Clinical Operations Manager – Radiology

🔥 15 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Clinical Operations

👻 Ghost score 25%

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Logo of OneImaging

OneImaging

1 - 10 employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

OneImaging is the nation's leading comprehensive radiology care management platform, dedicated to drastically reducing the cost of medical imaging. By providing transparent pricing and seamless integration with insurance plans, OneImaging enables its members to access imaging services that are typically 80% cheaper than the national average. The company offers nationwide coverage with over 4,800 accredited centers and aims to make diagnostic imaging an affordable employee benefit. By focusing on prevention, detection, and diagnostics, OneImaging helps in the early diagnosis of chronic diseases, ultimately reducing healthcare costs and improving patient outcomes.

📋 Description

• Own resolution of clinical escalations end-to-end, including order processing and coding issues, protocol mismatches, authorization complications, facility capability gaps, and appointment-day problems • Partner with ordering providers, imaging facilities, and payers to resolve issues and keep members moving toward appointment completion • Identify escalation patterns and drive root-cause fixes into workflows, training, and product • Serve as the escalation point for frontline teams on clinical questions during scheduling, order intake, and appointment coordination • Review and refine clinically informed operational workflows across the member imaging journey • Build and deliver radiology fundamentals training for internal teams • Review and refine clinically accurate, plain-language member and provider talk tracks • Act as an embedded radiology subject-matter expert for product development when relevant • Inform product requirements, review designs, and pressure-test assumptions against clinical and operational practice • Help define clinically correct product logic, including order-to-CPT mapping, appropriateness, and site-of-care routing

🎯 Requirements

• 5+ years of experience in radiology operations • Hands-on exposure across health system/hospital-based imaging and outpatient/freestanding imaging center environments • Deep working knowledge of order intake, CPT/ICD-10 coding, protocoling, prior authorization, scheduling, prep and contrast requirements, and appointment completion • Fluency across MRI, CT, PET, ultrasound, X-ray, mammography, and DEXA modalities • Ability to translate clinical knowledge for non-clinical audiences • Strong escalation management instincts • Comfort operating in a fast-moving, dynamically changing environment • Builder's mentality and high ownership • Preferred: Clinical or technical credential such as RT(R), CT/MRI certification, RN, or radiology practice management background • Preferred: Experience with radiology benefit management, utilization management, or payer-side imaging programs • Preferred: Familiarity with RIS/PACS, HL7/FHIR order workflows, or imaging network operations

🏖️ Benefits

• Equal Employment Opportunity employer • Accommodations for qualified individuals with disabilities in the recruiting process

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