5 Henry Ford Health System jobs in Detroit
VP, Clinical Operations
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**Job Duties**
+ Provides leadership, direction and oversight to the segment clinical teams designed to achieve best in class performance as defined by identified metrics and holds individuals accountable to achieve such measures.
+ Leads, manages, and implements effective standards, protocols, processes, decision support systems, reporting and benchmarks that support ongoing improvements of clinical operations functions and promote quality cost effective health care for Molina members.
+ Develops initiatives to achieve budgeted reductions in medical expenses and increases in quality scores.
+ Offers a positive leadership role in key medical management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies.
+ Engages with the provider community via the networks teams to identify tangible opportunities for improvement of member outcomes
+ Oversees and ensures compliance with contractual, accreditation and regulatory requirements relative to clinical operations.
+ Responsible for oversight of healthcare services related to delegation oversight monitoring
+ Oversees and directs the rendering of medical management decisions at all levels of the health plan that maximize benefits for our members while pursuing and supporting corporate objectives.
+ Coordinate clinical activities with Molina corporate vendors and state plans.
+ Coordinating the results of audits to improve team performance.
+ Assist in the development of policies that are unique to marketplace products.
+ Work with contracting/ network to standardize contracts for quality and utilization.
**Job Qualifications**
**REQUIRED EDUCATION:**
Bachelor's Degree in Healthcare, Business, or a related field
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:**
- 10 years managed care experience with management responsibility including clinical operations.
- Experience working within applicable state, federal, and third party regulations.
- Operational and process improvement experience.
- Strong communication and teaming/interpersonal skills.
- Strong leadership capabilities and ability to initiate and maintain cross-team relationships.
**PREFERRED EDUCATION:**
Masters Degree in Business or Healthcare management (i.e. MBA, MHA, MPH).
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ Active, unrestricted State Registered Nursing (RN) license in good standing.
+ Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $161,914.25 - $315,733 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, Clinical Operations
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**Job Duties**
+ Provides leadership, direction and oversight to the segment clinical teams designed to achieve best in class performance as defined by identified metrics and holds individuals accountable to achieve such measures.
+ Leads, manages, and implements effective standards, protocols, processes, decision support systems, reporting and benchmarks that support ongoing improvements of clinical operations functions and promote quality cost effective health care for Molina members.
+ Develops initiatives to achieve budgeted reductions in medical expenses and increases in quality scores.
+ Offers a positive leadership role in key medical management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies.
+ Engages with the provider community via the networks teams to identify tangible opportunities for improvement of member outcomes
+ Oversees and ensures compliance with contractual, accreditation and regulatory requirements relative to clinical operations.
+ Responsible for oversight of healthcare services related to delegation oversight monitoring
+ Oversees and directs the rendering of medical management decisions at all levels of the health plan that maximize benefits for our members while pursuing and supporting corporate objectives.
+ Coordinate clinical activities with Molina corporate vendors and state plans.
+ Coordinating the results of audits to improve team performance.
+ Assist in the development of policies that are unique to marketplace products.
+ Work with contracting/ network to standardize contracts for quality and utilization.
**Job Qualifications**
**REQUIRED EDUCATION:**
Bachelor's Degree in Healthcare, Business, or a related field
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:**
- 10 years managed care experience with management responsibility including clinical operations.
- Experience working within applicable state, federal, and third party regulations.
- Operational and process improvement experience.
- Strong communication and teaming/interpersonal skills.
- Strong leadership capabilities and ability to initiate and maintain cross-team relationships.
**PREFERRED EDUCATION:**
Masters Degree in Business or Healthcare management (i.e. MBA, MHA, MPH).
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ Active, unrestricted State Registered Nursing (RN) license in good standing.
+ Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $161,914.25 - $315,733 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, Clinical Operations
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**Job Duties**
+ Provides leadership, direction and oversight to the segment clinical teams designed to achieve best in class performance as defined by identified metrics and holds individuals accountable to achieve such measures.
