Manager, Clinical Operations (Downey, CA) (Finance)

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Manager, Clinical Operations is a mission-driven, strategic, and operational leader responsible for delivering enterprise-wide clinical outcomes, financial optimization, and care model innovation. This role is accountable for maximizing the performance of the Medical Assistant team and scaling the Jump Start Assessment (JSA) program and aligning all aspects of clinical performance with the organization's value-based care goals, including HEDIS, access to care, and quality leadership.
The Manager works cross-functionally with senior leadership, scheduling operations, and JSA APC clinical teams to design and execute against measurable performance objectives. This role requires a data-savvy, member-focused team leader who can navigate the complexity of multi-market care delivery while driving toward meaningful outcomes for both members and the business.

Job Duties/Responsibilities:

• Open, update and maintain JSA Advance Practice Clinician (APC) schedules daily.
• Assist with developing, implementing, monitoring care center policies and procedures.
• Ensures orders from APCs for clinical and member supplies are processed by the Medical Assistant (MA) team as per the standard protocol.
• Ability to take initiative to resolve issues / problems with local market leadership
• Analyzes daily office operations and utilization of resources.
• Ensure compliance with regulations, standards, and policies related to patient care, medical procedures, and facility operations.
• Oversee MAs daily duties and responsibilities to ensure they are meeting goals and expectations.
• Maintain appropriate medical and office supplies at an acceptable level and managing inventory to ensure adequate supplies are available for patient care.
• Maintain all medical equipment in proper working order.
• Maintain all appropriate infection control protocols.
• Manage facility issues daily including security alarms, facility cleanliness, damaged items, etc.
• Evaluate staff performance and implement quality control measures to ensure high-quality patient care.
• Maintains appropriate assignments for MAs supporting JSA APCs to ensure workloads are equally distributed.
• Strong communication skills. Able to effectively deliver information to all levels of leadership and front-line staff in an appropriate manner.
• Manage customer expectations and develop trainings and plans to consistently exceed organizational targets for member experience
• Collaborate with other departments, such as Member Outreach, JSA APC team, Product team and DTS, to ensure smooth operations and effective communication

Supervisory Responsibilities:

• Manage assigned staff.
• Recruiting, selecting, orienting, and training employees
• Assigning workload; planning, monitoring, and appraising job results
• Coaching, counseling, and disciplining employees

Job Requirements:

Experience:

Required:

• 5+ years of experience in a physician office, including working knowledge of managed care.
• 3+ years of supervisory or leadership experience required.

Preferred:

• Experience with Medicare and Medicaid patients preferred.

• Knowledge and experience with managed care or insurance plans

Education/Licensure:

Required:

• High School Diploma or GED.
• Bachelor's degree or four years' additional experience in lieu of education.
• Current Driver's license

Specialized Skills:

Required:

• Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors.
• Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
• Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
• Report Analysis Skills: Comprehend and analyze statistical reports.
• Strong Microsoft Office Experience including Word, Excel, Teams and PowerPoint.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

3. The employee will be required to travel to other clinic locations away from his/her home locations; patient homes; corporate offices and/or clinics in other territories not near home location.

Pay Range: $70,823.00 - $106,234.00

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/ . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email careers@ahcusa.com .