Supervisor, Clinical Operations

83680 Mountain Home, Idaho Idaho Staffing

Posted 2 days ago

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Job Description

Supervisor Position at Blue Cross of Idaho

Blue Cross of Idaho is seeking a Supervisor to supervise staff performing utilization and case management activities. Support critical initiatives by developing programs, evaluating processes and performance for Medicare Advantage, Commercial, and Federal Employee Plan Lines of Business.

Were looking for a Supervisor with:

Experience: 5 years relevant experience.

Education: Associate Degree in Nursing or Bachelors Degree in Social Work; or equivalent work experience (Two years relevant work experience is equivalent to one-year college).

Licenses/Certifications: Must hold one of the following:

  • Valid unrestricted Idaho Registered Nurse Licensure
  • Valid unrestricted Idaho Social Work License

Preferred Qualification: Masters degree in Social Work

What a day of a Supervisor would look like:

  • Provide day-to-day oversight of the functional area assigned.
  • Monitor quality performance measures and confirms appropriate completion of work assignments.
  • Provides input and support for changes to applicable systems and processes.
  • Provide guidance, counseling, coaching, and continuing education opportunities to staff.
  • Selects, develops, mentors, and assesses performance of staff.
  • Participate in process improvement initiatives and implements outcomes.
  • Assist in the development of departmental policies, procedures, service standards, and workflows.
  • Develop, and maintains department specific documentation, to include policies, procedures, service standards, and workflows.
  • May participate in goal setting process for the unit and/or department.
  • May design, update, and maintain special programs.
  • May participate in internal/external audits.
  • Performs other duties and responsibilities as assigned.

Additional skills that we are looking for:

  • High degree verbal and written communication
  • Independent and critical thinking
  • Handle multiple projects simultaneously
  • Handle questions and inquiries regarding medical decisions for staff
  • Utilization management
  • National Commission on Quality Assurance (NCQA) accreditation standards
  • Center for Medicare and Medicaid Services (CMS)

As of the date of this posting, a good faith estimate of the current pay range is $94,066 to $141,100. The position is eligible for an annual incentive bonus (variable depending on company and employee performance. The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, internal equity, geography, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer. We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program. We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

Reasonable accommodations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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VP, Clinical Operations

83605 Caldwell, Idaho Molina Healthcare

Posted 7 days ago

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Job Description

**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.
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VP, Clinical Operations

83687 Bruneau, Idaho Molina Healthcare

Posted 7 days ago

Job Viewed

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Job Description

**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.
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VP, Clinical Operations

83404 Iona, Idaho Molina Healthcare

Posted 7 days ago

Job Viewed

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Job Description

**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.
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VP, Clinical Operations

83756 Boise, Idaho Molina Healthcare

Posted 7 days ago

Job Viewed

Tap Again To Close

Job Description

**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.
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VP, Clinical Operations

83642 Meridian, Idaho Molina Healthcare

Posted 7 days ago

Job Viewed

Tap Again To Close

Job Description

**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.
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VP, Clinical Operations

Idaho, Idaho Molina Healthcare

Posted 7 days ago

Job Viewed

Tap Again To Close

Job Description

**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.
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Director, Clinical Operations

