JOB DESCRIPTION Job Summary
Provides senior level clinical subject matter expertise in execution of clinical operations transformations and performance and process improvement initiatives designed to increase operational efficiencies. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Assesses business and operational needs for opportunities to improve efficiency, productivity, effectiveness and accuracy.
• Determines process and program support needs - ensuring process/program needs are appropriately communicated (written and verbal) to process owners and leadership.
• Drives process changes by integrating new processes with existing ones through direct coaching and mentoring of impacted business teams.
• Conducts real-time technology and operational walkthroughs as an immersive coaching clinical subject matter expert, and provides interim stabilization support as needed.
• Uses clinical expert...