Manager, Clinical Operations

SCAN Health Plan; Phoenix (AZ); Hybrid; USD 106,000 - 152,000; Full time

Job summary

SCAN Health Plan is seeking a dedicated Manager of Integrated Care to oversee clinical operations in Arizona. In this role, you will drive healthcare delivery improvement, support team management, and ensure regulatory compliance, all while fostering collaboration within clinical pods to deliver high-quality patient care.

Benefits

Annual employee bonus program

Robust Wellness Program

Generous paid-time-off (PTO)

Excellent 401(k) Retirement Saving Plan with employer match

Robust employee recognition program

Qualifications

• Experience with Model of Care and Care Management requirements.
• CMS audit experience required.
• Experience with mobile care delivery operations required.

Responsibilities

• Oversee and optimize daily operations within clinical pods.
• Design, implement, and manage new healthcare initiatives.
• Monitor and analyze POD performance metrics.

Skills

Interpersonal skills

Management skills

Communication skills

Remote team management

Education

Bachelor’s or Master’s degree in healthcare or business-related field

Job description

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Nevada, Texas & New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org ,www.scanhealthplan.com , or follow us on LinkedIn ;Facebook ; andTwitter .

The Job

The Manager, Integrated Care (aka Manager, Integrated Care-Clinical Operations) will oversee and optimize daily operations within clinical pods, process improvement in partnership with central operations, ensuring alignment with SCAN’s strategic goals, enhancing healthcare delivery, and maintaining high standards of patient care and operational efficiency.

You Will

The Manager, Integrated Care (aka Manager, Integrated Care-Clinical Operations), will be focused on clinical team (POD) management, this individual ensures seamless day-to-day operations and strategic alignment with SCAN’s initiatives. Their key responsibilities include:

• POD Process Implementation and Infrastructure Maintenance: Implement and maintain the infrastructure that supports daily POD operations, aligning with SCAN’s strategic initiatives, vision, and goals. Collaborate with central operations project teams to identify standardization opportunities and promote best practices.
• Healthcare Initiatives and Program Management: Design, implement, and manage new healthcare initiatives and programs to enhance the capabilities of the integrated care delivery program within PODs. Oversee panel management to ensure effective patient assignment, route optimization, and PCP relationships.
• Performance Monitoring and Analysis: Monitor and analyze POD performance metrics, including ADK, visits per day, open notes, notifications, documentation, and RAF scoring. Identify trends and collaborate with the APC manager and Medical Director on process improvements. Prepare reports on POD performance for leadership.
• Communication and Collaboration: Conduct regular touchpoints with the APC manager and Medical Director to review POD performance metrics, identify coaching or performance management opportunities, address operational issues, and ensure alignment with clinical goals. Foster positive relationships with communities and community partners to enhance collaboration and service delivery by rounding in POD communities.
• Patient Engagement and Quality Care Delivery: Perform in-person rounding at POD communities, collaborating with the APC manager to engage with APCs, address concerns, and ensure quality care delivery. Address regional member issues and concerns promptly and effectively, ensuring resolution and member satisfaction.
• Team and Vendor Management: Recruit, on-board, manage, and coach the team supporting clinicians. Communicate expectations clearly, monitor job performance, motivate, and develop opportunities for career growth. Manage regional vendor issues and relationships, including communication with community stakeholders and escalation to central management for resolution.
• Operational Efficiency and Compliance: Develop, update, and audit POD operations workflows to optimize efficiency, improve quality, and ensure compliance with regulatory standards. Adhere to all quality, compliance, and regulatory standards to achieve SCAN outcomes.

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Actively support the achievement of SCAN’s Vision and Goals.

Other duties as assigned.

Your Qualifications

• Bachelor’s or Master’s degree in healthcare or business-related field preferred.
  • A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
• Experience with Model of Care and Care Management requirements, including CMS audit experience required.
• Experience with mobile care delivery operations required.
• Experience with managed care preferred.
• Manager level interpersonal, management and communication skills.
• Demonstrated leadership and management skills.
• Strong skills in remote team management.

What's in it for you?

• Base Salary Range: $ 106,200.00 to $151,910.00 annually
• Work Mode: Mostly Remote (Ideal candidate located in Arizona)
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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