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Position:Clinical Operations Director

Position Summary:Serves as a client facing clinical operations subject matter expert and will play a key role in connecting the evaluation, design, and deployment of new and existing clinical programs and supporting the execution of our value-based clinical models. Owns the results and is responsible for connecting all clinical workstreams to the clients and overall strategy. Supports clinical initiatives in collaboration with the CMO and in-market teams. Collaborates cross-functionally to help navigate and define priorities on behalf of each clinical workstream.

Job Description:

Primary Responsibilities

Has ownership and full accountability for all clinical workstreams.  Acts as the client-facing single point of contact to streamline communications.Supports clinical assessment of client's current state and identify high-value opportunities and needs for operational success in a value-based model of care.Provides expertise that is critical to establishing client strategy based on client specific information.Works in partnership with health system client to achieve successful implementation of clinical programs.Understands interdependencies of all clinical improvement initiatives.Participates in multiple client engagements in parallel, representing all clinical operations initiatives, and establishing courses of action in complex and undefined situations that may not be addressed by existing policies, procedures, or protocols .Collaborates with multiple departments within Lumeris relating to innovation, quality, and process improvement to impact best practice and knowledge sharing.Helps define and support clinical workstream analytics needs and key performance indicators to measure outcomes and success of clinical programs.Grows credibility and maintains strong professional relationships with client and internal partners as the clinical operations central point of contact through regular contact during course of engagement.Supports department projects, program development, and other tactics as needed.

Qualifications

Bachelor's degree or equivalent 12+ years of relevant clinical experienceSignificant experience in a Healthcare space related to value-based care Experience with clinical program development, health care practice operations, quality management, and performance improvement  Advanced knowledge of Accountable Care Organizations, Medicaid, Medicare, and/or Commercial populationsHighly skilled at policy, procedure, and clinical content developmentExpert knowledge of value-based care models and clinical programs such as disease management, case management, pharmacy management, and quality improvement programs Highly skilled and experienced in consulting, services or population health organizations with a proven ability to foster partner relationships and achieve change within another organization from assessment through implementationProven ability to translate complex clinical and operational concepts into a cohesive, visual storyAbility to rapidly learn and adapt to ambiguous environments and clientele with quickly changing priorities and timelinesStrong history of quickly building relationships, gaining credibility, influencing, and partnering with business and clinical leaders and peers across the organizationProven ability to partner cross-functionally, own/guide workstreams in a matrixed environment, strengthen and deliver on our agenda, and yield positive change in a high performance settingsExcellent presentation and facilitation skills in both large and small scale settingsExcellent written and verbal communication skills and the ability to communicate/collaborate effectively with all levels internally and externallySkilled at program, project, or people leadership with the ability to indirectly guide, coach, mentor, support, and develop a diverse teamWillingness to travel up to 50%, significantly less if located in client market#LI-REMOTE

Working Conditions

While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$113,800.00-$154,525.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position: No- Not Member or Patient Facing Position

Location:United States

Time Type:Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.