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4067-Senior Director Clinical Operations

2 hours, 10 minutes ago
United States
Full-time
Lead
Operations Manager
Project and Program Management
Apply Now
Innovaccer

Innovaccer

Innovaccer is a top data platform for value-based care, providing unified patient data solutions to revolutionize healthcare outcomes worldwide.

IT Services
1K-5K
Founded 2014
$379M raised
View All Jobs 22

Description

  • Own and manage day-to-day clinical operations workflows across utilization management, prior authorization, and care coordination.
  • Build operational standards, policies, and performance metrics that support consistency and scalability across customer deployments.
  • Identify workflow bottlenecks and lead cross-functional efforts to resolve them with clinical, product, and customer success teams.
  • Oversee workflow documentation, training materials, and change management processes to support adoption of new clinical capabilities.
  • Track and report operational KPIs such as turnaround times, denial rates, and care gap closure.
  • Serve as the primary clinical operations expert for utilization management, prior authorization, and related workflows.
  • Translate nursing and utilization review workflows into scalable digital product capabilities.
  • Partner with product managers to define requirements, user stories, and workflow designs.
  • Collaborate with data science and AI teams to identify automation opportunities in review and decision-support workflows.
  • Support product testing, workflow simulations, usability validation, pilots, and early implementations.

Requirements

  • Registered Nurse (RN) license is required.
  • BSN is required; MSN or advanced clinical informatics training is preferred.
  • 3–5 years in a clinical operations leadership role.
  • Demonstrated experience building or managing operational functions, defining workflows, and owning performance metrics.
  • 5–10+ years of experience in utilization management, care management, or prior authorization operations.
  • Experience in health systems, health plans, or delegated risk organizations.
  • Familiarity with clinical documentation review, medical necessity criteria, and utilization review processes.
  • Exposure to health IT, analytics platforms, or AI-enabled healthcare solutions is strongly preferred.

Benefits

  • 20 days of fixed paid time off per year, plus company holidays.
  • Best-in-class parental leave policy.
  • Monetary incentives and company-wide recognition for performance.
  • Medical, dental, and vision insurance coverage.
  • 100% company-paid short-term and long-term disability insurance.
  • 100% company-paid basic life insurance.
  • Optional discounted legal aid and pet insurance.

Interested in this position?

Apply directly on the company website

Apply Now

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