Director Clinical Operational Effectiveness Jobs

Key Duties and Responsibilities

Provide strategic oversight for the planning, implementation, and evaluation of clinical programs from initiation through completion.

Develop and execute operational strategies to enhance clinical performance, efficiency, and quality of care.

Ensure clinical services and team practices are conducted in accordance with ethical standards, organizational policies, and all regulatory and accreditation requirements.

Collaborate with providers, nursing staff, and non-clinical leadership to implement policies, strengthen clinical workflows, and improve service delivery.

Coordinate across departments to ensure clinical programs operate effectively, efficiently, and in alignment with organizational objectives.

Lead and manage clinical operations staff, including recruitment, onboarding, training, coaching, and performance management.

Oversee clinical quality initiatives, including audits, incident reporting, root cause analyses, and infection prevention and control programs.

Develop and implement staff education and training initiatives to ensure adherence to clinical standards, best practices, and regulatory requirements.

Monitor and analyze quality metrics, dashboards, and performance data to identify trends, address gaps in care, and improve clinical outcomes.

Build and maintain collaborative relationships with external partners, including community-based organizations, health plans, regulatory bodies, and healthcare providers.

Ensure readiness for regulatory reviews, audits, and accreditation processes.

Support a culture of accountability, continuous improvement, and patient-centered care.

Qualifications

Active Registered Nurse (RN) license required.

Bachelor's degree in Nursing (BSN) or a related healthcare field required.

Master's degree in Nursing (MSN), Healthcare Administration (MHA), Public Health (MPH), or related field preferred.

Minimum of 5-10 years of progressive clinical experience, including significant leadership or management experience in clinical operations, quality assurance, or healthcare program management.

Strong knowledge of Medicare and Medicaid regulations, accreditation standards, and healthcare risk management practices.

Demonstrated leadership, analytical, communication, and problem-solving skills.

Proven ability to manage multiple priorities and projects in a fast-paced, high-demand healthcare environment.

Strong commitment to quality, compliance, and organizational success.

Ability to work collaboratively across multidisciplinary teams.

Flexibility to work varied hours, including evenings or weekends as needed, and willingness to travel when required.

Working Conditions

Office and hybrid working environment

80% of travel requirements for meetings, site visits, satellite offices as required.

COPE Health Solutions reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee.

Equal Employment

Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence. COPE Health Solutions values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged.

COPE Health Solutions is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply.

Benefits:

As a firm passionate about health care, we're deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

About COPE Health Solutions COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.