+ Leads, manages, and implements effective standards, protocols, processes, decision support systems, reporting and benchmarks that support ongoing improvements of clinical operations functions and promote quality cost effective health care for Molina members.
+ Develops initiatives to achieve budgeted reductions in medical expenses and increases in quality scores.
+ Offers a positive leadership role in key medical management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies.
+ Engages with the provider community via the networks teams to identify tangible opportunities for improvement of member outcomes
+ Oversees and ensures compliance with contractual, accreditation and regulatory requirements relative to clinical operations.
+ Responsible for oversight of healthcare services related to delegation oversight monitoring
+ Oversees and directs the rendering of medical management decisions at all levels of the health plan that maximize benefits for our members while pursuing and supporting corporate objectives.
+ Coordinate clinical activities with Molina corporate vendors and state plans.
+ Coordinating the results of audits to improve team performance.
+ Assist in the development of policies that are unique to marketplace products.
+ Work with contracting/ network to standardize contracts for quality and utilization.
**Job Qualifications**
**REQUIRED EDUCATION:**
Bachelor's Degree in Healthcare, Business, or a related field
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:**
- 10 years managed care experience with management responsibility including clinical operations.
- Experience working within applicable state, federal, and third party regulations.
- Operational and process improvement experience.
- Strong communication and teaming/interpersonal skills.
- Strong leadership capabilities and ability to initiate and maintain cross-team relationships.
**PREFERRED EDUCATION:**
Masters Degree in Business or Healthcare management (i.e. MBA, MHA, MPH).
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
+ Active, unrestricted State Registered Nursing (RN) license in good standing.
+ Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $161,914.25 - $315,733 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Full Time Regional Director of Clinical Operations
Posted today
Job Viewed
Job Description
Full Time Regional Director of Clinical Operations Full Time Regional Director of Clinical Operations 13 hours ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Theoria Medical Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare. Position Type : Full-time, exempt Compensation : Up to $130,000 annually Job Location: Remote with some site visits Job Highlights Flexible Work Environment : Enjoy a balance between remote work and in-person site visits. Supportive Community : Access to a robust network of healthcare professionals. Professional Development : Opportunities for leadership growth and career advancement. Comprehensive Coverage : Oversee and improve key facility metrics, ensuring high-quality care. Culture of Appreciation : Your work is valued and rewarded. Full Gear : Computer provided. Referral Bonus : Earn more by expanding our team. Essential Functions & Responsibilities Operational Management : Oversee day-to-day clinical operations for Theoria-partnered facilities, ensuring efficiency and compliance. Metrics Monitoring : Track and manage provider timeliness, quality, productivity, and compliance with facility responsibilities. Quality Initiatives : Collaborate on facility metrics, including Five-Star measures, QAPI initiatives, and reducing rehospitalizations. Customer Relations Management : Provide superior customer service by addressing partner issues comprehensively and diligently. Facility Engagement : Conduct regular check-ins with facility partners Education & Training : Participate in new facility education, training, and retraining as needed. Technology Utilization : Navigate multiple computer systems, including Monday.com, Slack, Gmail, and Zoom, to manage operations. Team Collaboration : Work closely with the VP of Clinical Operations and other team members to ensure smooth operations. Additional Duties : Perform other associated clinical operations tasks as assigned. Qualifications Educational Requirements : Minimum 5 years of leadership experience in Skilled Nursing Facilities (SNF), such as Director of Nursing, administrator, or department director. Must possess a clinical education credential Skills & Experience : Strong understanding of SNF quality measures, regulations, and expectations. Experience in employee management and team leadership. Proficiency in managing work Relative Value Units (wRVU) and productivity metrics. Tech-savvy with strong computer skills. Excellent