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Job Description

Job Summary

The Sr. Clinical Performance Consultant is responsible for the successful execution of clinical transformation, performance & process improvement initiatives that result in operational efficiencies. Provides intensive and immersive hands-on coaching and support, ensuring full optimization of business capabilities.

Job Duties

• Drives process change 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 (SME); can provide interim stabilization support

• Uses clinical expertise to identify operating processes that are necessary to operate in the market vs. can be moved to standard process

• Assesses business and operational needs for opportunities to improve efficiency, productivity, effectiveness, and accuracy.

• Review, research, analyze and evaluate information to assess compliance between a process or function and the corresponding written documentation. Use analytical skills to identify variances. Use problem solving skills and business knowledge to make recommendations for process remediation or improvement.

• Conduct interviews with staff and management to assess internal clinical business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other internal guidelines

• Drives process change by integrating new processes with existing ones and communicating these changes to impacted business teams.

• Summarize, document and disseminate assessment outcomes and recommendations. Determine process and program support needs. Ensure that they are appropriately communicated (written and verbal) to process owners and management.

• Conducts meetings and disseminates communication related to process and program needs, including internal action planning & process improvement activities to senior leadership and staff as needed.

• Uses understanding of key revenue levers, cost drivers and customer satisfaction impacts of business processes to optimize and improve business processes and productivity

• Employing change management techniques to prepare the business in successful organizational change

• Flexibility to travel depending on business need (up to 25%)

Job Qualifications

• Active and unrestricted Registered Nurse (RN) license or independent behavioral health license (LCSW, LPC, LMFT, or LMHC)

• Minimum of 6 years’ experience in health care

• Understanding of clinical operations: utilization management, case management, etc.

• Ability to provide hands-on, immersive and directed support for identified business improvement initiatives

• Experience providing coaching, development and operational feedback to individuals and teams

• Experience using business knowledge to make recommendations for process remediation or improvement

• Strong leadership qualities and ability to lead and achieve results

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $171,058 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.