Director of Clinical Excellence & Operations

Triple-S; Guaynabo (PR); On-site; USD 150,000 - 190,000; Full time

Job summary

Triple-S is seeking a Director of Clinical Excellence Shared Services to lead the design, implementation, and optimization of a cross-functional operations unit within Clinical Operations. You will drive data-driven improvements, governance, and quality assurance across multidisciplinary teams and medical groups.

You will oversee SLAs, KPIs, and regulatory readiness, partnering with internal stakeholders and external medical groups to deliver high-impact outcomes and ROI analyses.

Qualifications

• Bachelor's degree in Business Administration or Industrial Engineering.
• 5–7 years of progressive leadership experience in operations, preferably in a Health Plan or integrated health system.
• PMP or Agile/Scrum certification is a plus.
• Lean Six Sigma Black Belt or Green Belt preferred, with demonstrated project leadership.

Responsibilities

• Design and direct the shared services framework for clinical operations, ensuring cost-efficiency and standardization.
• Establish and monitor SLAs and KPIs across all clinical support areas.
• Lead multidisciplinary teams including QA, analysts, and project managers; drive regulatory compliance audits.
• Oversee data models, dashboards, and BI for executive decision-making; implement new tech to optimize operations.
• Deliver ROI analyses and progress reports to leadership; align with medical groups and external partners.

Skills

Leadership

Data-driven decision making

Change management

Stakeholder management

Regulatory compliance

Education

Bachelor's degree in Business Administration or Industrial Engineering

Master’s degree/MBA/MHA (preferred)

Tools

PMP certification

Agile/Scrum

Lean Six Sigma Black Belt

Job description

Triple-S is seeking a Director of Clinical Excellence Shared Services to lead the design, implementation, and optimization of a cross-functional operations unit within Clinical Operations. You will drive data-driven improvements, governance, and quality assurance across multidisciplinary teams and medical groups.

You will oversee SLAs, KPIs, and regulatory readiness, partnering with internal stakeholders and external medical groups to deliver high-impact outcomes and ROI analyses.