Director, Clinical Operations

Job Description Job Summary The Director, Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team.  Job Duties • Directs all Clinical Contact Center operations • Implements direction and performance standards for multiple lines of business to assure that service targets are achieved. • Manages and evaluates the performance of various clinical management activities. • Aligns with Senior Leadership, to ensure operational goals and objectives for outsourced operations are understood and met. • Ensures services provided to members are compliant with contractual expectations and specific regulatory requirements. • Proficient in discussion and execution of procedures, protocols, benefits, and services, assists with training of new employees as needed, shows flexibility in meeting changing performance objectives consistent with department objectives. • Develops standardized methods of improving production, quality, and efficiency • Ensures partners receive support for operational issues. • Produces solutions to a problem or issues Calculates risks f and takes decisive actions where necessary. Ensures that guidance or action is in keeping with policy and procedure. • Schedules and reviews project tasks to ensure high quality product is delivered on time and within the budget. • Engaged in clinical training activities and outcomes. • Determines clinical and quality measures for success. • Designs standardized protocols, develops policy, and ensures timely implementation with corporate and health plan input. • Ensures monthly auditing is occurring with appropriate follow-up. • Utilizes excellent verbal and written communication skills • Utilizes advanced teambuilding and conflict resolution skills • Performs other duties as required   Job Qualifications REQUIRED EDUCATION : Completion of an accredited Registered Nurse (RN) Program or Bachelor's Degree in Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES : • Minimum 7 years’ experience in a healthcare environment with directly transferable skills highly preferred. • Minimum 7 years’ experience performing supervisory/management work including Clinical Operations.    • Experience with Contact Center operations. • Experience managing professional staff in a clinical Contact Center. • Experience managing process improvement activities. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION : Active, unrestricted State Registered Nursing (RN) license in good standing PREFERRED EXPERIENCE : 9 years’ experience in a healthcare environment with directly transferable skills highly preferred 9 years’ experience performing supervisory/management work including Clinical Operations. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $97,299 - $227,679 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2025-09-26