Director, Clinical Operations- Cleveland, OH

OptumHealth is one of the nation's largest health and wellness companies, and a true leader in the health care services and health financing arenas. We specialize in population health management solutions that address the physical, mental and financial needs of organizations and individuals. We provide health information and services to nearly 60 million Americans—educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals.

We are currently looking for a Director of Clinical Operations to join our team in Cleveland, OH. This individual will have responsibility for the North East Ohio team which has more than 2000 members and will function as a Chief Nursing Officer. They will be responsible for providing clinical oversight of 4 clinical services managers, 2 team leads, 2 clinical advisors and 30 nurse practitioners. This position is client facing with nearly 100 SNF business partners and is also revenue generating with the oversight of the clinical team.

Responsibilities:

Strategize, develop and direct operations of the health services department to ensure provision of high quality, cost-effective medical services

Responsible for the development and management to budget related to medical care, directs actions to control targeted costs for inpatient and outpatient services in conjunction with the site medical expense team

Ensure compliance with State and Federal regulations, compliance with company policies and procedures

Form internal and external strategic relationships which will support program expansion and continuing success

Provide leadership and guidance to a highly regarded senior leadership group

Required Education & Work Experience:

R.N. degree with active license

5+ years of demonstrated ability of providing leadership and supervision to a senior clinical staff

3-5 years leadership and management experience in an organization that serves the elder population

Experience with Medicare, Medicaid and managed care in a variety of health care settings

Preferred:

Masters degree prepared in nursing, health sciences, social services or business preferred

Required Knowledge, Skills, and Abilities:

Strong negotiation skills, budget management experience and regulatory knowledge

Leadership and management experience in effective team building and continuous quality improvement programs

Working knowledge and experience in cross-functional business segments and their integrated influences and relationships

Effective and experienced in motivating and mentoring others who are not in a direct reporting relationship

Up to 35% local travel required

Keywords: Director, Administration, Executive Director, Operations, Management.

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