Clinical Operations Manager

7 days left

Minneapolis, Minnesota
May 12, 2021
Jun 28, 2021
Employment Status
Full Time
Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs.

UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.


Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.

At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.



ABOUT UCARE UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE Working at UCare is more than a career; it's a mission. A mission that defines us as professionals, unites us as an organization and shapes how we interact with our members and each other. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 12 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.


Position Description
This position is responsible for leading the Operations team within Clinical Services. Collaborate within Clinical Services and cross-functionally to improve operations and better serve UCare members and providers. Coordinate and support projects within Clinical Services and the Quality of Care review process. Responsible for operations strategy development, team initiatives, process improvement, and the development and maintenance of policies and procedures. Interpret and apply state and federal regulatory mandates to support audit readiness and accreditation.

• Develop and maintain policies, procedures, and performance standards for the Clinical Operations team. Provide leadership and direction to staff, including mentoring and coaching as appropriate.

• Responsible for the Quality of Care review process. Establish a baseline of compliance, regulatory and accreditation risk. Identify areas of potential exposure, develop solutions to resolve identified gaps and opportunities, and implement strategies for audit readiness.

• Collaborate with UCare Government Programs and Corporate Compliance departments to ensure the Quality of Care review process is consistently ready for regulatory and accreditation audits.

• Build and leverage effective cross-functional relationships, influence and support a culture of compliance.

• Ensure a process to support that all departmental policies, procedures, and job aids are reviewed at an appropriate cadence and contain required regulatory and accreditation related elements.

• Maintain a comprehensive and sustainable project coordination process. Work collaboratively with teams to support the business owner. Provide predetermined status updates to monitor progress, deliverables, milestones, timelines, resource allocation, problem solving strategies and outcomes that will result in successful implementation of projects.

• Represent Clinical Operations in internal/ external work groups and initiatives as assigned by the Clinical Services Operations Director.

• Manage relationships and coordinated efforts with delegated vendors as assigned.

• Foster employee engagement and support the values of UCare while delivering on member and provider satisfaction.

• Other projects and duties as assigned.

Bachelor's degree in business, public health, or a Registered Nurse with current and unrestricted Minnesota license; demonstrated experience may be considered in lieu of degree. Master's Degree in Business or health care field preferred.

Required Experience
Five years supervisory or management experience in a health plan, managed care organization, or clinical setting. Experience with program performance measurement, data, reporting, and analysis. Knowledge of State and Federal regulations, experience with national accreditation standards.

Preferred Experience
Experience with vendor delegation and oversight. Proficiency with Tableau or other reporting tools. Accreditation, auditing, and process improvement experience is preferred.

The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, helps you build on your strengths and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

JOB POST DATE: 05/11/2021

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