Supervisor – RN Clinical

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🔥 1 hour ago

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UBC

1001 - 5000 employees

Founded 2003

🏥 Healthcare

💼 Consulting

🧬 Biotechnology

Healthcare • Consulting • Biotechnology

UBC is a company dedicated to improving patient outcomes by connecting specialty therapies to patients in need. They provide modern and customized solutions focusing on access, safety, and evidence generation for biopharmaceutical products. UBC specializes in evidence development, risk management, and patient access, utilizing real-world data and innovative technologies to optimize the healthcare journey and ensure effective medication use.

📋 Description

• Manage the daily operations of the clinical team in medical management operations • Maintain production metrics, service level agreements, contractual requirements, strategic targets, operational targets, and budgetary targets • Support future-state initiatives and development of clinical quality programs • Identify operational opportunities and areas for process development, improvement, and administration for clinical product offerings • Present recommendations to leadership • Supervise and coordinate daily activities of business support, technical support, or production teams • Set team priorities and coordinate work with other supervisors and managers • Monitor operational performance, quality measures, contractual requirements, policy and procedure execution, and clinical appropriateness • Administer clinical programs, including medical policy and utilization management processes, while maintaining contractual and regulatory compliance • Serve as an escalation point for complex issues • Provide department leadership through mentoring, auditing, productivity monitoring, and coaching • Correspond with management regarding employee/HR issues, department status, service issues, client issues, and legal-risk issues • Analyze reporting-data trends to maximize quality, efficiency, and productivity • Provide feedback on productivity and efficiency • Identify operational efficiencies, process and workflow improvements, and best practices • Travel as needed • Participate actively in in-person and virtual internal and external meetings • Supervise 1–20 direct reports

🎯 Requirements

• Bachelor’s degree in a relevant discipline or equivalent experience • 2–5 years of relevant experience, or a master’s degree • Registered Nurse License in good standing in the state in which you work and/or cross-licensed in other states • Telephonic nursing roles require a Compact State License in eligible states, with willingness to obtain a Compact State License when applicable • Telephonic nursing roles require a California State License, with willingness to obtain additional single-state licenses upon request • Solid PC navigation skills • Working knowledge of Microsoft Office • Excellent verbal and written communication and presentation skills • Solid understanding of the health insurance industry • Ability to navigate and support public and private insurance/plan requirements • Exposure to managed care • Understanding of, or ability to implement, utilization management principles • Proven leadership in a clinical operations environment • Ability to travel as needed • Supervisory experience with 1–20 direct reports

🏖️ Benefits

• Remote opportunities • Competitive salaries • Growth opportunities for promotion • 401K with company match* • Tuition reimbursement (after 90 days of employment) • Flexible work environment • Discretionary PTO (Paid Time Off) • Paid Holidays • Employee assistance programs • Medical, Dental, and vision coverage • HSA/FSA • Telemedicine (Virtual doctor appointments) • Wellness program • Adoption assistance • Short term disability (after 90 days of employment) • Long term disability • Life insurance • Discount programs

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