Job DetailsVice President of Clinical Operations 2024 - 1379Bethesda, Maryland, United StatesOperationsFull TimeDescriptionOverviewAre you passionate about transforming healthcare and improving patient outcomes? Join our innovative team where your expertise will drive meaningful change in workers' compensation management. We’re looking for a dedicated professional eager to make a difference in the lives of patients and program results.The Vice President of Clinical Operations provides oversight and direction for workers’ compensation Vocational Rehabilitation, Telephonic, and Field Nurse case management operations and outcomes.The Vice President of Clinical Operations is expected to consistently ensure excellent clinical services are provided to all program beneficiaries, to ensure positive program outcomes and quality.Key Responsibilities
Superior leadership skills. Motivate and lead a high-performance management team; lead and oversee all clinical operations
Effective leadership and coaching of a team of professionals, exercising the leadership experience to ensure that SGS/Managed Care Advisors builds a compelling, client-oriented organization supporting Commercial and Federal customers and stakeholders.
Oversee structure and budget for all Clinical Services, including staffing, working closely with Program Management and Finance.
Oversee Implementation of contracted Clinical services and requirements with ongoing evaluation of compliance and enhancements.
Collaborate with Program Management to ensure clinical vendors and sub-noncontractors carry out assigned responsibilities
Assure compliance with requirements for licensing, certification, security, and government regulations.
Work with the clinical team in establishing and enhancing policies and protocols regarding case management and vocational rehabilitation products and services.
Collaborate with the Chief Medical Officer and/or Medical Directors to ensure approved evidence-based guidelines and/or client-approved resources are used to guide policy and procedure
Represent SGS/MCA broadly to all external audiences, help to hire, onboard, and retain SGS/MCA's top talent across service and technical areas, contribute to our setting of SGS/MCA's strategy, make budget and talent decisions, and build expertise in all areas of the business.
Establish and revise structure and budget for all assigned services, including medical services staffing, working closely with the CFO and VP of Operations.
Support business development to include client/potential client meetings, participate in RFI review, bid/no-bid decisions, and RFP responses.
Serve as a member of the leadership team, including an ongoing collaboration with Program Management and SGS/MCA leaders.
Experience in building teams, managing, hiring, and developing people. Successfully manage the team's workload and resources.
Provide staff with timely feedback through scheduled guidance/coaching sessions and midyear/ annual evaluations. This includes active coaching and engaging colleagues to enhance their performance and commitment. Assist colleague to develop skills needed to achieve optimal performance and strong performance in their role.
Recruit, hire, and train Clinical Operations Directors, and Managers as a result of company growth or attrition
Supervise and mentor the Clinical Services Managers and Directors as outlined in the position job descriptions
Conduct periodic reviews of cases for quality improvement, actively and serve on quality improvement and other committees, as assigned
Collaborate with the Quality and Training Department to develop and deliver educational services for clinical personnel.
Collaborate with Quality Management to ensure all contract-required audits and training are completed according to requirements
Actively resolve employee conflict through improvement efforts, multi-disciplinary strategies, problem-solving skills, and conflict management. Make timely decisions based on the evaluation of outcomes and communicate the results effectively so that the employee understands the reason behind the decision.
Qualifications
Master's Degree Required in Health Care or Business Administration related field
Bachelor’s Degree Required
At least 20 years of experience in Health Care, with at least 5 years of experience in workers' compensation, occupational health, or disability management
At least 10 years of progressively increasing level of leadership.
Customer Service experience in the medical field preferred
Medical terminology expertise preferred
Excellent organizational and analytical skills. Superior customer service skills working proactively and collaboratively with Federal research, compliance, and policy staff and stakeholders to implement and enhance internal and external management reports and public-facing data analysis. Effectively present information to different audiences.
Excellent leader and team player; ability to partner with internal clients and other cross-functional departments; recalibrates the staff team structure whenever needed.
Superior writing and communication skills. Must write succinctly and clearly and explain complex situations in plain English to technical and non-technical audiences.
Utilizes direct communication and proactive problem-solving to address internal organizational challenges and disagreements.
Ability to solve problems involving several options in situations. Requires intermediate analytical and quantitative skills.
Skilled in personnel management, budget, and resource development, and Excellent people skills, with an ability to partner with a dynamic leadership team
Ability to work well in a team environment, with a minimal degree of supervision, to handle a heavy workload, to prioritize work for self and team, and to meet assigned deadlines
Strong people, organizational, and analytical skills (including attention to detail).
Proficient Computer Software (SW) Skills: Overall Business SW (e.g. MS Office Suite)
May perform other duties, as needed, to meet the needs of the business
Ability to travel 25%
United States Citizenship
Ability to pass a preliminary credit and background check
Upon hire, federal security clearance will be required
For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (range). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.To be considered for this position, please submit a resume, and complete the application.The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.Important InformationSuccessful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.Search Firm RepresentativesPlease be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions.Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation to complete the application process, please contact Government Solutions regarding accommodations.Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action EmployerAll qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a) (http://www1.eeoc.gov/employers/upload/eeocselfprintposter.pdf) . This regulation prohibits discrimination against qualified individuals based on disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a) (http://www1.eeoc.gov/employers/upload/eeocginasupplement.pdf) . This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.About SedgwickSedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com Privacy | Sedgwick (https://www.sedgwick.com/privacy/) Terms and Conditions | Sedgwick (https://www.sedgwick.com/termsandconditions/)
