Health Services Clinical Manager

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About Vheda Health

Vheda Health is a leader in virtual health engagement, dedicated to improving health equity for underserved populations. With over 10 years of experience and a strong national presence, our turnkey chronic care programs provide simple access to care from anywhere, helping health plans deliver better outcomes for their members.

We re Hiring a Health Services Clinical Manager to Join Our Team!

• Clinical Operations Management:
  Oversee the daily operations of the clinical department, ensuring smooth and efficient workflows. Develop and implement clinical policies and procedures to maintain high standards of care.
• Staff Management:
  Recruit, train, and supervise clinical staff, including nurses, clinical coordinators, and member advocates. Conduct performance evaluations, provide feedback, and facilitate professional development opportunities.
• Member Outreach Quality:
  Monitor and evaluate the quality of member outreach conducted by the clinical team. Implement quality improvement initiatives to enhance member outcomes and satisfaction.
• Compliance and Member Engagement:
  Ensure compliance with all relevant healthcare regulations, standards, and best practices. Perform routine quality chart and call audits to improve member outcomes and drive organizational success.
• Collaboration and Communication:
  Foster effective communication and collaboration among clinical staff and other departments (Member Experience Team, Shipping, Analytics and Leadership). Serve as a liaison between the clinical team and other stakeholders, including members and their care team, and external partners/supports (Client Partners).
• Technical Support Oversight:
  Oversee clinical team collaboration with technical support to ensure timely resolution of member or system issues.

Required

• Education: Master s degree in healthcare administration, public health, or related field.
• Experience: 7+ years of leadership in healthcare services, particularly clinical operations, managed care, or population health.
• Knowledge: Familiarity with chronic conditions, NCQA, HEDIS, case management, and utilization management.

Preferred Qualifications

• Proficiency in telephonic and remote work environments.
• Strong care coordination capabilities.
• Care/Case Management Experience or certifications.
• Experience in Urgent or Emergent care settings.
• Leadership and team management skills.
• Expertise in quality improvement and patient/member care.
• Knowledge of regulatory compliance.
• Effective resource management.
• Excellent communication and collaboration abilities.
• Oversight of technical support operations.

At Vheda Health, we invest in our team s wellbeing with a comprehensive benefits package:

• Compensation: Competitive salary within the published range plus performance bonus and equity opportunities
• Healthcare: Comprehensive medical, dental, and vision coverage
• Financial Security: 401(k) retirement plan, voluntary life insurance, short and long-term disability
• Work-Life Balance: Unlimited paid time off and 12 paid company holidays
• Community: Engaging team events and activities throughout the year

Base salary range: $68,000–$85,000 per year