Clinical Operations Associate Manager Non-RN (Care Management)

Location: Work@Home USA, United States of America

Company

hirify.global provides technology-enabled business process management services and healthcare expertise across clinical operations, care management, member engagement, provider solutions, claims, payment integrity, and analytics.

What you will do

• Lead daily operations across multiple care management teams and ensure productivity, quality, compliance, attendance, service-level, and member outcome targets are achieved.
• Manage, coach, and develop Senior Supervisors, Team Leads, Mentors, SMEs, and frontline staff through performance reviews, development planning, succession planning, and engagement initiatives.
• Act as a primary operational contact for client requests, escalations, business reviews, governance meetings, and performance discussions.
• Analyze operational data and reporting to identify risks, develop corrective action plans, support forecasting and capacity planning, and improve business performance.
• Ensure compliance with client requirements, HIPAA regulations, company policies, audits, and documentation standards.
• Lead process improvement, operational transformation, ramp readiness, business expansion, technology implementation, hiring, onboarding, and resource allocation activities.

Requirements

• Must be based in the United States for the Work@Home USA role.
• Bachelor’s degree in Healthcare Administration, Nursing, Business Administration, Public Health, Psychology, Management, Arts and Sciences, or a related field.
• At least 5 years of healthcare operations experience.
• At least 3 years of leadership experience managing leaders in healthcare operations, contact centers, care management, population health, or payer environments.
• Experience managing multiple teams, driving productivity and quality performance, leading employee development, and executing operational action plans.
• Clinical operations leadership, performance management, coaching, talent development, quality, compliance, and operational excellence skills.

Nice to have

• Master’s degree in Healthcare Administration, Business Administration, Public Health, or a related field.
• Experience with healthcare payer, care management, population health, utilization management, or case management programs.
• Experience with ramp readiness, workforce planning, business expansion, client-facing operational reviews, and executive presentations.
• Client relationship management, executive communication, capacity management, process improvement, and change management experience.

Culture & Benefits

• Work-from-home arrangement within the United States.
• Focus on accountability, collaboration, innovation, continuous improvement, quality, and compliance.
• Opportunity to develop future supervisors, managers, mentors, and SMEs.
• Collaboration with Workforce Management, Quality, Training, Reporting, HR, Technology, Recruiting, operations leadership, and client stakeholders.