Director of Clinical Services, Faculty Practice Group Management Services Organization

We are seeking a highly skilled and dynamic Director of
Clinical Services to lead the development, evaluation, and implementation of
multiple clinical programs and medical services with an emphasis on optimizing
Utilization Management for the Faculty Practice Group (FPG) Management Services
Organization (MSO). Reporting to Chief
Medical Officer of Faculty Practice Group and Medical Group, this role is pivotal in ensuring the
delivery of program functionalities in all aspects of Utilization Management
and its integration with other patient facing programs within the MSO. You will oversee and direct key initiatives,
ensuring that MSO members enrolled in various health plans receive
high-quality, integrated care.

You will:

• Oversee
  the development and execution of multiple UM processes and workflows, while continuously
  identifying and evaluating areas for improvement and potential innovations to
  be implemented
• Oversee
  the development and execution of needed points of integration aimed at
  enhancing healthcare delivery for MSO members.
• Ensure
  seamless integration of various clinical functions with Utilization
  Management, such as Case Management, Quality Improvement, Credentialing,
  and Health Plan Relations to improve overall healthcare services and
  control healthcare costs.
• Collaborate
  with internal and external stakeholders to ensure cohesive and effective
  program delivery, while supporting value-based care initiatives.
• Build
  and maintain strong relationships with key stakeholders, including
  members, health plans, and clinical teams, to ensure the effective
  execution of health programs and services.
• Direct and mentor staff members, ensuring clear
  communication, effective teamwork, and high-performance standards.

Salary Range: $140,200 - $331,800/annually

We're seeking an experienced leader with:

• A Registered Nurse License, Advanced Practice
  Provider (Nurse Practitioner or Physicians' Assistant), or equivalent
• Bachelor's degree in relevant discipline,
  required
• Master's degree in relevant discipline, highly
  desired
• 3-5 years of experience in a clinical capacity
  (RN, APP, etc.), required
• 3-5 years of executive leadership experience with
  a focus on Utilization Management for a medical group, IPA, or Health Plan
• In-depth understanding of managed care, MSO
  functions, and population health services, required
• Experience and successful achievement of
  healthcare MSO certification and recognition programs
• Strong communication skills with all levels of
  staff and stakeholders
• Ability to navigate and perform duties within a
  complex, matrixed organization
• Leadership capabilities that demonstrate
  openness to change and the ability to implement innovative programs that align
  with strategic initiatives
• Exceptional interpersonal, written, and verbal
  communication skills
• Proficiency in Microsoft Office applications
  (Word, Excel, PowerPoint)
• Ability to function independently with sound
  judgement in decision-making and take initiative when needed while
  appropriately soliciting input or advice