- Manage and drive process for obtaining and renewing state licenses for providers using third party resources as needed
- Work with Nema's legal team to ensure Nema meets the corporate practice of medicine requirements for each new state the business enters
- Oversee Nema's credentialing functions to enable providers to practice with each contracted payer partner
- Own the provider recruiting and onboarding process with the goal of creating a differentiated employer brand among therapists
- Keep a close and quantifiable pulse on the clinical capacity modeling used to determine hiring needs based on patient volume and state footprint
- In partnership with the Clinical Director, optimize clinical efficiency of clinical team members while balancing the therapist experience
- Oversee the Admissions function, led by the Admissions Manager, to successfully and efficiently get new patients into care
- Run point on internal meetings and work streams related to Nema's "CareOps" system which is rooted in QI practices
- Collaborate with the clinical team to establish procedures and processes for consistent operations and positive patient/provider experience
- Monitor key performance indicators (KPIs) related to quality of care, and develop strategies for continuous improvement
- Conduct regular audits and assessments to identify areas for improvement and address any deficiencies in Nema's care program
- Oversee the billing function, ensuring accurate and timely processing of claims in compliance with billing regulations
- With the billing team, monitor revenue cycle performance and implement strategies to maximize revenue and minimize denials
- Provide strong leadership and direction to the Clinical Operations team, fostering a culture of accountability, collaboration, and continuous improvement
- Mentor and develop team members, providing guidance and support to help them reach their full potential
- Foster effective communication and collaboration across departments to ensure alignment with organizational goals
- 7+ years working in healthcare services with an understanding of the key stakeholders and major trends
- 5+ years in a Clinical Operations role overseeing multiple people or teams and driving operational excellence
- Affinity for and success in people management, and can inspire and lead teams
- Strong understanding of healthcare regulations, licensing requirements, and billing practices
- Highly organized and can work autonomously in an early company environment; has an affinity for managing work streams from start to finish and driving next steps
- Strong problem solver with a growth mindset; bias towards creating solutions that can scale and increase efficiencies
- Strong analytical skills and data driven; very comfortable with quantitative analysis
- Well rounded technical skills including high proficiency with Excel/Google Sheets and working with datasets and data visualization tools (e.g., Looker) for analysis
- Comfortable in a fast-paced environment, subject to rapid change and innovation
- Adept and efficient at navigating new platforms and learning new skills
- Outstanding interpersonal and communication skills, both written and verbal
- Passionate about the company's mission and operates from a company-owner mentality to make Nema successful
- Ability to travel approximately once a quarter for week long team meet-ups
- 4+ years working in mental healthcare services with familiarity of the trends in the behavioral health space
- 3+ years in a digital healthcare company with services that are delivered virtually
- 2+ years at an early stage startup (pre seed to series A for example)
- Clinical experience and ability to connect with clinical teams
- Demonstrated experience in building out Clinical Operations functions
- Experience with EHRs and/or CRMs
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Description
Job Description
Job DescriptionJob Description: Clinical Operations DirectorNema Health is a survivor and clinician led virtual center for PTSD & trauma care. Our mission is to guide trauma survivors at every step of their journey towards healing, starting first with the remote, intensive delivery of cognitive processing therapy (CPT).
Nema is seeking a Clinical Operations Director who will be the backbone of Nema's care program success as Nema looks to grow and scale with quality. The Clinical Operations Director will report to the COO, and work closely with the Chief Medical Officer, Clinical Director, Head of Product, and Operations team. This person will manage Practice Coordinators, Peer Navigators, Admissions Managers, and Billers.
At Nema Health, we offer employees an unparalleled career opportunity: each team member can focus on Nema's mission-driven goal while influencing the shape of the business in its early stages. If you thrive from being execution-oriented, enjoy thinking on the systems-level, bring creativity in building, and are passionate about helping trauma survivors, we invite you to apply.
Responsibilities:Build out the operations to expand footprint
Scale the size of the clinic
Deliver clinical services with quality as we scale
Sustain the clinical business financially
Lead the Clinical Operations team
Nema Health is a seed stage company backed by top healthcare VCs. This is a full time, exempt, salaried position reporting to the COO. Compensation will be determined by the candidate's experience, with a base salary range of $125,000-$150,000. The full-time compensation package will include competitive equity, unlimited PTO, a healthcare stipend, a 401(k) with matching, an annual work-from-home productivity stipend, an annual education stipend, and paid parental leave. This role is remote and the candidate can be located anywhere in the United States.
