Job Posting
:
Nov 25, 2024, 5:27:49 PM
Closing Date
:
Dec 10, 2024, 5:59:00 AM
Full-time
Shift Start Time
:
8:30
A.M.
Shift End Time
:
4:30
P.M.
Posting Salary
:
$171,006 - $199,551
Organization
:
Health and Hospital Systems
The final salary and offer components are subject to additional approvals based on Cook County Health (CCH) policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at CCH. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. LOCATION: HEALTH PLAN SERVICES - STROGER SHIFT: 8:30AM - 4:30PM Non-Union
Director of Clinical Operations,
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The Director of Clinical Operations, Health Plan Services will work to ensure the smooth and effective operation of Health Plan clinical services to maximize performance. This position is responsible for ensuring effective planning, implementation and evaluation of all clinical programs and clinical components of cross-functional health plan functions and initiatives. This position will collaborate closely with the Clinical Services leadership team, Operations, Project Management, Pharmacy, Finance and Provider Network Management as well as leads within delegated vendor organizations including but not limited to Analytics, Call Center and Benefit Management teams.
This position is exempt from Career Service under the CCH Personnel Rules.
General Administrative Responsibilities
- Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
- Participate in collective bargaining negotiations, caucus discussions and working meetings
- Document, recommend and effectuate discipline at all levels
- Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
- Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements
- Direct and effectuate CCH management policies and practices
- Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
- Contribute to the management of CCH staff and CCH' systemic development and success
- Discuss and develop CCH system policy and procedure
- Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
- Work with Labor Relations to discern past practice when necessary
- Partners with clinical/program management to lead the operational planning, implementation and evaluation of clinical programs and initiatives.
- Coordinates key stakeholders in all clinical programs.
- Creates metrics, measurement, and monitoring methods for clinical, operational and economic performance of clinical program initiatives.
- Contributes to strategic planning to ensure continuous growth, improvement and innovation of clinical programs.
- Coordinates the oversight of operational-clinical integration with delegated vendors.
- Ensures compliance with regulatory requirements including NCQA, HFS, CMS and other regulatory bodies.
- Collaborates with IT leads to ensure effective and compliant implementation of clinical data and information exchange, interoperability and efficient use of software and electronic platforms.
- Manages operations staff and teams to support clinical programs, to maximize member-facing work by clinicians and other members of workforce for highest efficiency and impact.
- Hires, onboards, coaches and evaluates employees.
- Develops, prioritizes and manages hiring of overall clinical department personnel in collaboration with clinical directors.
- Develops and implements initiatives around value-based contracting around clinical initiatives in collaboration with Finance.
- Provides clinical support where needed.
- Adheres to confidentiality standards, HIPAA compliance program, and cultural competency program.
- Adheres to fraud and abuse prevention and/or detection policies and program according to regulatory requirements.
- Performs other duties as assigned.
- Bachelor's degree from an accredited college or university is required (Official transcript must be provided at the time of interview)
- Five (5) years of experience in health care, including direct services within a clinical care team is required
- Three (3) years of supervisory and/or managerial experience in a health plan or managed care organization is required
- Two (2) years of experience with responsibility for operations, including data management and analysis is required
- Master's degree in nursing, business administration, health care administration, public policy, social work, or public health is preferred (Official transcript must be provided at the time of interview)
- Prior finance and budget experience is preferred
- Prior organizational behavior experience is preferred
- Prior healthcare leadership experience is preferred
VETERAN PREFERENCE PLEASE READ When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service To take advantage of this preference a Veteran must:
- Meet the minimum qualifications for the position.
- Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
- Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
OR
- A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW. Benefits Package
- Medical, Dental, and Vision Coverage
- Basic Term Life Insurance
- Pension Plan
- Deferred Compensation Program
- Paid Holidays, Vacation, and Sick Time
- You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/ MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING. *Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U. S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview. *Please note all offers of employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen. *CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor. COOK COUNTY HEALTH & HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER.
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Cook County Health and Hospitals
$171,006 - $199,551
life insurance, paid holidays, sick time
Nov 25, 2024