83756 Boise, Idaho Bausch + Lomb

Posted 7 days ago

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Job Description

Bausch + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of sight for millions of people around the world-from the moment of birth through every phase of life. Our mission is simple, yet powerful: helping you see better, to live better.
Our comprehensive portfolio of over 400 products is fully integrated and built to serve our customers across the full spectrum of their eye health needs throughout their lives. Our iconic brand is built on the deep trust and loyalty of our customers established over our 170-year history. We have a significant global research, development, manufacturing and commercial footprint of approximately 13,000 employees and a presence in approximately 100 countries, extending our reach to billions of potential customers across the globe. We have long been associated with many of the most significant advances in eye health, and we believe we are well positioned to continue leading the advancement of eye health in the future.
**Position Summary** **:**
Is responsible for the implementation and oversight of clinical study operations by organizing and coordinating with other relevant parties the planning, implementation, management, execution and completion of clinical studies according to applicable regulations and guidance, ICH and GCP, and Bausch & Lomb SOPs within agreed-upon timeframes and budget. Also responsible for effective communication within the corporation (and with external entities, where appropriate) of the issues and actions related to the successful completion of these studies. May serve as the primary project team representative for Clinical Operations.
**Major areas of Responsibility** **:**
Clinical Operations:
+ Manage and/or oversee the development process for critical study documents (e.g., protocol, amendments, IB, ICF, and CRFs). Will also work closely with members of other functional areas to provide input on study-related documents and issues (DMP, SAP, drug/device supplies, CSR, etc.).
+ Provides clinical operations input in the identification, evaluation, and selection of CROs and vendors (e.g., central labs, central IRB, IVRS, etc.).
+ Manage the identification, evaluation, and selection of investigators/sites.
+ Ongoing assessment, evaluation and management of internal and external resources.
+ Ensure study supply requirements are met.
+ Responsible for the appropriate communication with and maintenance of clinical study sites including training of site personnel in the study protocol and other study-specific procedures.
+ Supervise clinical operations team to ensure all study activities are completed in accordance with applicable regulations and guidance, ICH, GCP and B&L SOPs.
+ Communicate with relevant global team members, other B&L departments (e.g., R&D/Project Management, Clinical/Medical Affairs, Biometrics, Regulatory Affairs, Quality Assurance, Pharmacovigilance/GPSS and Drug/Device Safety, and Clinical Supplies), and external consultants to ensure study objectives are being met and provide the operations director and/or senior management with timely updates on progress and changes in scope, schedule, and resources.
+ Organize investigator and expert meetings relevant to the indication and assist with the organization and management of DSMBs and Data Review Committees, as necessary.
+ Prepare study timelines and budgets and ensuring study execution is aligned with these targets.
+ Supervise clinical staff and vendors to ensure all study activities are completed in accordance with applicable regulations and guidance, ICH, GCP and B&L SOPs.
+ Responsible for the quality of all study-related documentation (e.g., Trial Master File, site qualification and initiation visits reports, interim monitoring visit reports, clinical monitoring plan, informed consents, CRF completion guidelines, pharmacy manual, etc.) during study start-up and throughout the life of the project to ensure that procedures are followed in an appropriate and consistent manner.
+ Oversee the preparation of procedures for the conduct and monitoring of clinical research such as Clinical Monitoring Plans, procedures for reporting of adverse events, CRF completion guidelines, Study Manual, etc.
+ Liaise with PVG/GPSS and provide clinical operations support and guidance for the ongoing surveillance of the safety of patients in clinical trials by reviewing reported AEs and SAEs and assure proper reporting of the events to the IRBs/REBs/ECs.
+ Liaise with Data Management to review data discrepancies and ensure that data clarification forms (queries) are appropriately handled by the CRAs and responded to by the site/investigator in a timely manner. May assist in the review of queries to determine criticality of the DCF during data clean-up and lock process.
+ Liaise with vendors and study site personnel and clinical investigators to provide study related guidance and answers to operational issues.
Budgets and Forecasts:
+ Provide input to Finance to forecast study expenditures and resourcing needs.
+ Review RFPs and proposals from external vendors.
+ Ensure subordinates and vendors manage and monitor study related expenses to meet forecast.
Regulatory Reports:
+ Provide Clinical Operations support in the timely coordination and execution of clinical study reports.
+ Assist in the review of regulatory reports to ensure that reports accurately reflect proper interpretation of the clinical study findings.
+ Assist to ensure annual IND/IDE and IB/ROPI updates are completed in an accurate and timely manner.
+ Provide Clinical Operations support to the Regulatory Affairs department.
Leadership:
+ Manage in-house team of CRAs, CTAs and/or CTMs for one or more studies to ensure execution of all studies in a timely and efficient manner.
+ Provide leadership, training, and development support to the study team.
+ May lead meetings (face-to-face, teleconferences, etc.) with external vendors ensuring problems are identified and issues are resolved quickly and efficiently.
+ May serve as a representative on internal committees/teams for Clinical Operations or cross-functional activities.
+ Foster a dynamic, matrixed working environment by appropriately challenging processes, inspiring a shared vision, enabling others to act, leading by example, and encouraging study team members to meet and/or exceed expectations.
+ Encourage professional growth of personnel through regular training sessions, and by acting as a resource to clinical staff. May lead training sessions.
+ Provide guidance and comments on SOPs revisions. May act as a leader of a SOP sub-committee for SOP revisions.
+ May visit sites with CRAs as needed to provide hands-on training as well as to discuss study related issues and problems with the Principal Investigator and/or site staff.
+ Share/present knowledge and information with appropriate departmental, project, or study team members for training purposes.
**POSITION REQUIREMENTS** **:**
+ Strong knowledge of Good Clinical Practices (GCP), clinical trials management (including site monitoring), scientific methods, research design, regulatory compliance, and clinical data management.
+ Minimum 10-12 years experience in the industry with a minimum of 6 years of managing clinical trials.
+ Minimum of 5 - 6 years experience in managing and training clinical personnel (Executive CRAs, CRAs, project assistants).
+ Experience leading device studies in Ophthalmology is a plus
+ Strong planning and organizational skills with ability to multi-task and plan activities as it relates to management of clinical trials.
+ Experience leading and working within cross-functional teams.
+ Experience in managing CROs and external vendors.
+ Excellent written and verbal communication skills and strong interpersonal skills in order to interface with physicians, outside vendors, consultants, team members and various audiences.
+ Ability to problem solve, build teams, and to lead and motivate others.
+ Effectively work independently as well as within a team matrix.
+ Financial management skills as applicable to overseeing project expenditures and forecasts.
+ Advanced computer skills (Microsoft applications, spreadsheets and data displays, etc.)
+ Willing and able to travel.
**We offer competitive salary & excellent benefits including:**
+ Medical, Dental, Eye Health, Disability and Life Insurance begins on your hire date
+ 401K Plan with company match and ongoing company contribution
+ Paid time off - vacation (3 weeks - prorated upon hire), floating holidays and sick time
+ Employee Stock Purchase Plan with company match
+ Employee Incentive Bonus
+ Tuition Reimbursement (select degrees)
+ Ongoing performance feedback and annual compensation review
This position may be available in the following location(s): ((location_obj))
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
For U.S. locations that require disclosure of compensation, the starting pay for this role is between $170,000.00 and $205,000.00. The estimated salary range reflects an anticipated range for this position. The actual base salary offered may depend on a variety of factors. U.S. based employees may be eligible for short-term and/or long-term incentives. They may also be eligible to participate in medical, dental, vision insurance, disability and life insurance, a 401(k) plan and company match, a tuition reimbursement program (select degrees), company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive sick time, floating holidays and paid vacation.
Job Applicants should be aware of job offer scams perpetrated through the use of the Internet and social media platforms. To learn more please read Bausch + Lomb's Job Offer Fraud Statement ( .
Our Benefit Programs:Employee Benefits: Bausch + Lomb ( must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
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AVP, Clinical Operations, MHI

