Director of Integrated Clinical Service Operations
Accompany HealthAbout the role
About the role:
The Director of Integrated Clinical Service Operations is a key leadership role within our Clinical Service Operations team, reporting directly to the Chief Medical Officer. In partnership with the Executive Medical Director, Integrated Clinical Services, you will deploy, manage, and continuously optimize our Behavioral Health, Pharmacy and Nursing service lines. Your success will be directly measured by clear financial and clinical drivers: improving operational efficiency to support the reduction of overall cost of service, lowering total medical expense, ensuring highly accurate clinical documentation, improving HEDIS quality metrics, and maximizing patient engagement and retention.
Responsibilities will include:
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Operating Model Execution: Execute and manage the day-to-day service line operating model, including: overseeing schedule and capacity planning to ensure workforce productivity and load balancing, optimizing capacity utilization, and managing supply-demand
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Drive Population Health Metrics: Apply data analytics to perform root cause analysis, develop strategy, and execute interventions to hit key performance indicators (KPIs) and SLAs tied to HEDIS quality metrics, and total cost of care reduction, risk adjustment, and productivity
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Data & Dashboard Management: Partner with product, engineering, and data science teams to establish a performance management cadence, building and maintaining comprehensive dashboards to track service line KPIs / SLAs
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Optimize Unit Economics: Assist in managing the integrated clinical services budget, driving down the unit cost per engaged member by monitoring and improving the day-to-day operational efficiency of integrated clinical service teams
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Scale and Expand: Translate organizational growth plans into robust staffing models, implementation plans, and operational readiness protocols for new payer partners, provider networks, and markets
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National Contracting & Reporting: Support executive presentation readiness and detailed performance reporting for health insurance contracts, contributing to the organization’s growing national footprint
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Design & Optimize Care Models: partner closely with clinical leadership to operationalize and implement cohesive, evidence-based behavioral health service models, specialized pharmacy protocols, and integrated nursing practices
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Standardize Workflows: Build scalable, standardized care delivery playbooks across pharmacy, behavioral health, and nursing to ensure safety, clinical excellence, and seamless coordination
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Documentation & Accuracy: Implement robust operational strategies to measure and support accurate, comprehensive clinical documentation to capture risk and reflect the true complexity of our population in our integrated clinical services programs
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Strategic Roadmapping: Translate broader company-wide strategic plans into comprehensive quarterly operational roadmaps, creating detailed task lists and execution plans for the teams
Operational Excellence & Value-Based Performance
Financial Accountability & Strategic Growth
Clinical Innovation & Care Model Excellence
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