Clinical Outcomes Director directs in-depth analysis of clinical outcomes data to develop clinical process improvement initiatives. Oversees and leads staff who gather data on performance metrics and facilitates the review of clinical program effectiveness. Being a Clinical Outcomes Director creates, defines, and implements performance metrics to review program effectiveness. Evaluates patient data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Additionally, Clinical Outcomes Director identifies opportunities and provides recommendations to improve program delivery, patient outcomes, and operational efficiency. Requires a bachelor's degree in nursing or healthcare related area. May require a Registered Nurse (RN) license. Typically reports to senior management. The Clinical Outcomes Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Clinical Outcomes Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
JOB SUMMARY
The Operations and Clinical Claims Specialist is responsible for supporting the Revenue Cycle Management (RCM) operations, onboarding of client programs and process improvement while collaborating on strategic projects.
ESSENTIAL DUTIES & RESPONSIBILITIES
Revenue Cycle Management - Clinical Claims
Operational Analysis and Process Implementation
Subject matter expert on all product offerings
KNOWLEDGE & REQUIREMENTS
What is expected of you and others at this level
Preferred Qualifications
EDUCATION & EXPERIENCE REQUIREMENTS
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.