Senior Manager Clinical Program Transplant/High Cost Case

Job DescriptionDescription\n

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\n\nLocation: This position is located at our Dublin, OH campus with hybrid flexibility \n\n\n \n\nWho we are\n\nFounded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®. \n\n\n\nWe’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement. \n\n\n\nAbout the role \n\n\nThe Manager Clinical Program, Transplant and High Cost Case is responsible for working in partnership with Clinical and Pod Operations to ensure consistency and provide oversite of Transplant and High Cost Case department activities within Quantum Health’s clinical model. This position will function as Subject Matter Expert (SME) for all transplant and high cost case services and will work in conjunction with clinical leadership to meet the transplant and high cost case clinical initiatives, outcomes, and performance goals for this service.  \n\n\n\nWhat you’ll do \n\n

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• \nMaintain oversight of program design, execution and effectiveness. \n

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• \nEnsure alignment with organizational priorities and strategic initiatives. \n

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• \nMaintain processes, protocols, tools and systems that support program objectives. \n

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• \nContinuously monitor outcomes, address gaps and/or refine strategy as needed. \n

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• \nEnsure compliance with relevant regulatory requirements. \n

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• \nServe as the primary clinical SME for internal and external parties. \n

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• \nProvide leadership and subject matter expertise. \n

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• \nAssist with day-to-day problem-solving, Q&A, and protocol guidance for staff. \n

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• \nPromote a focus on quality, consistency, and effectiveness. \n

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• \nSupport staff performance management and coaching efforts, as needed. \n

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• \nFacilitate regular team discussions that reinforce key needs/expectations/initiatives, promote an awareness of program and staff performance, and provide a forum for Q&A. \n

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• \nParticipate in interviewing, onboarding and of new staff, as needed. \n

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• \nPartner with leaders to manage the placement and assignments of staff. \n

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• \nContinuously evaluate the staffing distribution and workload to ensure adequate balance. Adjust coverage as needed. \n

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• \nAll other duties as assigned. \n

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• \nActive license as a Registered Nurse in the state of Ohio \n

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• \nRN with a BSN or equivalent experience \n

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• \nMinimum of 2 years of clinical experience with direct patient care \n

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• \nMinimum of 2 years of clinical program management or supervisory experience \n

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• \nExcellent interpersonal communication skills \n

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• \nAbility to make decisions that are timely and that achieve results consistent with business goals and organizational culture \n

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• \nPossess excellent time management skills \n

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• \nAbility to work independently with minimal supervision \n

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• \nPossess excellent critical thinking skills \n

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• \nAbility to create, track and trend program metrics to ensure successful program outcomes \n

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• \nProtect and take care of our company and member’s data every day by committing to work within our company ethics and policies \n

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• \nStrong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently. \n

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• \nTrustworthy and accountable behavior, capable of viewing and maintaining confidential information daily. \n

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\n\n\n#LI-HW1 #LI-Hybrid \n\n\n \n

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\nWhat’s in it for you\n
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• \nCompensation: Competitive base and incentive compensation

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• \nCoverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and protection, adoption assistance, EAP, Teladoc services and more.

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• \nRetirement: 401(k) plan with up to 4% employer match and full vesting on day one.\n

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• \nBalance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.

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• \nDevelopment: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.

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• \nCulture: Recognition as a Best Place to Work for 15+ years, dedication to , philanthropy and sustainability, and people-first values that drive every decision.

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• \nEnvironment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!

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What you should know

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• \nInternal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.

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• \nProcess: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.

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• \n, Equity and : Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer .

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• \nTobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.

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• \nCompensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.

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• \nSponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.

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• \nAgencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.

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Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.

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Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you’ve encountered a recruiting scam, report it to the Federal Trade Commission and your state’s Attorney General.