Behavioral Health Clinical Operations Manager

Job not on LinkedIn

🔥 13 minutes ago

🇺🇸 United States – Remote

💵 $94.7k - $157.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Clinical Operations

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Lead assigned clinical operations programs and teams • Provide operational leadership for Behavioral Health programs and workflows, including care coordination, referrals, and patient and provider support • Design, implement, and manage clinical-program workflows, procedures, performance measures, escalation pathways, and operational controls • Lead, mentor, and develop clinical and operational team members through coaching, performance management, goal setting, professional development, and accountability • Collaborate with Behavioral Leaders, Nursing, Medical Affairs, Operations, Product, and Tech • Identify root causes, eliminate unnecessary manual work, and develop sustainable solutions • Establish, monitor, analyze, and report operational and clinical performance metrics • Lead teams through new programs, technology changes, workflow redesigns, and organizational initiatives • Provide leadership and decision support for complex patient, provider, and workflow escalations • Ensure operations comply with organizational policies, clinical standards, regulatory and privacy requirements, and applicable best practices • Support staffing, scheduling, workload management, and resource planning • Develop and implement onboarding, training, job aids, procedures, and related resources • Provide leadership during urgent operational events, system outages, and workflow disruptions • Lead or participate in cross-functional initiatives and special projects

🎯 Requirements

• Strong operational and systems-thinking skills • Experience with process improvement, workflow design, program implementation, and change management • Strong people leadership and performance management skills • Ability to manage multiple programs, priorities, and stakeholders • Strong analytical skills and ability to use operational data and performance metrics • Excellent written and verbal communication skills • Strong cross-functional collaboration, influencing, and relationship management skills • Ability to independently identify problems, investigate root causes, develop recommendations, and drive solutions • Understanding of healthcare operations, patient care coordination, clinical workflows, and healthcare regulatory requirements • Familiarity with electronic medical records and care management platforms • Proficiency with Excel • Internet connection through cable broadband or fiber optic service with at least 10 Mbps download/5 Mbps upload • Bachelor’s degree in a relevant field or equivalent relevant healthcare operations experience will be considered • Demonstrated experience in healthcare or clinical operations, behavioral health operations, care coordination, or a related healthcare environment • Previous leadership experience with responsibility for people, programs, workflows, or operational performance • Demonstrated experience improving processes, implementing workflows, or managing healthcare programs

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Reasonable accommodation for disabilities • Cable broadband or fiber internet requirement for home working