Manager, Clinical Operations

The Role at a Glance

We are excited to bring on a Manager - Clinical Operations, to join our Group Protection Clinical & Vocational Operations team supporting Workplace Solutions in a remote environment.

Background Details

As a Manager - Clinical Operations, you will be responsible for leading and managing a team of nurse disability consultants and behavioral health consultants. This includes partnering closely with medical and vocational operations and serving as a consultant to the claim operations team for complex clinical issues.  

What you'll be doing

• You will use critical thinking to analyze, identify, and develop data, trends, reports, and resources that improve delivery of services. Works with other key areas to continually develop process enhancements.
• You will maintain knowledge on current and emerging developments/trends, assess the impact, and collaborate with management to incorporate new trends and developments in current and future solutions.
• You will manage and enhance organizational initiatives by positively influencing and supporting change management and/or departmental/enterprise initiatives.
• You will establish and implement individual and team priorities, performance goals and objectives to ensure completion of responsibility. In addition, you will manage workloads are appropriately balanced among team members.
• You will provide training and development opportunities, including stretch assignments, for team members and give honest and open feedback to aid in the development of talent.
• You will manage and evaluate individual/team performance and take appropriate action to meet and/or exceed performance standards.
• You will identify and recommend process improvements that create efficiencies or improve quality across. You will serve as a resource to team members and internal/external stakeholders on more complex assignments/projects.
• You will ensure that top talent is hired and retained. You will provide oversight to assure team members work products and interactions meet defined quality indicators.
• You will ensure prompt and effective customer support and escalation to appropriate stakeholders including but not limited to Sales and Customer Support.
• You will support attainment and maintenance of appropriate professional certifications.
• You will manage coordination of external clinical vendor services (peer reviews, IMEs, FCEs) as needed. 

What we’re looking for

Must-have experience (Required):

• Minimum of 5 years of Disability Management (STD/LTD), Workers Compensation, Utilization Review and/or nurse case management
• Current Registered Nurse license 
• 4 Year/Bachelor's degree
• 3- 5 years of managerial, supervisory, and/or demonstrated leadership experience
• Ability to read, analyze and interpret both internal and external documents such as general media/publications, professional journals, technical procedures, governmental regulations, policies, proposals, and standard operating procedures.
• Confident, comfortable communicator with strong written and verbal communication skills.

Nice-to have Experience (Preferred): 

• Ability to work in a fast-paced production environment with the ability to adapt as needed.

• Ability to work in various excel documents with a high comfort level of mathematical concepts such as addition, subtraction, multiplication, division, averages and/or variances.

• Ability to articulate/alter provisions – comfortable with contract language.

Application Deadline

Applications will be accepted through Friday, July 10th, 2026, and posting may comedown earlier due to applicant volume.