Clinical Operations Manager

🔥 0 minutes ago

🇮🇳 India – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

🏥 Clinical Operations

👻 Ghost score 10%

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Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

🤝 B2B

🏥 Healthcare

☁️ SaaS

💰 $22.5M Post-IPO Secondary - Alight Solutions on 2023-08

B2B • Healthcare • SaaS

Alight Solutions is a leading benefits administration provider that delivers health, wealth, leave, and related HR point solutions for large organizations and their employees. The company helps manage benefits administration and human capital-related processes for enterprises, serving many of the world’s largest organizations and over 30 million people. Alight also emphasizes product and technology roles, corporate sustainability, total rewards, and a focus on transforming lives and organizations by maximizing health, financial and work wellbeing.

📋 Description

• Manage a team of clinical case managers supporting STD, FMLA and LTD • Lead, motivate and develop assigned clinical case manager staff • Assess and monitor workload capacity and efficiency • Assess and measure staff performance and set appropriate goals • Conduct mid-year and annual performance evaluations • Communicate expectations, goals, deadlines and team results • Monitor personnel issues and work with Human Resources as needed • Coordinate clinical case management support across Alight’s book of business • Conduct clinical audits and provide feedback and mentoring • Coordinate corrective actions with clinical leaders • Support operations claim teams by monitoring and resolving escalated customer complaints related to clinical issues • Reinforce return-to-work best-practice protocols and workflows • Assist with overflow clinical reviews upon request • Conduct side-by-side listening/shadowing and coaching with team members • Collaborate on highly complex, high-profile disability and escalated claims • Conduct clinical round tables to determine functional impairment based on medical signs, symptoms and essential job functions • Reinforce best-practice claim review methodology according to medical disability guidelines

🎯 Requirements

• Bachelor's degree or equivalent experience • Overall experience of 8+ years • RN license • 1–3 years minimum of clinical experience • Minimum of 5 years of experience in disability management and/or managed care • 2+ years of supervisory experience • Unrestricted state clinical licensure • Superior clinical case manager skills and eagerness to function in a leadership role • Strong teaching or mentorship skills • Advanced problem-solving and analytical skills • Excellent written and verbal communication and relationship-building skills • Superior ability to work in a team setting • Ability to communicate complex information in a mentoring/training situation • Strong organization skills, time management and follow-through • Strong presentation skills • Ability to work in evening/night shift • Work authorization in the employing country without current or future visa sponsorship requirement • Successful completion of a background check, as applicable to the position

🏖️ Benefits

• Comprehensive total rewards package • Continuing education and training • Health coverage options • Wellbeing and support programs • Retirement plans • Vacation leave • Sick leave • Maternity leave • Paternity leave • Adoption leave • Voluntary benefit options • Reasonable accommodations for disabilities and sincerely held religious beliefs, practices and observances