Site: Mass General Brigham Health Plan Holding Company Inc.
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Job Summary
The Clinical Operations Manager will work closely with the Director Clinical Performance Strategy & Support to manage vendor operations and strategic and high-visibility initiatives within the Clinical department.
Essential Functions
-Manage vendor relationships for the Clinical department by establishing clear ownership and decision-making frameworks (e.g. RACI charts) and by developing and implementing processes for monitoring Clinical vendor performance on a recurring basis.
-Work collaboratively with Clinical teams to ensure vendors meet operational needs; support process improvement activities involving vendors as needed and ensure vendors meet regulatory contractual and business needs including supplying required data for reporting in a timely manner.
-Manage cross-team high-profile clinical strategic initiatives by creating and managing tracking tools to assess progress and risks of clinical initiatives and ensure initiatives are completed on time and within scope and budget.
-Communicate progress status and risks of initiatives to Clinical leadership and cross-functional stakeholders as needed/appropriate.
-Model and promote operational excellence within the department. Work with the Director to design and implement best practices and improvement activities within the department.
Education
Experience
- At least 3-5 years of Managed Care Healthcare Administration or related field required
- Familiarity with HEDIS and Health Equity Accreditation experience is highly preferred
Knowledge Skills and Abilities
- Highly proficient in Microsoft Office and similar applications
- Strong project management skills with the ability to prioritize and manage multiple tasks and deadlines.
- Strong communication and interpersonal skills to effectively collaborate with stakeholders at all levels.
Additional Job Details (if applicable)
Working Conditions
- This is a hybrid role with occasional team meetings at the office roughly 1x/month
Hybrid
399 Revolution Drive
40
Regular
Day (United States of America)
Pay Range
$78000.00 - $113453.60/Annual
Grade
7
At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
Mass General Brigham Health Plan Holding Company Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.