Talent.com
Senior Manager, Clinical
Senior Manager, ClinicalOscar Health • Riverside, CA, US
[error_messages.no_longer_accepting]
Senior Manager, Clinical

Senior Manager, Clinical

Oscar Health • Riverside, CA, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Senior Manager, Clinical

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family.

About the role :

You will drive clinical performance within their own department and the departments they serve. You will collaborate cross-functionally with all levels of leadership to propose initiatives to drive the achievement of department and organizational objectives. You will lead and grow clinical teams through direct leadership of leaders and front-line staff, implementing processes and leveraging performance data to move department objectives forward.

You will report into the Associate Director, Clinical.

Work Location : This is a remote position, open to candidates who reside in : Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency : The base pay for this role is : $119,200 - $156,450 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities :

  • Review and maintain, based on regulatory, accreditation, and organizational requirements, policies and procedures defining the completion of all department functions to ensure they meet the needs of our members, providers and internal / external stakeholders.
  • Ensure team work is completed within established in accordance with department policies and procedures, regulatory and accreditation requirements.
  • Monitor team performance. Engage with MDI, and understand leading / lagging measures across throughput and clinical outcomes.
  • Analyze data to identify performance trends / opportunities for improvement and ensure they are aligned to overall strategy.
  • Work with data analytics to ensure productivity and quality data provides actionable insights on team / individual performance against goals.
  • Drive a culture of accountability and recognition that aligns with department objectives and increases employee engagement.
  • Provide coaching, development and performance management to frontline staff and leaders, evaluating performance against goals throughout the year.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements :

  • Bachelor's degree in Nursing (RN) or Master Degree in Social Work
  • 6+ years of experience in healthcare, science, related field, or medical assistance in a payer or healthcare setting
  • 5+ years experiencing managing / overseeing employees in a healthcare setting
  • 3+ years of experience working in production / operations including case prioritization / case triage
  • 1+ years leading process improvement initiatives or large scale projects
  • Working knowledge of NCQA and state / federal regulatory requirements for the areas served by the team
  • Bonus points :

  • Proficiency using case ticketing systems such as Jira, Medecision, and / or Appian to prioritize and document team activities.
  • Proficiency in creating and working with Google Sheets, Slides, Docs and using applications to create presentations to stakeholders, and senior leadership.
  • Experience communicating with senior leadership in a live (virtually or in-person) setting or by email or electronic communication.
  • Strong computer literacy, able to work effectively in multiple platforms
  • Experience performing quality of care investigations or quality auditing for a healthcare organization.
  • Experience leading employees and presenting to large groups in a virtual environment.
  • Experience implementing process improvement strategies / Lean Six Sigma
  • [job_alerts.create_a_job]

    Senior Manager Clinical • Riverside, CA, US

    [internal_linking.similar_jobs]
    Home Health Clinical Manager

    Home Health Clinical Manager

    Pathwell Health • Fontana, CA, United States
    [job_card.full_time]
    A home health clinical manager is responsible for overseeing and managing the clinical operations of a home health agency. This role requires a strong background in healthcare, as well as excellent ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Dialysis Clinical Manager Registered Nurse - RN

    Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Care Holdings, Inc. • Colton, CA, United States
    [job_card.full_time]
    As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-k...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Pharmacist III - Critical Care Specialty / PGY-1 Residency Director

    Clinical Pharmacist III - Critical Care Specialty / PGY-1 Residency Director

    Riverside University Health System • Riverside, CA, United States
    [job_card.full_time]
    Riverside University Health System - Medical Center.Clinical Pharmacist III - Critical Care Specialist, who will also serve as the PGY-1 Pharmacy Residency Director. Residency training is required f...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Visionary Medical Director, Psychiatry

    Visionary Medical Director, Psychiatry

    Association of American Medical Colleges • Riverside, CA, United States
    [job_card.full_time]
    A medical institution is seeking a Medical Director of Psychiatry to lead its behavioral health department.Psychiatry, along with at least five years of leadership experience.The Director will over...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    RN Clinical Supervisor - Home Health

    RN Clinical Supervisor - Home Health

    Maxim Healthcare Services • San Bernardino, CA, United States
    [job_card.full_time]
    RNs in San Bernardino : Ready to Elevate Your Nursing Career Beyond the Bedside? Start your next chapter with $90,000-95,000 base pay, $5K annual bonus, weekly pay, and unbeatable benefits!.RN Clin...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Center Therapy Director

