• Director, Clinical Operations

    Molina Healthcare (Phoenix, AZ)


    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.