Clinical Operations Manager

Lumeris•St. Louis, MO

23h

About The Position

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. Position: Clinical Operations Manager Position Summary: Responsible for ensuring the program management delivery of Primarily Home and Healthy House calls. Collaborates with cross-functional partners in the development and execution of clinical delivery operations including logistics, technology, partner engagement and relationships, clinic operations, scheduling and routing, patient engagement, program effectiveness, payer contracting, referrals, and program optimization in the market. Owns and is accountable for delivery results on all assigned programs or projects. Acts a subject matter expert and single point of contact.

Requirements

Bachelor's degree or equivalent
6+ years of related experience or the knowledge, skills, and abilities to succeed in the role (i.e., Project Management Office; Healthcare Management Consulting, equivalent position in the Healthcare Industry, etc.)
Administrative clinical operations experience
Significant proven success in overseeing multiple large complex health plan stand up or population health services organization client implementation programs, including delivery operational and/or technical solutions across multiple teams
Excellent project and program management skills with the proven ability to guide teams to meet performance metrics and deliver on time and within budget
Advanced understanding of program management methodologies (e.g. Agile, Waterfall, Scrum, Six Sigma)
Exceptional presentation, facilitation, written, and verbal communication skills with the ability to bring people to a common understanding and reach consensus
Top notch risk mitigation skills with the ability to identify and resolve imped impediments, develop detailed timelines, perform resource allocations and run team meetings
Proven ability to develop and execute complex collaborative strategic process redesign and performance improvement initiatives for optimized implementation delivery
Ability to craft a compelling message and tailor it for a given audience, including converting technical insights into simple, everyday language to deliver a story that is understandable
Executive presence with excellent interpersonal, data review, problem-solving, negotiating, influencing, facilitation, organizational, prioritization, and conflict resolution skills
Strong technical acumen with the ability to ensure that technical solutions, strategies, practices, and governance deliver business and customer value during implementation; Ample experience with Atlassian, Smartsheet, Salesforce, ServiceNow, and Tableau tools
Ability to develop metrics, collect and review data to identify root cause, and measure performance.
Demonstrated ability to effectively guide, support, motivate, and direct team members and internal/external partners to successfully achieve defined goals
Travel 25-50% to client site and other locations a directed by the business need

Nice To Haves

PMP (Project Management Professional) and/or PMI-ACP (Agile Certified Practitioner) Certification
Lean and/or Six Sigma at Green or Black Belt level certification

Responsibilities

Develops and fosters collaborative relationships with internal stakeholders, PCP Offices, vendors, and partners to establish priorities, effectively communicate and manage program expectations, and ensure overall success, including ensuring timelines, resourcing, and budget parameters are met.
Collaborates cross-functionally on operational planning, and implementation planning of the program to align with both Lumeris and client's vision and contractual delivery timelines.
Supervising patient and staff schedules
Supervising the patient registration process
Organizing and maintaining medical records and staff records
Improving customer service and patient satisfaction
Implementing and following office policies and procedures
Ensuring compliance with federal, state, and local regulations, including OSHA and HIPAA regulations
Planning staff meetings for clinical staff, non-clinical, and administrative staff
Training medical staff and conducting operational training
Coordinates and helps execute on referral workflows
Facilitates provider credentialing and licensure
Help coordinate and monitor payer contracting and market relationships with vendors
Partners with account management and clinical leadership to develop plans to meet key initiatives and targets.
Partners closely with client account partners to ensure collaboration with operational initiatives and implementations.