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Somerville, Massachusetts, United States Mass General Brigham Full timeAbout UsMass General Brigham is a not-for-profit organization committed to supporting patient care, research, teaching, and service to the community. As a leader in innovation, we strive to create a culture that empowers our employees to achieve their potential. Our values guide our decisions, actions, and behaviors, and we recognize success at every...
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Operating Room Nurse Manager
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Clinical Operations Manager
2 months ago
Mass General Brigham Health Plan is a leading healthcare organization that is committed to providing innovative solutions to our members. As a Senior Clinical Operations Manager, you will play a critical role in improving the focus and execution of our Clinical department.
Key Responsibilities:- Establish a framework for managing performance in the Clinical department
- Prioritize and vet key performance indicators across the department, including utilization management, quality, appeals and grievances, and pharmacy
- Develop targets that support company goals and regulatory requirements
- Identify industry benchmarks and convene stakeholders to monitor current state and discuss interventions
- Drive solutions to improve performance and establish departmental goals that support leaders in cascading to unit objectives
- Bachelor's degree with 5+ years' experience in Managed Care or Healthcare Administration
- Strong organizational and project management/operations responsibilities experience required, preferably in a healthcare setting
- Proficient with MS Office Suite
- Experience with process improvement activities
- Experience presenting to senior leaders
- A competitive salary and benefits package
- A hybrid work environment with opportunities for remote work
- Professional development opportunities and a supportive team environment
We are committed to fostering a diverse and inclusive workplace that values the unique contributions of every individual. If you are a motivated and experienced professional who is passionate about improving healthcare outcomes, we encourage you to apply for this exciting opportunity.
