SVP Clinical Ops
Experience: Job Code: REQ-018067
Sagility
Work@Home USA
job Details
Job title
SVP Clinical Ops
About Sagility
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Job Description:
Education:
Current, unrestricted RN license issued by a state or jurisdiction of the United States to practice nursing. May be required to obtain RN licensure in up to 50 states (beyond home state)
Experience:
15+ years’ experience with the management of nursing/clinical personnel, senior-level management experience (required)
10+ years’ experience in care management (disease management, case management)
Experience working with URAC and NCQA accreditation standards and survey process.
Knowledgeable of State licensure and UM compliance standards
Mandatory Skills:
Experience with 24/7 operations and nurse advice line highly desirable
Excellent leadership skills, i.e., creating department vision and developing tactical plans to execute on vision; staff development; personnel management; and development of goals and metrics
Excellent people skills, able to work well with internal and external customers
Strong business skills and understanding of business models
Strong verbal and written communication skills.
Demonstrates sound analysis, problem solving and decision-making skills
Demonstrates ability to analyze and interpret data to develop and implement action plans
Demonstrated understanding of QA / QI practices
Experience in outsourcing preferred
Roles & Responsibilities:
Responsible for delivering highly efficient programs while meeting margin requirements.
Operations Personnel Management: Responsible for the development and oversight of the management staff, who in turn are responsible for the supervision of the staff across Sagility LLC. Provides oversight to significant staff issues, e.g., hiring plans, Human Resource needs, terminations.
Operations Program Management: Develops strategic and tactical plans to ensure client/program expectations are achieved. Will direct teams in the execution of these plans. Will support client specific initiatives, projects, meetings, etc.
Operations Performance Management: Provides leadership to all teams by developing strategic initiatives and tactical plans to ensure staff delivering services meet the required standards in quality, productivity, and professional conduct.
Operations Leadership: Actively participate as a member of the Operations Management Team, providing support to the Operations organization and participating in or leading initiatives to move functions forward.
Responsible for support of strategic plan for their business or functional operational area
Reinforces and links the corporate 3-5-year strategy for organization
Responsible for talent assessment, development, placement, and bench development
Responsible for understanding other senior leader goals, objectives and strategies and supporting them as appropriate
Establishes functional and departmental goals and objectives that drives and improves business performance
The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job. Employees in this job may perform other duties as assigned
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