- Optimize clinical provider staffing forecasting and processes, such as managing W2 and 1099 workforces and developing an onboarding guide.
- Oversee core operational processes like clinical capacity planning, licensing, credentialing, billing, and clinical operational KPIs.
- Manage credentialing and FFS billing team members and vendors.
- Collaborate with the Clinical team to establish frameworks for clinical success and quality management, including clinician scorecards and key operational metrics.
- Lead the creation, planning, and implementation of clinical tools, supporting the Product team in enhancing clinical efficiency and quality.
- Implement and oversee a flexible system for eligibility checks and patient communications regarding insurance coverage.
- Develop, manage, and communicate a comprehensive understanding of insurance coverage and benefit design by plan/market.
- Establish and maintain processes for communication and resolution with health plans regarding referrals, authorizations, eligibility, claims, etc.
- Create a process to collect patient financial responsibilities.
- Identify innovative methods to optimize revenue growth.
- Lead strategic cross-functional planning sessions for clinical care.
- 6-8 years of extensive operational experience, including creating, scaling, and running process improvements within a high-growth, fast-paced telehealth business.
- Expertise in operational building and management of end-to-end execution projects/programs across cross-functional partners.
- Proven experience in leading and managing teams, in cross-functional stakeholder leadership and direct people management.
- Strong executive communication skills, able to effectively communicate to various audiences in small and large group settings.
- Ability to set and maintain high performance standards, hold people accountable for deliverables, encourage team participation, and motivate others through a shared vision.
- Advanced data-analysis skills, capable of explaining technical information to non-technical audiences.
- Experience working autonomously in a fast-paced remote environment with minimal supervision.
- Experience in provider-sensitive roles requiring prompt, thoughtful responses.
- Highly organized with keen attention to detail.
- Ability to show strong initiative, sound judgment, discretion, and decision-making skills.
- Skilled at navigating ambiguity, leading through change, enthusiastic about start-up environments, and bringing structure to chaos.
- Proficiency in Excel, Google Workspace, and Slack.
- Knowledge of food and current nutrition trends and best practices in nutrition care is a plus.
- Residing in the United States of America.
- The salary range for this role is $165,000-185,000/year plus equity.
- Medical, dental, and vision benefits for you and dependents at no cost.
- Option to join a 401k plan.
- Flexible work arrangements, including unlimited PTO.
- An opportunity to utilize your skills to enhance nutrition and population health at a purpose-driven company.
- A stipend for customizing the tools needed for optimal performance.
- Fully remote work environment with regular in-person meetups.
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Director, Clinical Operations - South San Francisco, United States - Delson Talent Consulting
Description
Job Description
Director, Clinical Operations (Remote)
As the Director of Clinical Operations, you will have a key role in expanding our Client's network of licensed nutritionists and enhancing their clinical care delivery system, significantly impacting our Client's clinical practice growth. They need a strategic expert skilled in solving complex problems and communicating effectively, managing details through project management, modeling, and reporting.
This role reports to the VP of Finance and collaborates closely with the Clinical team and various departments within the organization to enhance operational efficiencies, allowing the Clinical team to focus on patient care.
About our Client
Our Client offers an integrated clinical nutrition solution that boosts engagement, outcomes, and cost savings across populations via a nutritional therapy platform. With a vast network of licensed nutritionists and a curated food market featuring national and local vendors, individuals and families are empowered to make informed, sustainable choices to enhance health outcomes and quality of life.
What You'll Do:
About You
Compensation and Benefits
Director, Clinical Operations professionals in South San Francisco
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Sanjay M. Satav
Sales & Business Development Manager
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Angelisa Marie Marie Letele
B.S. | Audiology Technician | Aspiring Audiologist