Clinical Operations Manager- Radiology

OneImaging; United States; On-site; USD 90,000 - 140,000; Full time

Job summary

OneImaging is building a concierge radiology network across 48 states, streamlining booking and reducing costs. As a Senior Operations Specialist (clinical escalations) you will own end-to-end issue resolution across scheduling, authorization, and CPT coding, partnering with imaging facilities, providers, and payers.

You will drive process improvements, develop training on radiology protocols, and contribute to product decisions as a radiology SME.

Qualifications

• 5+ years of experience in radiology operations.
• Knowledge of imaging order lifecycle: CPT/ICD-10 coding, prior authorization.
• Fluency across modalities: MRI, CT, PET, ultrasound, X-ray, mammography, DEXA.
• Ability to translate clinical knowledge for non-clinical audiences.
• Strong escalation management instincts under pressure.

Responsibilities

• Own end-to-end resolution of clinical escalations in scheduling, authorization, and CPT coding.
• Collaborate with providers, facilities, and payers to keep members on track.
• Identify patterns and drive root-cause fixes into workflows and training.
• Serve as escalation point for frontline teams on clinical questions.
• Refine operational workflows across the imaging journey to reduce friction.
• Develop radiology training on modalities, protocols, prep, and site-of-care nuances.
• Create member- and provider-facing talk tracks that are accurate and empathetic.
• Act as embedded radiology SME for product team, reviewing designs.
• Define clinically correct logic for order-to-CPT mapping and site routing.

Skills

Radiology operations

Escalation management

Cross-functional collaboration

Product collaboration

Radiology modalities knowledge

Tools

RIS/PACS systems

HL7/FHIR order workflows

Imaging network operations

Job description

Radiology is the second most used healthcare service, used by over 51% of the workforce annually. Despite the critical role of radiology in healthcare, the process for undergoing a medical imaging exam has remained unchanged for decades. OneImaging is solving this with a concierge approach and a premium-quality radiology network of over 5,000 vetted providers across 48 states, which also reduces imaging costs by 60-80%. Our solution helps patients and families access essential radiology services at fair prices and without surprise bills, all while delivering immediate savings and ROI for employers and payers on every exam.

What you'll do:

Clinical Escalations Across the Member Journey

• Own resolution of clinical escalations end-to-end: order processing and coding issues, protocol mismatches, authorization complications, facility capability gaps, and appointment-day problems
• Partner with ordering providers, imaging facilities, and payers to resolve issues quickly and keep members moving toward appointment completion
• Identify escalation patterns and drive root-cause fixes back into workflows, training, and product - so the same problem doesn't happen twice
• Serve as the escalation point for frontline teams on clinical questions that arise during scheduling, order intake, and appointment coordination

Operational Workflows, Training & Talk Tracks

• Review and continuously refine clinically-informed operational workflows across the member imaging journey to reduce friction
• Build and deliver training for internal teams on radiology fundamentals - modalities, protocols, contrast considerations, prep requirements, and site-of-care nuances
• Review and refine member- and provider-facing talk tracks that are clinically accurate, plain-language, and empathetic

Product Development

• When relevant, act as the embedded radiology SME for our product team - informing requirements, reviewing designs, and pressure-testing assumptions against real-world clinical and operational practice
• Help define what "clinically correct" looks like in product logic - from order-to-CPT mapping to appropriateness and site-of-care routing

About you:

• 5+ years of experience in radiology operations, with hands-on exposure across both health system/hospital-based imaging and outpatient/freestanding imaging center environments
• Deep working knowledge of the imaging order lifecycle: order intake, CPT/ICD-10 coding, protocoling, prior authorization, scheduling, prep and contrast requirements, and appointment completion
• Fluency across modalities (MRI, CT, PET, ultrasound, X-ray, mammography, DEXA) and their operational and clinical nuances
• Demonstrated ability to translate clinical knowledge for non-clinical audiences - you can explain protocoling to an engineer and prior auth to a new member services rep
• Strong escalation management instincts: calm under pressure, resourceful, and relentless about getting members to a resolved outcome

Startup Readiness

• Comfort operating in a fast-moving, dynamically changing environment where priorities shift and processes are still being built
• A builder's mentality - you see gaps as opportunities to create something, not blockers to progress
• Low ego, high ownership: no task is beneath you
• You won't be culture-shocked by the scrappiness of an early stage startup - you'll be energized by it

Preferred Qualifications

• Clinical or technical credential (e.g., RT(R), CT/MRI certification, RN, or radiology practice management background)
• Experience with radiology benefit management (RBM), utilization management, or payer-side imaging programs
• Familiarity with RIS/PACS systems, HL7/FHIR order workflows, or imaging network operations

Equal Employment Opportunity

OneImaging is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views, or other applicable legally protected characteristics.

OneImaging is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at [e-mail].