    Center Therapy Director

    Concentra Careers • March Air Reserve Base, CA, United States
    [job_card.full_time]
    Monthly and Quarterly Bonus Incentives!.Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exce...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Specimen Management Clinical Consultant - Northern, CA / Los Angeles CA area

    Specimen Management Clinical Consultant - Northern, CA / Los Angeles CA area

    Becton Dickinson & Company • Redlands, CA, United States
    [job_card.full_time]
    This position reports to the Regional Business Manager and supports the Specimen Management business unit.This role observes current clinical practice and recommends Best Practice process optimizat...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Staff Educator - Critical Care (ICU, PACU and Cath Lab)

    Clinical Staff Educator - Critical Care (ICU, PACU and Cath Lab)

    Redlands Community Hospital - INTENSIVE CARE UNIT (ICU) • Redlands, CA, United States
    [job_card.full_time]
    Reportingto, and under the directionof the Associate Chief Nurse Officer, thisposition requires full understanding and active participation in fulfilling themission of Redlands Community Hospital.T...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Supervisor

    Clinical Supervisor

    Behavior Genius • Hesperia, CA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    About Bay ABA a Behavior Genius Company At Bay ABA, we are dedicated to providing high-quality behavioral support services for individuals with special needs. Our team delivers direct behavioral tre...[show_more]
    [last_updated.last_updated_30]
    Nurse Manager Quality and Patient Experience

    Nurse Manager Quality and Patient Experience

    Clinical Management Consultants • Loma Linda, CA, United States
    [job_card.full_time]
    The Nurse Manager - Quality & Patient Experience role offers an exciting opportunity to lead transformation in healthcare, enhancing both quality and patient satisfaction.Tap into a dynamic career ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Visionary Medical Director, Psychiatry

    Visionary Medical Director, Psychiatry

    Istss • Riverside, CA, United States
    [job_card.full_time]
    A leading healthcare institution is seeking a Medical Director of Psychiatry to provide strategic and clinical leadership in their behavioral health program. This role oversees all psychiatric opera...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Case Manager

    Case Manager

    Loma Linda University Medical Center • Murrieta, CA, United States
    [job_card.full_time]
    MH : Case Management and Social- ( Full Time, Evenings) -.The Case Manager serves as a key member of the patient care delivery team and works efficiently in a fast-paced environment and utilizes cli...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Manager of Patient Experience / Performance Improvement (Patient Experience RN Manager)

    Manager of Patient Experience / Performance Improvement (Patient Experience RN Manager)

    Macpower Digital Assets Edge • Wildomar, CA, United States
    [job_card.full_time]
    The Performance Improvement / Patient Experience RN Manager is responsible for fostering a culture of patient-centered care and enhancing the patient and family experience. This role translates insigh...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Nurse Coordinator MedSurg

    Clinical Nurse Coordinator MedSurg

    Riverside Community Hospital • Riverside, CA, United States
    [job_card.full_time] +1
    Learn more about the benefits offered for this job.The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Clinical Nurse B-L&D

    Clinical Nurse B-L&D

    Loma Linda University Health • Murrieta, CA, United States
    [job_card.full_time]
    Labor & Delivery Unit (Full-time, Night Shift) •May be eligible for bonus.The Clinical Nurse B-Labor and Delivery(L&D) demonstrates competency in all phases of perinatal nursing in accordance with ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    RN Care Manager (Bilingual)

    RN Care Manager (Bilingual)

    Heritage Health Network • Riverside, CA, United States
    [job_card.full_time]
    The RNCM- bilig partners closely with Clinical Operations, Care Team Operations, Lead Care Managers, Community Health Workers, Behavioral Health providers, Compliance, and external medical and soci...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Optimization Specialist

    Clinical Optimization Specialist

    Flosonics Medical • Moreno Valley, CA, United States
    [job_card.full_time]
    We are a team of passionate medical and technological innovators on a mission to improve patient treatment and outcomes with cutting-edge medical devices like the FloPatch.FloPatch is the world's f...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Case Manager

    Case Manager

    Encompass Health • Murrieta, CA, United States
    [job_card.full_time] +1
    Case Manager Career Opportunity.Recognized for your abilities as a Case Manager.Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, whe...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]