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.