problem-solving skills, including root cause analysis. Autonomous, independent worker with a strong understanding of healthcare staffing and needs. Physical Requirements : Ability to remain in a stationary position for at least 50% of working hours. Frequent movement inside facilities to meet with providers and staff. Ability to obtain records, tools, and medical equipment from various locations. Effective communication with patients, managers, and facility staff. Shift Structure Work Schedule : Monday-Friday, 7 AM-5 PM EST, plus one weekend day per month on-call. Compensation and Benefits Base Salary : Up to $30,000 annually Retirement : 401k with employer match Health Coverage : Comprehensive Medical, Dental, Vision, and Life Insurance PTO : 15 days of Paid Time Off annually Disability Insurance : Short and Long Term Disability coverage Professional Growth : Opportunities for training and career advancement Travel Reimbursement : Covered expenses for work-related travel Employee Expectations The employee must be able to perform the essential functions of this position satisfactorily. #IND-MULTI Seniority level Seniority level Director Employment type Employment type Full-time Job function Job function Research, Analyst, and Information Technology Industries Hospitals and Health Care Referrals increase your chances of interviewing at Theoria Medical by 2x Get notified about new Director Clinical Operations jobs in Southfield, MI . Novi, MI 160,000.00- 250,000.00 7 hours ago Full Time Regional Director of Clinical Operations Full Time Regional Director of Clinical Operations Full Time Regional Director of Clinical Operations Full Time Regional Director of Clinical Operations Full Time Regional Director of Clinical Operations Full Time Regional Director of Clinical Operations Full Time Regional Director of Clinical Operations Regional Director of Clinical Operations (DCO) Detroit, MI 115,973.00- 147,866.29 2 weeks ago Regional Director of Clinical Operations (RN) - Livonia/Troy Farmington Hills, MI 175,000.00- 195,000.00 1 week ago Director of Health and Safety (Operations Excellence) Southfield, MI 130,000.00- 165,000.00 1 month ago Director Revenue Cycle Inpatient Clinical Documentation Improvement & Payer Audit Director - Quality Improvement/Risk/Accreditation Pediatric Clinical Director / Investing Partner (PT, OT, SLP) Director of Digital Banking Channels & Support Operations Clinic Director / Partner - Licensed Physical Therapist Clinic Director / Partner - Licensed Physical Therapist We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Bleeding Management Hospital Specialty Sales Representative - Detroit, MI
Posted 5 days ago
Job Viewed
Job Description
**Overview:**
The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key products within the Bleeding Management product portfolio with a primary responsibility for the launch of a new product within identified hospital accounts. The HSSR will play a vital role in the product launch through their engagement with customers related to disease awareness, product discussions and collaboration with key physicians and customer stakeholders to influence uptake for a new standard-of-care and product adoption in the treatment of their patients. The HSSR position requires strong sales and clinical expertise, business acumen and stakeholder relationships.
The Bleeding Management HSSR will focus on sales performance and engagement within the targeted accounts including call points in Anesthesiology, Cardiology, Hospital Pharmacy, Critical Care, Blood Bank and other departments and stakeholders necessary in the sales process. The HSSR is tasked to move at a rapid pace using the provided digital resources for customer engagement. The HSSR will need to utilize a CRM & Analytics technology platform for call planning/targeting, field communications, field reporting, sales data analysis, reporting and generating insights.
Other skill sets:
+ Remote engagement
+ Use of analytical data to generate insights
+ Application of data and insights to guide customer focused activities and solutions
+ Proficient use of existing tools like Excel, Word, PowerPoint
+ Use of Technology like digital platforms
**Primary Responsibilities:**
Sales Excellence/Clinical Expertise
+ Consistently demonstrate an in-depth knowledge of the targeted Bleeding Management plasma product portfolio with an advanced comprehension of disease state knowledge as well as treatment approaches. Provide branded product and clinical insights aligned with the product's label to relevant customers.
+ Lead in-depth discussions of disease state, and treatment approaches.
+ Keep abreast of competitive product dynamics, changing treatment practices or guidelines with potential impact on Grifols product positioning or usage.
