
Associate Director Clinical Implementations - Remote
- Minnetonka, MN
- $110,200-188,800 per year
- Permanent
- Full-time
- Greenfields: National team supporting Greenfield markets as lead for completion of all discreet tasks associated with implementation of clinical program requirements for Medicaid and DSNP products
- Rebids/Expansions: National team functioning as a subject matter expert as appropriate when implementation of clinical programs includes the deployment of a new clinical solution for Medicaid and DSNP products
- Clinical Programs: Accountable for assigned projects deploying new capabilities in the clinical programs ecosystem. Potential projects may include new processes, new vendors, or significant change events
- Develop project management tools and resources to support Clinical E2E implementations including pipelines, dashboards, creation of templates and additional ad hoc reports
- Lead contract review of all clinical requirements in partnership the health plan to conduct an Impact and Risk analysis against the proposed clinical model and clinical operations regulatory requirements
- Lead E2E clinical meetings to review clinical stakeholders' status and discuss any issues and risks
- Lead strategy discussions with clinical stakeholders and serve as a clinical consultant to develop innovative approaches, evaluating clinical models, identification and stratification algorithms and clinical operational reporting from an implementation/operations perspective
- Work directly with Clinical Stakeholders to identify all clinical program requirements including clinical platform business requirements, operational tools, regulatory reporting and Key Performance Indicators, clinical policies and training or instructional design elements needed to support the contract requirements and RFP commitments
- Work with National Clinical Leaders to develop a national clinical implementation support model and strategic plan that creates consistency and efficiencies through operating discipline, role clarity, and risk mitigation planning
- Drive improvement of existing processes as well as develop new processes to meet emerging business needs in the market
- Work collaboratively across business partners
- Identify and solve unique and complex problems
- 5+ years of Project/Product Management experience leading projects within a large matrixed environment; demonstrated ability to prioritize deliverables
- 3+ years of Medicaid managed care experience that includes at least one of the following: care management, utilization management, provider enablement, ACO, or other relevant clinical programs
- 3+ years of leading clinical product or vendor implementation
- Intermediate or higher level of proficiency in Microsoft applications including Excel, Word, PowerPoint and Visio
- Medicaid managed care experience in product management and/or vendor management
- Experience with case management programs
- Experience with DSNP and LTSS populations
- Experience with Reporting strategy (pipelines, dashboards, ad hoc reporting)