
Clinical Operations Manager – Virtual Primary Care
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in United States.
• Oversee the virtual primary care practice from start to finish, ensuring that all scheduled patients are attended to.
• Track appointment activities, provider delays, patient connections, and missed appointments, addressing issues in real time.
• Ensure adequate staffing coverage during peak hours and organize breaks, lunches, and absences effectively.
• Facilitate daily team meetings and manage shift transitions.
• Take ownership of visit, technology, and patient escalations until resolution, while addressing root causes.
• Implement staffing plans, reallocate staff, modify breaks and lunches, and redirect coverage as needed.
• Oversee schedule adherence, shift swaps, same-day absences, and planned overtime.
• Provide workforce operations with intraday staffing insights to enhance forecasting.
• Engage in interviewing, selection, onboarding, and identifying coverage gaps.
• Manage incoming calls, outgoing outreach, and text messaging communications.
• Collaborate with technology teams regarding phone and messaging systems.
• Promote appointment scheduling and ensure visit completion.
• Maintain performance metrics, identify trends, quantify impacts, and suggest actionable measures.
• Establish productivity and quality benchmarks; mentor supervisors on performance, documentation, and responsibility.
• Ensure workflows comply with clinical standards, HIPAA, and health plan requirements, supporting audits and reporting.
• Design, document, test, and instruct staff on new workflows.
• Lead, develop, and hold supervisors accountable; build team strength and clarify role boundaries.
• Manage employee retention, turnover, satisfaction, and engagement.
• Cultivate a connected and recognized remote-team culture.
• Required healthcare background, with direct experience in a clinical, medical practice, or patient-facing healthcare environment.
• Experience in a virtual care practice or contact center setting is necessary.
• Ability to manage multiple concurrent workflows, including daily operations, escalations, reporting, and project management.
• A minimum of 3 years of leadership experience, including managing supervisors or team leads in a clinical or high-volume service environment.
• Proven experience managing coverage, adherence, and real-time staffing decisions against a published schedule.
• Demonstrated success in staff retention and reducing turnover rates.
• Proficient in building and interpreting operational reports in Excel or dashboard formats.
• Familiarity with electronic health record systems, practice management tools, telehealth platforms, and patient communication systems.
• Understanding of HIPAA, patient privacy, and healthcare compliance obligations in a remote work context.
• Availability for extended hours, including rotating weekend and holiday shifts.
• Must use a Windows or Apple macOS computer; Chromebooks, Linux machines, or smartphones are not permitted.
• Minimum system requirements include Windows 10 or macOS 14 Sonoma, Intel Core i5 or AMD equivalent processor for Windows, or Apple Silicon for Mac, and 16 GB RAM.
• Wired headphones are mandatory; built-in microphones are not allowed.
• Minimum internet speed of 100 Mbps download and 50 Mbps upload is required.
• An Ethernet cable must connect the computer directly to the router.
• Google Chrome with Amazon Workspaces is required.
• A webcam is necessary for video calls.
• Reliable internet connectivity and a secure, private workspace are essential.
• Preferred qualifications include an active or previously held RN, LPN/LVN, or certified MA license or certification.
• Preferred: experience with Medicare Advantage or health plan quality programs.
• Preferred: experience in a growing healthcare organization.
• Remote work from a home office.
• Flexible and extended hours with rotating weekend and holiday coverage.
• Equal opportunity and inclusive work environment.
The Cigna Group
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