
Clinical Operations Supervisor
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Arizona.
β’ Supervise healthcare management personnel and cultivate high-performing teams.
β’ Manage a non-clinical DE staff.
β’ Ensure uniformity in clinical interventions that support members.
β’ Achieve financial, operational, and quality goals of the unit.
β’ Oversee the execution of healthcare management services.
β’ Apply clinical policies and procedures in line with regulatory and accreditation standards.
β’ Guide the team on practice standards, quality of interventions, problem resolution, and critical thinking.
β’ Implement and assess best-practice approaches and innovations across the entire care continuum.
β’ Collaborate with key business sectors.
β’ Develop, assist in the creation of, and review training materials.
β’ Partner in delivering inter- and intra-departmental training sessions.
β’ Safeguard the confidentiality of member information.
β’ Manage resources for member identification, care-plan development and execution, medical appropriateness, quality of care, monitoring, evaluation, and documentation.
β’ Establish, initiate, oversee, and communicate performance expectations.
β’ Ensure the team comprehends and utilizes information-system capabilities and functionalities.
β’ May be responsible for managing an individual caseload.
β’ Act as a point of contact for customers and account teams, including attending customer meetings and supporting new-customer implementations.
β’ Engage in staff recruitment and hiring processes.
β’ Evaluate developmental needs and implement action plans to foster high-performing teams.
β’ Encourage teamwork, cross-product integration, and a continuum-of-care mindset.
β’ Lead change initiatives as an exemplary change agent.
β’ Promote a positive work atmosphere and acknowledge team contributions.
β’ Ensure adherence to policies and procedures.
β’ 3-5 years of clinical experience.
β’ At least 1 year of direct people leadership, supervisory, team lead, or management experience in a healthcare environment.
β’ An active Arizona (AZ) RN license is required.
β’ Authorized to practice in the state of Arizona.
β’ May occasionally need to travel to health fairs on weekends.
β’ Proficient in Microsoft Office applications (Word, Excel, PowerPoint, Outlook).
β’ Prior experience in managed care is preferred.
β’ Capable of evaluating and interpreting data, identifying areas for improvement, and focusing on interventions to enhance outcomes.
β’ Strong communication skills to effectively interact with providers, members, staff, and other leaders, both verbally and in writing.
β’ Registered Nurse Diploma or Associate's Nursing Degree is required.
β’ BSN is preferred.
β’ CVS Health bonus, commission, or short-term incentive program in addition to base salary.
β’ Medical coverage.
β’ Dental coverage.
β’ Vision coverage.
β’ Paid time off.
β’ Retirement savings options.
β’ Wellness programs.
β’ Additional resources supporting physical, emotional, and financial well-being, based on eligibility.
The Cigna Group
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