Clinical Delivery Manager- Eligibility

Twin Health 

At Twin Health, we empower people to reverse, prevent and improve chronic metabolic diseases. Twin Health invented The Whole Body Digital Twin™ , a dynamic representation of each individual’s unique metabolism, built from thousands of data points collected daily via non-invasive sensors and self-reported preferences. The Whole Body Digital Twin delivers a new standard of care, empowering physicians and patients to make personalized data-driven decisions. 

Working here  

Our team is passionate, talented, and driven by our purpose to improve the health and happiness of our members. Our culture empowers each Twin to do what’s needed to create impact for our members, partners, and our company, and enjoy their experience at work. Twin Health was awarded Innovator of the Year by Employer Health Innovation Roundtable (EHIR) (out of 358 companies), named to the 2021 CB Insights Digital Health 150, and recognized by Built In's 2022 Best Places To Work Awards. Twin Health has the backing of leading venture capital funds including ICONIQ Growth, Sequoia, and Sofina, enabling us to scale services in the U.S. and globally and help solve the global chronic metabolic disease health crisis. We have recently announced broad and growing partnerships with premier employers, such as Blackstone and Berkshire Hathaway. We are building the company you always wished you worked for. Join us in revolutionizing healthcare and building the most impactful digital health company in the world!

Excited to join us and do your part in improving people’s health and happiness?

Opportunity 

Twin Teammates of the Clinical Delivery Management team make a difference at Twin by playing a critical role in project managing, coordinating and implementing workflows in efficient, effective and streamlined for optimal workflows to support our Clinical Delivery Model across internal work streams and partners in service to our members and their experience. 

Reporting directly to the VP of Clinical Deliver & Licensing, the Clinical Delivery Manager of Eligibility will join the organization at a pivotal time in its growth track to support the business across all conversion enablement activities.

Clinical Delivery Management is a  key role within the Clinical Operations department to have end to end oversight over the partner lifecycle and member journey to promote operational excellence. Our department will achieve this by problem solving, translating and liaisoning various operational initiatives on behalf of the Clinical Care Team so they can provide exceptional care to our members on their metabolic healing journey as we support the business in driving member outcomes, growth and economics. 

Key Metrics

1. Conversion Enablement Support
2. Coverage Eligibility Operations
3. Clinical Eligibility Operations
4. Partner Lifecycle Operational Workflows & Performance
5. Satisfaction (partner, member, care team) 

Responsibilities 

Working in partnership with VP of Clinical Delivery & Licensing, the Clinical Delivery manager of Eligibility will work on a diverse scope and manage operational initiatives to deliver results​ as it relates to Conversion Enablement Support as it relates to Partner Launch Readiness and Member Eligibility Operations. 

We're looking for a self-starter who can work productively under tight deadlines without compromising attention to detail with specific ability to take initiative and thrive in a semi-structured and dynamic work environment. This role will require a blend of strong skill set to proactively identify and resolve issues, have deep interpersonal skills, an understanding of healthcare operations, and the ability to collaborate across various clinical functions to support the member journey. This role will translate objectives for cross-fx teams and departments and guide execution on the following areas of focus:  

Member Eligibility Operations This role is responsible for resolving member eligibility inquiries and working across multiple departments and support day-to-day verification of accurate member eligibility and insurance coverage across multiple payer plans and systems

• Management and guidance of all Conversion Enablement activities & grievances as Twin prepares for growth and scale 
• Monitor and navigate coverage eligibility management to provide best service experience to members and to support partner escalation pathways 
• Monitors Clinical eligibility criteria and adjustments along partner lifecycle to provide best service experience to members and to support partner escalation pathways 
• Resolves eligibility inquiries and create a process to support cross-functional lessons learned