Director, Clinical Operations

Job Description
Job Summary

The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team.

Job Duties

• Directs all Clinical Contact Center operations

• Implements direction and performance standards for multiple lines of business to assure that service targets are achieved.

• Manages and evaluates the performance of various clinical management activities.

• Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met.

• Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements.

• Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives.

• Develops standardized methods of improving production, quality, and efficiency

• Ensures partners receive support for operational issues.

• Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure.

• Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget.

• Engaged in clinical training activities and outcomes.

• Determines clinical and quality measures for success.

• Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input.

• Ensures monthly auditing is occurring with appropriate follow-up.

• Utilizes excellent verbal and written communication skills

• Utilizes advanced teambuilding and conflict resolution skills

• Performs other duties as required

Job Qualifications

REQUIRED EDUCATION:

Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

• Minimum 7 years' experience in a healthcare environment with directly transferable skills highly preferred.

• Minimum 7 years' experience performing supervisory/management work including Clinical Operations.

• Experience with Contact Center operations.

• Experience managing professional staff in a clinical Contact Center.

• Experience managing process improvement activities.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

Active, unrestricted State Registered Nursing (RN) license in good standing

PREFERRED EXPERIENCE:

• 9 years' experience in a healthcare environment with directly transferable skills highly preferred
• 9 years' experience performing supervisory/management work including Clinical Operations.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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.