Senior Manager Clinical Program Transplant/High Cost Case

4 weeks ago

Dublin, Ohio, United States quantum-health Full time
Senior Manager Clinical Program Transplant/High Cost Case at quantum-health summary:
The Senior Manager Clinical Program for Transplant and High Cost Case oversees the execution, design, and effectiveness of specialized healthcare services aimed at managing complex patient cases. This role involves acting as a Subject Matter Expert (SME), ensuring compliance with regulatory standards, and collaborating with clinical leadership to achieve patient care goals. The manager will also mentor staff, evaluate program outcomes, and support organizational objectives in a dynamic healthcare environment.
Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we're on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that's why we call ourselves Healthcare Warriors.
We're committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you're excited about this position, we encourage you to apply – even if your experience doesn't match every requirement.
The Manager Clinical Program, Transplant and High Cost Case is responsible for working in partnership with Clinical and Pod Operations to ensure consistency and provide oversite of Transplant and High Cost Case department activities within Quantum Health's clinical model. This position will function as Subject Matter Expert (SME) for all transplant and high cost case services and will work in conjunction with clinical leadership to meet the transplant and high cost case clinical initiatives, outcomes, and performance goals for this service. 
Ensure compliance with relevant regulatory requirements.
Assist with day-to-day problem-solving, Q&A, and protocol guidance for staff.
Promote a focus on quality, consistency, and effectiveness.
Support staff performance management and coaching efforts, as needed.
Facilitate regular team discussions that reinforce key needs/expectations/initiatives, promote an awareness of program and staff performance, and provide a forum for Q&A.
Participate in interviewing, onboarding and orientation of new staff, as needed.
Partner with leaders to manage the placement and assignments of staff.
Minimum of 2 years of clinical program management or supervisory experience preferred
Possess excellent time management skills
Ability to work independently with minimal supervision
Protect and take care of our company and member's data every day by committing to work within our company ethics and policies
Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily.
#Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.

Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more
Process: Application Phone Screen Online Assessment(s) Interview(s) Offer Background Check.
Diversity, Equity and Inclusion: Quantum Health welcomes everyone. Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
Compensation details published by job boards are estimates and not verified by Quantum Health. Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.
Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.
To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. clinical program manager, transplant services, healthcare navigation, high cost cases, program oversight, clinical effectiveness, patient care management, healthcare compliance, health services, registered nurse

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