83708 Hidden Springs, Idaho Molina Healthcare

Posted today

Job Viewed

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Job Description

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 behavioral health and long term care, 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.

Knowledge/Skills/Abilities

  • Completes onsite assessments of clinical teams in collaboration with a VP of Clinical Ops or Medical Director

  • Proactively identifies problem areas and researches background and potential solutions.

  • Develops clinical team improvement plans in collaboration with a VP of Clinical Ops or a Medical Director

  • Assists clinical teams with barrier removal to improve performance

  • Assists clinical teams with clinical priorities and training needs

  • Acts as an interim AVP of HCS during periods of leadership vacancies

  • Orients and supports new AVPs of HCS to their role and responsibilities

  • Utilizes excellent verbal and written communication

  • Utilizes advanced teambuilding and conflict resolution skills

  • Demonstrated ability to manage multiple complex project successfully

  • Assists MHI Clinical Training team as needed

  • 25- 50% travel required.

Job Qualifications

Required Education

Graduate Degree or equivalent combination of education and experience

Required Experience

7 years of utilization and/or case management experience

7 years management experience

Preferred Education

Master's Degree in Health Related field (Nurse Practitioner, Masters of Health Administration, MBA with Healthcare emphasis)

Preferred Experience

10 years of utilization and/or case management experience

10 years management experience

Preferred License, Certification, Association

RN

CCM, CPHM, CPHQ

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: $122,430.44 - $238,739.35 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Area Director Clinical Operations

83814 Coeur D Alene, Idaho Gentiva Hospice

Posted 1 day ago

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Job Description

Overview:

We are looking for an Area Director Clinical Operations to join our team. This position will directly report to the Regional VP of Clinical Operations. This position will assume responsibility of clinical services and assures compliance with federal and state regulations as they apply to the provision of home visits to patients.

  • Directs and coordinates all direct and indirect patient services
  • Monitor agency level adherence to policies and procedures
  • Develop and implement annual education requirements for all clinical staff
  • Coordinate patient records and quality assurance activities
  • Coordinates with the appropriate corporate staff, Medical Director, Clinical Manager, and Executive Director and Administrators on a regular basis.
  • Develops and expands revenue performance
  • Shares responsibility for the supervision of day-to-day operation of the agency
About You:
  • Registered BSN preferred
  • Unencumbered RN license in the state of residence
  • 5 years clinical experience; minimum 3 years of experience in hospice
  • 2 years previous managerial experience
  • Strong knowledge in the area of hospice operations
  • Knowledge and skill of professional nursing theory and practice
  • Strong leadership skills
  • Familiarity with state and federal guidelines and regulations
  • Able to travel throughout the assigned area routinely, approximately 75%.
We Offer:

Compensation may vary within the salary range provided based on several factors including but not limited to a candidates location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece.

Salary Range $120,000 to $130,000

  • Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
  • Opportunity to participate in a Fleet Program
  • Competitive Salaries
  • Mileage Reimbursement
  • Professional growth and development opportunities
Legalese:
  • This is a safety-sensitive position
  • Employee must meet minimum requirements to be eligible for benefits
  • Where applicable, employee must meet state specific requirements
  • We are proud to be an EEO employer
  • We maintain a drug-free workplace
Location: Gentiva Hospice Our Company:

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

  • Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
  • Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
  • Home health care: Heartland Home Health
  • Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized and kindness is celebrated.

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