Clinical Operations Manager – Radiology

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

📋 Description

• Take full ownership of resolving clinical escalations from start to finish, addressing issues related to order processing, coding, protocol discrepancies, authorization challenges, facility capability limitations, and problems on the day of the appointment.

• Collaborate with ordering providers, imaging facilities, and payers to troubleshoot issues and ensure that members progress toward completing their appointments.

• Detect patterns in escalations and implement root-cause solutions within workflows, training, and product development.

• Serve as the primary escalation point for frontline teams regarding clinical inquiries during scheduling, order intake, and appointment coordination.

• Evaluate and enhance clinically informed operational workflows throughout the member imaging journey.

• Develop and deliver training on radiology fundamentals for internal teams.

• Assess and improve clinically accurate, easily understandable communication for both members and providers.

• Function as an embedded radiology subject-matter expert in relevant product development initiatives.

• Contribute to product requirements, review design specifications, and validate assumptions against clinical and operational practices.

• Assist in defining clinically accurate product logic, encompassing order-to-CPT mapping, appropriateness, and site-of-care routing.

⛳️ Requirements

• A minimum of 5 years of experience in radiology operations.

• Practical experience in both health system/hospital-based imaging and outpatient/freestanding imaging center settings.

• Comprehensive knowledge of order intake processes, CPT/ICD-10 coding, protocol management, prior authorizations, scheduling, preparation and contrast requirements, and ensuring appointment completion.

• Proficiency across MRI, CT, PET, ultrasound, X-ray, mammography, and DEXA imaging modalities.

• Capability to convey clinical knowledge to non-clinical audiences effectively.

• Strong instincts for managing escalations.

• Comfort in a rapidly changing and dynamic work environment.

• A builder's mentality with a strong sense of ownership.

• Preferred: Clinical or technical credentials such as RT(R), CT/MRI certification, RN, or experience in radiology practice management.

• Preferred: Background in radiology benefit management, utilization management, or imaging programs from a payer perspective.

• Preferred: Familiarity with RIS/PACS, HL7/FHIR order workflows, or imaging network operations.

🏝️ Benefits

• Equal Employment Opportunity employer.

• Accommodations for qualified individuals with disabilities during the recruitment process.