Manager of Clinical Support Operations

The Manager, Clinical Support Operations owns and oversees Clinical Support Operations delivery to core Clinical Operations departments at Healthfirst. The Manager is primarily responsible for managing a team of Clinical Support Operations employees who provide ongoing administrative support for various enterprise stakeholders. The Manager is responsible for monitoring and ensuring administrative operational tasks are consistently aligned with the needs of its stakeholders.

Duties & Responsibilities:

• Manages Support Operations employees such as Team Leads, Sr. Support Specialists, and Coordinators to ensure compliance with regulatory requirements and defined performance standards
• Collaborates with CM, UM, and BH leadership to identify and execute on opportunities for administrative support such as but not limited to managing CM caseloads, managing and validating audit documentation, and managing the organizational case list in support of the Uniform Assessment System for New York (UAS-NY)
• Serves as liaison between Support Operations and other core clinical operations units to ensure support services align with stakeholder expectations, service level agreements and performance targets
• Oversees the analysis, organization, and execution of work efforts- both standard and special in support of core Clinical Operations departments teams as appropriate
• Analyzes internal processes and implements operational and/or policy changes to improve effectiveness and efficiency of teams and deliverables
• Balances multiple concurrent priorities in a dynamic environment
• Additional duties as assigned

Minimum Qualifications:

• Associate Degree from an accredited institution or equivalent work experience
• Leadership experience in an operations environment
• Experience leading staff development and performance
• Work experience requiring written and verbal communication that is clear, concise, grammatically correct, and professional
• Experience analyzing workflows, identifying opportunities for improvement and implementing solutions
• Project management experience

Preferred Qualifications:

• Bachelor’s Degree
• Experience in managed care industry with advanced knowledge of healthcare regulations
• Experience collaborating with clinical professionals (e.g., nurses and medical directors)

Compliance & Regulatory Responsibilities: Noted Above

License/Certification: n/a 

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [email protected] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services,  LLC.

Know Your Rights

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst.  Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430

• All Other Locations (within approved locations): $88,700 - $131,920

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.