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About Vheda Health

Vheda Health is a leader in virtual health engagement, dedicated to improving health equity for underserved populations. With over 10 years of experience and a strong national presence, our turnkey chronic care programs provide simple access to care from anywhere, helping health plans deliver better outcomes for their members.

We're Hiring a Health Services Clinical Manager to Join Our Team!

• We're seeking a talented and motivated Health Services Clinical Manager to join our team. In this role, you will oversee and manage the day-to-day operations of the Health Services department. This role involves ensuring high-quality member care, managing Health Services staff consisting of clinical and non-clinical staff, and implementing policies and procedures to enhance the efficiency and effectiveness of all clinical services.

Key Responsibilities

Clinical Operations Management:

• Oversee the daily operations of the clinical department, ensuring smooth and efficient workflows.
• Develop and implement clinical policies and procedures to maintain high standards of care.

Staff Management:

• Recruit, train, and supervise clinical staff, including nurses, clinical coordinators, and member advocates.
• Conduct performance evaluations, provide feedback, and facilitate professional development opportunities.

Member Outreach Quality:

• Monitor and evaluate the quality of member outreach conducted by the clinical team.
• Implement quality improvement initiatives to enhance member outcomes and satisfaction.

Compliance and Member Engagement:

• Ensure compliance with all relevant healthcare regulations, standards, and best practices.
• Perform routine quality chart and call audits to improve member outcomes and drive organizational success.

Collaboration and Communication:

• Foster effective communication and collaboration among clinical staff, and other departments (Member Experience Team, Shipping, Analytics and Leadership)
• Serve as a liaison between the clinical team and other stakeholders, including members and their care team, and external partners/supports (Client Partners).

Technical Support Oversight:

• Oversee clinical team collaboration with technical support to ensure timely resolution of member or system issues.

Required Qualifications

• Education: Master's degree in healthcare administration, public health, or related field.
• Experience: 7+ years of leadership in healthcare services, particularly clinical operations, managed care, or population health.
• Knowledge: Familiarity with chronic conditions, NCQA, HEDIS, case management, and utilization management.

Preferred Qualifications

· Proficiency in telephonic and remote work environments.

· Strong care coordination capabilities.

· Care/Case Management Experience or certifications.

· Experience in Urgent or Emergent care settings.

· Leadership and team management skills.

· Expertise in quality improvement and patient/member care.

· Knowledge of regulatory compliance.

· Effective resource management.

· Excellent communication and collaboration abilities.

· Oversight of technical support operations.

Why Join Vheda Health?

At Vheda Health, we invest in our team's wellbeing with a comprehensive benefits package:

· Compensation: Competitive salary within the published range plus performance bonus and equity opportunities

· Healthcare: Comprehensive medical, dental, and vision coverage

· Financial Security: 401(k) retirement plan, voluntary life insurance, short and long-term disability

· Work-Life Balance: Unlimited paid time off and 12 paid company holidays

· Community: Engaging team events and activities throughout the year

Base salary range: $68,000–$85,000 per year