with policy and procedural standards.
• Schedules and reviews project tasks to ensure high quality product is delivered on time and within budget.
• Expand employee performance levels and assure retention of high performing employees.
• Accurately projects resource needs to ensure timely hiring and training of operations staff.
• Demonstrates responsibility for vendor development of process improvement requirements, manages communications related to initiatives, and acts as process champion of initiatives.
• Develops executive presentations as needed for review of performance.
• Engages in clinical training activities and outcomes.
• Determines quality measures for success.
• Designs standardized protocols, develops policy, and ensures timely implementation.
• Ensures monthly auditing is occurring with appropriate follow-up.
• Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed.
• Utilizes Genesys and Epic platforms to meet business objectives.
• Ensures coverage of all operating hours and the ability to work any Care Connections business hours including weekends and some holidays as needed. 
• May be required to travel as needed.
  

Required Qualifications

At least 8 years health care experience supporting clinical and contact center operational activities, or equivalent combination of relevant education and experience.

• At least 3 years health care management/leadership experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Experience with the use of clinical protocols such as Schmitt-Thompson.
• Comprehensive knowledge of clinical practice and risk management associated with nursing triage environment and populations served.
• Experience managing process improvement activities.
• Ability to work cross-collaboratively across a highly matrixed organization.
• Team building and conflict resolution skills.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
  
  

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $97,299 - $227,679 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.