Senior Manager Clinical Operations

Optum; Philippines; Hybrid; PHP 1,500,000 - 2,300,000; Full time

Benefits offered by this job

Market Competitive Pay Levels

Retirement Plan

Medical Plan (HMO) from Day 1

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Sick Leave Conversion

Tuition Fee Reimbursement

Employee Assistance Program (EAP)

Annual Merit Increases

Employee Recognition

Training and Staff Development

Employee Referral Program

Employee Volunteerism Opportunity

All Mandatory Statutory Benefits

Job summary

Optum is seeking an experienced Senior Clinical Operations Manager to lead and optimize clinical operations within a fast-paced Utilization Management environment. You will oversee multiple teams and frontline leaders, driving operational excellence and ensuring regulatory compliance.

The role focuses on meeting critical turnaround times, developing high-performing teams, and employing data-driven approaches to improve outcomes in a hybrid work setting in the Philippines.

Qualifications

• Bachelor of Science in Nursing (BSN) required.
• Active Philippine Registered Nurse (PHRN) License required.
• USRN candidates may be considered, subject to employment stability.

Responsibilities

• Lead and develop supervisors, managers, and clinical operations teams to achieve goals.
• Provide coaching and performance management to frontline leaders.
• Foster accountability, engagement, collaboration, and continuous improvement.

Skills

Communication skills

Leadership

Data-driven decisions

Healthcare IT systems

Education

BSN

PHRN License

USRN consideration

Job description

We are seeking an experienced Senior Clinical Operations Manager to lead and optimize clinical operations within a fast-paced, metrics-driven Utilization Management environment. This role is responsible for overseeing multiple teams and frontline leaders, driving operational excellence, ensuring compliance with regulatory standards, meeting critical turnaround times (TATs), and developing high-performing teams. The ideal candidate is a strong clinical leader with proven management experience, exceptional communication skills, and a passion for continuous improvement.

Leadership & Team Management

• Lead and develop supervisors, managers, and clinical operations teams to achieve business and operational goals.
• Provide coaching, mentoring, and performance management to frontline leaders.
• Foster a culture of accountability, engagement, collaboration, and continuous improvement.
• Communicate organizational priorities, expectations, and performance standards effectively.

Operational Excellence

• Oversee day-to-day clinical operations to ensure productivity, accuracy, quality, and compliance.
• Drive achievement of hourly, daily, and weekly turnaround time (TAT) targets.
• Monitor operational performance through dashboards, scorecards, and reporting tools.
• Implement corrective actions and performance improvement plans as needed.

Strategic Planning & Process Improvement

• Develop and execute operational strategies that support growth, scalability, and service excellence.
• Identify workflow inefficiencies and lead process improvement initiatives.
• Collaborate with cross-functional partners to optimize operational performance and customer experience.

Workforce & Hybrid Team Management

• Manage workforce planning, staffing, scheduling, and resource allocation.
• Ensure appropriate coverage, workload distribution, and productivity across teams.
• Support hybrid and onsite work requirements while maintaining operational effectiveness.

Compliance & Quality Assurance

• Ensure adherence to regulatory requirements, accreditation standards, and internal policies.
• Partner with quality teams to drive continuous quality improvement initiatives.
• Lead audit preparedness and oversee corrective action implementation when necessary.

Stakeholder Management

• Serve as an escalation point for complex operational and clinical issues.
• Collaborate with clinical, account management, and operational stakeholders to support service delivery.
• Present operational updates, risks, insights, and action plans to senior leadership.

Reporting & Analytics

• Analyze operational data, quality metrics, staffing needs, and performance trends.
• Utilize data-driven insights to forecast risks, optimize resources, and improve outcomes.
• Deliver accurate and timely management reports and business recommendations.

QUALIFICATIONS:

• Bachelor of Science in Nursing (BSN) Graduate
• Active Philippine Registered Nurse (PHRN) License required
• USRN candidates may also be considered, subject to demonstrated employment stability
• Minimum 2–3 years of Clinical Management experience OR 8 years of Supervisory experience in Utilization Management
• Strong verbal and written communication skills
• Strong working knowledge of computer systems and proficiency in computer navigation
• Experience leading large teams in a performance-driven healthcare environment preferred

WHAT WE OFFER:

• Market Competitive Pay Levels
• Retirement Plan
• Medical Plan (HMO) from Day 1 of employment
• Dental, Medical, and Optical Reimbursements
• Life and Disability Insurance
• Sick Leave Conversion
• Tuition Fee Reimbursement
• Employee Assistance Program (EAP)
• Annual Performance Based Merit Increases
• Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity
• All Mandatory Statutory Benefits

WHO WE ARE:

• Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
• UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
• We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together