Clinical Operations Manager – Leave Management

Acentra Health, LLC•UNAVAILABLE, UNAVAILABLE

2d•Remote

About The Position

Acentra Health is looking for a Manager, Operations to join our growing team. The Clinical Operations Manager, Leave Management FML Administration Reviews, oversees the daily operations of clinical review and leave administration functions, ensuring timely, accurate, and compliant review of Family and Medical Leave (FML) requests and related documentation. This role leads and develops clinical review teams, drives operational excellence, monitors quality and productivity performance, and ensures adherence to regulatory requirements, organizational policies, and service-level commitments. The manager serves as a key liaison between internal departments, clients, healthcare providers, and other stakeholders, fostering effective communication, resolving escalated issues, and delivering operational insights and performance reporting to leadership. This position is responsible for implementing process improvements, maintaining audit readiness, and ensuring a high-quality customer and client experience while supporting organizational goals and business outcomes.

Requirements

Requires an active unrestricted RN or other applicable State and/or Compact State clinical license per contract requirements.
Public and private sector healthcare experience and/or has been involved in providing services to government or commercial programs.
Requires 5 years of clinical experience required.
Requires 3 years of utilization review experience required.
Ability to work within the company’s decision-making and organizational structure.
Skill in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
Knowledge of U.S. healthcare industry; preferably with experience in both public and private sector.
Demonstrated knowledge of Department of Labor (DOL) regulations, Family and Medical Leave Act (FMLA) requirements, and applicable leave administration practices.
Expertise in employee development and performance management skills.
Ability to analyze resources and environment appropriate to the scope of responsibility and design a course of action consistent with the company’s mission and strategic plan.
Demonstrated achievement in P&L management, operational process engineering, remote operations management, and new business development support.

Nice To Haves

Ability to successfully manage change and growth.
Knowledge of business development, strategic planning, tactical implementation, and creation of business partnerships.
Demonstrated expertise in managing differing customer needs.
Ability to participate as a team member fostering collaborative decision-making among leadership, committees, teams, or work groups of diverse composition.

Responsibilities

Coordinates and directs clinical operations and related programs and directly supervises clinical support staff.
Coordinates special programs such as automated outreach system and incentive plans.
Develops and maintains procedures and practices for accomplishing departmental or program goals and objectives.
Develops and monitors business and financial metrics related to the day-to-day operational success of the program; reports and measures progress toward operational goals through periodic reviews.
Coordinates all aspects of clinical operations including program coordination, scheduling, work plan management, status reporting and issue resolution tracking.
Assumes responsibilities for the Director, Operations in his/her absence.
Resolves program or department operations issues or delegates to the appropriate personnel or staff members for prompt resolution.
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.