Director of Clinical Services and Best Practices

Amazing Opportunity and Great Place to Work!

Come make a difference and consider this unique opportunity to step into a rewarding career.

Our Story

At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.”

Our Values

Champion People – be empathetic and help create a place where everyone belongs.
Grow with purpose – be inspired by our higher calling of improving lives.
Be Alight – act with integrity, be real and empower others.

It’s why we’re so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation.

With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.

Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.

Learn more at careers.alight.com.

About the Role

The Director of Clinical Services and Best Practice leader serves our Medical Department and Clinical Center of Excellence. The ideal candidate should be a skilled clinician, supervisor, and administrator with extensive disability and absence management experience.

Responsibilities

• Managing all aspects of hiring, workload, performance criteria, personnel management, and goal setting for clinical teams. The team consisting of clinician reviewers, behavioral health clinicians, and vocational rehabilitation consultants.
• Focusing on the development of staff by working collaboratively to create and expand upon current goals. Generating opportunities for personal growth amongst the team.
• Leading complex claim discussions to ensure proper execution of clinical consultation and reviews.
• Participating in client meetings and providing clinical and absence management expertise for both external and internal stakeholders.
• Working closely with the CMO to develop reliable reporting metrics. This will include creating KPI's, quality audit tools, productivity measures, and analyzing medical/behavioral health claim data.
• Creating and developing clinical trainings, products, processes, forms, and best practices. This includes onboarding new hires, establishing clinical documentation protocol, and implementing critical thinking and claim analysis standards.
• Developing standard operating procedures, provider forms, and the ADA clinical review process.
• Providing strategic advice to CMO, Associate Medical Director, and Best Practice leaders while reporting to CMO.
• Overseeing multiple Clinical Operations Managers and is accountable for leading daily oversight of the Clinical Services operations.
• Collaborating with organizational leadership and stakeholders to ensure exceptional clinical services for teams, clients, and employees.

Requirements

• Have license in nursing, behavioral health, medicine, or related healthcare field as an RN, LPRN, or Physician.
• 7 + years’ experience in a licensed clinical role in a healthcare, group benefits insurance, or similar. Minimum 2 years leadership/management experience.
• Have a bachelor or higher in healthcare/business/related field, BSN, MSN, MBA.
• Experience and knowledge of Disability and Absence management/Insurance companies.
• Have extensive clinical knowledge of medical and behavioral health conditions and treatment guidelines.
• Demonstrate knowledge and competency/computer literacy in MS Word, MS excel, MS PowerPoint and analytics.
• Possess effective problem-solving, communication, and leadership skills.
• Exhibit collaboration and team-oriented skills. Have ability to act as an effective liaison across internal departments and with external stakeholders

Flexible Working

So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 5 years in a row.

Benefits

We offer prog