+ Engage a broad range of audiences with various levels of expertise.
+ Clearly communicate clinical messages that are relevant and specific to each influencer in the decision process.
+ Demonstrate account-based selling skills (including group presentations, etc.). Build relationships in institutions aligned with customer segmentation.
+ Develop physician influencer champions to submit and approve P&T requests to add product to formulary.
+ Develop physician influencer champions to drive a new standard-of-care and protocol changes within their related area of practice.
+ Utilization of corporate resources including the Key Account Manager, Managed Markets, Marketing, MSL, etc.
+ Key Opinion Leader mapping and appropriate relationship with Medical Liaison.
Business Acumen
+ Understand the major fluctuations a market can have and overall plasma economics of the system/institution, e.g. GPO, Distributor, membership, specific account trends.
+ Leverage a knowledge of customer needs, targeting segmentation and behaviors to apply to territory planning with the ability to change course and modify business strategies or plans if needed.
+ Must know how to create a plan of action for key accounts through data analysis. (Recognize buying patterns, trends, lost business, anomalies in purchases, threats, opportunities, etc.) Use this information to have conversations with customers to generate sales.
+ Coordinate with other Therapeutic Sales Representatives to understand the entire book of business (product portfolio). If a hospital does not have a contract or use a Grifols product, how to move the business forward.
Stakeholder Engagement
+ Establish credibility and trust with key targeted customers to become regarded as a valued strategic partner and trusted advisor providing customer-centric solutions. Consistently demonstrate follow through and the responsibility to ensure customer satisfaction is achieved.
+ Strong communication skills to external stakeholders. Strong communication and collaboration with Grifols internal stakeholders to align on national strategy and facilitate pull-through of key account priorities.
+ Biopharma collaboration across therapeutic boundaries to understand local market needs and aligned strategy for pull-through in both pre and post formulary additions and customer-centric solutions.
+ Manage resources to fulfill customer needs and impact pull through, e.g. HEOR or reimbursement specialist.
+ Gather and provide customer insights to Grifols internal stakeholders for development of integrated solutions for the regional or local system/customer/account.
+ Communicate/educate Legislative impacts to regional or local system/institution/account- leverage Corporate Affairs.
Legal, Ethics & Compliance:
+ Ensure appropriate training and alignment to guidance.
**Skills/Qualifications/Education Requirements:** (To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, education, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions)
+ Position requires a BS/BA degree; Healthcare/Life Science and/or business/marketing degree is a plus.
+ 4 years pharmaceutical or biological sales experience is required with direct Hospital specific sales experience with at least 2+ years of recent experience
+ Previous experience influencing standard-of-care or protocol changes within institutional environments a bonus
+ Have a broad base of experience from previous positions with relationships and knowledge of the Hospital/Institutional environment preferred (For Example: Anesthesiology, Cardiology, Pharmacy, Blood Bank, Critical Care, Labor & Delivery, Trauma, etc.)
+ Demonstrated track record of success meeting and exceeding sales goals year-over-year through new customer conversions
+ Understanding of Pharmacy purchasing decisions and their relationship to an IDN, GPO and Distribution partner
+ Must be a self-starter capable of organizing time between many unexpected circumstances involved in day-to-day selling situations
+ Should have excellent communication skills, both written and verbal
+ Should have demonstrated proficiency in Word, Excel, Power Point and be able to perform market analysis presentations.
+ Should be able to effectively utilize a lap top computer on a daily basis for planning, call activity and other territory needs.
+ Overnight travel required
+ Weekend or evening work may be required
*Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelor's degree plus 4 years of experience, an equivalency could include 8 years of experience, an Associate's degree with 6 years of experience, or a Master's degree with 2 years of experience.
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
**Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.**
Learn more about Grifols ( ID:** 530067
**Type:** Regular Full-Time
**Job Category:** Sales/Sales Operations
Be The First To Know
About the latest Henry ford health system Jobs in Detroit !