What are the responsibilities and job description for the Director, Clinical Services - Work from Home position at NeueHealth?
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We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.
We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
SCOPE OF ROLE
The Director, Clinical Services is responsible for building a system-wide center of excellence for clinical operations. The role is responsible for overseeing clinical operations across assigned areas. The Director will partner cross functionally to develop clinical capabilities that integrate with the NeueHealth evolving care models and needs of the members.
ROLE RESPONSIBILITIES
This position has supervisory responsibilities.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.
We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
SCOPE OF ROLE
The Director, Clinical Services is responsible for building a system-wide center of excellence for clinical operations. The role is responsible for overseeing clinical operations across assigned areas. The Director will partner cross functionally to develop clinical capabilities that integrate with the NeueHealth evolving care models and needs of the members.
ROLE RESPONSIBILITIES
- Develop, sustain, and lead partnerships with key stakeholders in the Healthcare ecosystem to communicate and implement clinical operations and to achieve clinical performance goals
- Launch and sustain clinical operations in new markets, including establishment of market-specific clinical roadmaps with Care Partners that span the functions of health optimization (population health management, quality, coding performance, accreditation, pharmacy management, and data and analytics).
- Direct responsibility for the day to day clinical operations for assigned clients.
- Ability to collaborate with analytics to support the development and maintenance of the data governance structure for clinical outcome measures
- Works closely with Compliance to ensure appropriate operational responses to regulatory changes and ensures policy repository is updated based on state specific requirements or regulatory changes
- Responsible for the development of the system-wide learning management structure for clinical programs.
- Work closely with the Implementation Manager and/or Program Managers to inform on clinical program initiatives
- Adheres to the Policies and Procedures set forth by NeueHealth and performs all additional duties as assigned
This position has supervisory responsibilities.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
- Master's degree in nursing, Business, or other related Healthcare field preferred
- Minimum 10 years' experience in the population health management arena
- Experience managing a team in a remote work environment
- Experience in program development and management
- Active and unrestricted license as a Registered Nurse (RN)
Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Salary : $126,674 - $190,011
