Behavioral Health Clinical Operations Manager

atThe Cigna GroupRemoteUS flagUnited StatesFull-timeClinical OperationsMid-levelSenior$94.7k – $157.9k/year

Posted 1 day ago

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee designated clinical operations programs and teams.

• Offer operational leadership for Behavioral Health programs and related workflows, which include care coordination, referrals, and support for patients and providers.

• Create, execute, and manage clinical-program workflows, procedures, performance metrics, escalation pathways, and operational controls.

• Guide, mentor, and develop clinical and operational team members through coaching, performance management, goal setting, professional growth, and accountability.

• Collaborate with Behavioral Leaders, Nursing, Medical Affairs, Operations, Product, and Technology teams.

• Identify root causes, remove unnecessary manual tasks, and develop sustainable solutions.

• Establish, monitor, analyze, and report on operational and clinical performance metrics.

• Lead teams through the implementation of new programs, technological changes, workflow redesigns, and organizational initiatives.

• Offer leadership and decision-making support for complex patient, provider, and workflow escalations.

• Ensure that operations align with organizational policies, clinical standards, regulatory and privacy requirements, as well as applicable best practices.

• Assist with staffing, scheduling, workload management, and resource planning.

• Develop and implement onboarding, training, job aids, procedures, and related resources.

• Provide leadership during urgent operational events, system outages, and workflow disruptions.

• Lead or engage in cross-functional initiatives and special projects.


⛳️ Requirements

• Robust operational and systems-thinking capabilities.

• Experience in process improvement, workflow design, program implementation, and change management.

• Strong leadership and performance management skills.

• Ability to handle multiple programs, priorities, and stakeholders effectively.

• Excellent analytical skills and capacity to utilize operational data and performance metrics.

• Outstanding written and verbal communication abilities.

• Strong skills in cross-functional collaboration, influencing, and relationship management.

• Ability to independently recognize issues, investigate root causes, develop recommendations, and drive solutions.

• Understanding of healthcare operations, patient care coordination, clinical workflows, and healthcare regulatory requirements.

• Familiarity with electronic medical records and care management platforms.

• Proficient in Excel.

• Internet connection via cable broadband or fiber optic service with a minimum of 10 Mbps download/5 Mbps upload speed.

• A Bachelor’s degree in a relevant field or equivalent relevant healthcare operations experience will be considered.

• Proven experience in healthcare or clinical operations, behavioral health operations, care coordination, or a similar healthcare setting.

• Previous leadership experience with accountability for people, programs, workflows, or operational performance.

• Demonstrated experience in enhancing processes, implementing workflows, or managing healthcare programs.


🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical, vision, and dental insurance benefits.

• Well-being and behavioral health programs.

• 401(k) retirement plan.

• Company-paid life insurance.

• Tuition reimbursement.

• A minimum of 18 days of paid time off annually.

• Paid holidays.

• Leaves of absence.

• Reasonable accommodations for disabilities.

• Requirement for cable broadband or fiber internet for remote work.

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