SVP Clinical Ops

Job title
SVP Clinical Ops

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.

The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.

Sagility has more than 25,000 employees across 5 countries.

This position will lead our Clinical services offering and oversee the operations for US, to start with.

Reporting to the CDO, this position is responsible for developing and executing strategic plans and initiatives for the teams, programs and products under their responsibility to ensure client expectations and program delivery goals are achieved.

Job title:

SVP Clinical Ops

Job Description:

Education:


* Current, unrestricted RN license issued by a state or jurisdiction of the United States to practice nursing.

May be required to obtain RN licensure in up to 50 states (beyond home state)

Experience:


* 15+ years’ experience with the management of nursing/clinical personnel, senior-level management experience (required)


* 10+ years’ experience in care management (disease management, case management)


* Experience working with URAC and NCQA accreditation standards and survey process.


* Knowledgeable of State licensure and UM compliance standards

Mandatory Skills:


* Experience with 24/7 operations and nurse advice line highly desirable


* Excellent leadership skills, i.e., creating department vision and developing tactical plans to execute on vision; staff development; personnel management; and development of goals and metrics


* Excellent people skills, able to work well with internal and external customers


* Strong business skills and understanding of business models


* Strong verbal and written communication skills.


* Demonstrates sound analysis, problem solving and decision-making skills


* Demonstrates ability to analyze and interpret data to develop and implement action plans


* Demonstrated understanding of QA / QI practices


* Experience in outsourcing preferred

Roles & Responsibilities:


* Responsible for delivering highly efficient programs while meeting margin requirements.


* Operations Personnel Management: Responsible for the development and oversight of the management staff, who in turn are responsible for the supervision of the staff across Sagility LLC.

Provides oversight to significant staff issues, e.g., hiring plans, Human Resource needs, terminations.


* Operations Program Management: Develops strategic and tactical plans to ensure client/program expectations are achieved.

Will direct teams in the execution of these plans.

Will support client specific initiatives, projects, meetings, etc.


* Operations Performance Management: Provides leadership to all...