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General Manager, Clinical Services

General Manager, Clinical Services

QuikrRegión Centro, Jalisco, Mexico
Hace 4 días
Descripción del trabajo

The Role

Delivery / Operations

  • Manage clinical operations (Utilization Review, Physician Advisory, Clinical Denials and Appeals, CDI, etc.) with a group of clinicians and ensure in meeting or exceeding the customer SLAs such as production, quality, TAT, etc.
  • Collaborate with customers and internal stakeholders to execute process improvement initiatives
  • Leverage technology to improve process efficiency
  • Manage P&L across multiple sites in one country by optimizing budget and resource allocation in-line with guidance provided from vertical leads to reduce delivery costs
  • Act as interface between vertical leads and project manager to relay operational updates and organizational priorities
  • Monitor dashboards and performance reports, support project managers in handling critical escalations, and ensure implementation of changes in monitoring systems in collaboration with the software integration team
  • Create and implement business continuity and disaster recovery plans in coordination with the GRIC team
  • Manage operations across multiple cities in one country
  • Analyze staffing reports across projects and implement long-term initiatives to optimize resource utilization across sites, shifts, service offerings including buffer and bench management
  • Facilitate cross-functional collaboration between project managers and other departments (K&T, IT, Admin, transformation function) to streamline delivery
  • Drive implementation for operational efficiency improvement initiatives in coordination with process excellence team / transformation team identified by vertical leads, creating implementation roadmap, prioritizing teams / projects for implementation
  • Leadership and team management
  • Create a workplace that promotes a customer-centric, engaged, and inclusive culture that values collaboration, innovation, and high performance
  • Enable talent development in collaboration with talent management team by supporting implementation of identified training and coaching initiatives
  • Drive recruitment initiatives in coordination with the HR team, vertical leads to effectively counter attrition and manage talent mix in-line with market demand
  • Facilitate focused group discussions with a minimum of 30% of the team members every month Client management
  • Support vertical leads and customer success teams to grow existing accounts
  • Manage client relations with Customer Success to build promoters by addressing escalations, comprehending needs and providing timely support
  • Lead discussions with Customer Success in key meetings such as metrics reviews and escalation reviews; Lead MBR and support vertical leads in QBR calls and discussions
  • Track regulatory changes, key market trends to add value to client conversations, support clients to determine and pursue priorities

Ideal Profile

Academic and professional background

  • Healthcare Operations : 11 years in leadership roles managing clinical support functions (e.g., revenue cycle, clinical
  • documentation)
  • Academic Qualifications : Bachelor’s degree in healthcare administration, business administration, public health, or clinical discipline. OR a candidate with a Medical Degree (MD) from a recognized university, a Master’s Degree : MHA, MBA, MPH, or a master’s in nursing administration
  • Clinical Knowledge : Experience as a licensed clinician (e.g., MD, nurse or allied health professional)
  • Financial and P&L Management : Proven experience optimizing budgets, managing costs, and handling P&L across multiple sites
  • Process & Project Management : Expertise in process improvements, project management, service line expansion and experience with Lean Six Sigma or similar methodologies
  • Client & Stakeholder Management : Track record in managing client relationships and improving satisfaction
  • Talent Leadership : Experience leading large teams, managing talent development, and addressing workforce challenges like attrition
  • Regulatory Knowledge : Familiarity with healthcare compliance and data privacy regulations (e.g., HIPAA).
  • Competencies, skills, and other requisites

  • Subject matter expertise in at least one scope / process in clinical services (such as Utilization Review, Physician Advisory, Clinical Denials and Appeals, CDI, etc.)
  • Service delivery leadership and strategic thought leadership to grow business
  • Client and internal stakeholder management
  • Problem solving ability and analytical skills
  • Team management and interpersonal skills
  • Attention to detail and concern for accuracy
  • Strong time management skills and multi-tasking ability
  • Proficient in written and spoken English
  • Integrity and personal work ethics
  • What\u2019s on Offer?

  • Leadership Role
  • Flexible working options
  • Opportunity to make a positive impact
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    General Manager • Región Centro, Jalisco, Mexico