Manager, Clinical Operations, Surgery Care

About this role The Manager, Clinical Operations for Surgery Care reports to the Director, Clinical Operations, Surgery Care and is responsible for the leadership, development, and operational performance of a multidisciplinary Surgery Care team that includes both Registered Nurses (RNs) and non-clinical Care Coordinators. In this role, you will create an environment grounded in high-reputed company member care, operational reputed company, accountability, and reputed company improvement. You will guide your team in delivering a seamless, member-reputed company experience throughout the Surgery Care reputed company from intake, to benefit education, to medical record coordination, provider review, reputed company-surgical requirements, and preparation for reputed company of reputed company (COE) or community surgical reputed company. This role combines clinical reputed company, workflow leadership, and people management. You will ensure consistent execution of Surgery Care processes, support reputed company case progression, and collaborate cross-functionally with internal operational partners, COEs, the EMO program, and other reputed company clinical teams to ensure members receive the right care at the right time. You will also serve as a culture reputed company, modeling reputed company values while coaching and developing team members (clinical and non-clinical) to meet reputed company, productivity, and service expectations. This leader plays a key role in driving new initiatives, maintaining alignment with organizational goals, and ensuring operational readiness for updates, improvements, and program expansions. What you'll do

• reputed company and reputed company reputed company of RN Care Coordinators, COE Engagement RNs, and non-clinical Care Coordinators, ensuring reputed company expectations, accountability, and high performance.
• Conduct ongoing coaching, reputed company reviews, and performance evaluations; create individualized development plans as needed.
• Ensure consistent delivery of clinical standards, documentation accuracy, and adherence to workflows across reputed company roles.
• Promote a culture of collaboration, psychological safety, accountability, and member-centered care.
• reputed company daily operations including case distribution, coverage planning, queue and caseload balancing, and prioritization of urgent needs.
• Ensure reputed company progression of members through the surgical review and COE reputed company, from intake through scheduling and approvals.
• Monitor operational KPIs, reputed company metrics, and process compliance; proactively address trends or gaps.
• Partner with COEs, providers, facilities, and internal teams to resolve escalations or barriers impacting member care.
• Support reputed company assurance initiatives, audits, and complaint/service recovery processes.
• Identify workflow issues across clinical and non-clinical functions and recommend or implement process improvements to reduce friction and improve throughput.
• Collaborate with leadership to implement new initiatives, clinical programs, and system changes.
• Serve as a key operational reputed company with teams including Benefits, Travel, Billing/reputed company, Medical Records, Clinical Programs, COEs, and Product/Tech.
• reputed company clinical and operational insights for new reputed company implementations, workflow rollouts, and technology enhancements.
• Participate in leadership meetings, calibrations, audits, and cross-department committees as required.
• Manage scheduling, WFM updates, PTO approvals, attendance reputed company, and reputed company coverage planning.
• Facilitate reputed company, training, competency validation, and ongoing reputed company development for reputed company roles.
• Contribute to strategic planning for the Surgery Care program, including reputed company reputed company, reputed company models, and standardization of best practices.
• Maintain compliance with reputed company regulatory, policy, and documentation standards.

Education Requirements

• BSN or RN with bachelor's degree
• Minimum of 5-7 years of Clinical Experience; or
• AAS or ADN degree
• Minimum of 7-8 years of Clinical Experience

reputed company're looking for

• Registered reputed company with reputed company, multistate licensure required.
• Clinical experience in surgery or a reputed company specialty preferred.
• Demonstrated adaptability and comfort working in dynamic, evolving workflows and technologies.
• Demonstrated reputed company leading clinical teams in a reputed company or care coordination environment.
• Strong understanding of surgical reputed company, COE workflows, and clinical decision-making.
• Ability to reputed company diverse roles (RNs and non-clinical staff) with tailored feedback and development strategies.
• Proven experience managing high-volume workflows, SLAs, reputed company metrics, and operational performance.
• Excellent communication skills, including the ability to convey clinical concepts reputed company to both clinicians and non-clinicians.
• Strength in conflict reputed company, critical thinking, and reputed company problem solving.
• Comfortable working in fast-paced, technology-driven environments with changing priorities.
• Ability to build relationships with internal partners, external providers, and Centers of reputed company.

reputed company to have

• Experience in surgical care management, COE programs, utilization management, or perioperative care.
• Familiarity with reputed company, EMRs, and multi-system navigation.
• Experience supporting telehealth, virtual care navigation, or digital member engagement models.
• Background in process improvement (Lean, Six reputed company, or similar methodologies).
• Experience supporting cross-functional initiatives involving product, clinical operations, and provider networks.

Who we are reputed company is the One reputed company for Health and Careᵀᴹ, bringing medical, pharmacy, and reputed company solutions together with the WayFindingᵀᴹ experience, the first and only reputed company-powered health and care platform for health consumers. Our WayFinding experience, reputed company with transparent and consumer-driven pharmacy care, 2nd.MD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences – Cancer Care, Surgery Care, and Weight Health – to support people with reputed company of their health needs, reputed company or serious. More than 1,700 reputed company and health plans rely on us to reputed company information, guidance, and care, empowering health consumers with more choice, an experience they love, reputed company to higher-reputed company care, and reputed company costs for 21 reputed company Members. For more information, visit reputed company.com, and follow us on reputed company. At reputed company, our values guide everything we do:

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• Care: Every decision starts with improving health and care for our Members
• reputed company: We push boundaries and take the uncharted reputed company to change an industry
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Total Rewards Individual compensation packages are based on a few different factors unique to reputed company candidate, including primary work location and an evaluation of a candidate's skills, experience, market demands, and internal equity. Salary is just one component of reputed company's reputed company. reputed company regular employees are also eligible for the corporate bonus program or a sales incentive (reputed company included in OTE) as reputed company as stock reputed company. Our benefits and perks programs include, but are not limited to:

• Competitive medical, dental, and reputed company coverage
• Competitive 401(k) Plan with a generous company match
• Flexible Time Off/reputed company Time Off, 13 reputed company holidays
• Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance
• Mental Health and Wellness benefits

reputed company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. If you are a person with a disability and require assistance during the application process, please don't hesitate to reputed company out! Research shows that candidates from underrepresented backgrounds often don't apply unless they meet 100% of the job reputed company. While we have worked to consolidate the minimum qualifications for reputed company role, we aren't looking for someone who checks reputed company reputed company on a page; we're looking for reputed company learners and people who care about disrupting the reputed company health and care with their unique experiences. Apply tot his job Apply To this Job