Clinical Operations Manager

Job Title : Clinical Strategy Manager

Location : Alb NM | Hybrid 3 days in office

Duration : 5+ months contract to hire

Pay : $60.00 / hr on W2 or $125k conversion salary

This position is responsible for ensuring the implementation of a comprehensive Medicaid stakeholder engagement strategy and workplan that improves health outcomes and reduces health disparities for BCBSNMs Medicaid population. The role involves co-designing and deploying a strategic workplan in collaboration with key stakeholders to address health inequities and social determinants of health, health equity plans, programs and community partnerships to reduce New Mexico Medicaid healthcare disparities. This person shall facilitate and coordinate robust engagement strategies for Medicaid Members, Families, Member-serving systems, and other stakeholders to inform and support the design, implementation, and ongoing improvement of innovative clinical solutions and care transformation population health programs that will address health inequities, social determinants of health, improve quality, increase efficiency, and drive cost savings for the Turquoise Medicaid Care program.

Key Responsibilities include :

Leading the development and execution of a robust Medicaid stakeholder engagement strategy that actively involves Medicaid Members, Families, Member-serving systems, and other stakeholders. This strategy will inform and support the design, implementation, and ongoing improvement of innovative clinical solutions and care transformation population health programs.

Developing a comprehensive strategy and framework to integrate stakeholder feedback into population health programs and initiatives

Facilitating the co-design of health equity plans, programs, and community partnerships aimed at reducing healthcare disparities within the New Mexico Medicaid population with a focus on engaging community-based organizations, non-profits and other non-traditional Medicaid providers.

Spearheading the strategic rollout of the Closed Loop Referral comprehensive solution, which focuses on referring, providing, and tracking public health services for Medicaid and underserved populations across the state.

Managing concurrent initiatives that align with HCSC population health goals, ensuring resource requirements are met and initiatives are successfully advanced.

This role fosters strong, ongoing relationships among internal and external community-based business partners by leveraging their subject matter expertise and thought partnership, transferring knowledge, best practices (external and internal), methodology and tools. This role requires a dynamic leader who can effectively engage with diverse stakeholders, co-create impactful solutions, and drive meaningful improvements in Medicaid health outcomes across New Mexico.

Required Job Qualifications :

Bachelors Degree in Business, Healthcare or related field

Minimum 7 years experience in strategic planning, program or product development, or market research;

Minimum of 2 years of project management experience including planning, formulating and executing strategies, as well as the ability to define program, process or business objectives and scope

Medicaid knowledge and / or experience with underserved and marginalized communities impacted by health disparities

Strong background / knowledge of product design, program design, research design, predictive modeling.

New Program implementation experience

Strong interpersonal, consultative and relationship building skills in order to initiate and develop productive working partnerships with all levels of management / leadership and staff Effective communication, written and negotiation skills, and ability to communicate and influence internal and external customers

Preferred Job Qualifications :

Masters Degree in Business, Healthcare or related field

Experience engaging Medicaid stakeholders and familiarity with key concepts around public health, epidemiology, cultural competency, rural health, and social determinants of health

Experience working with community based organizations, Tribal organizations, non-profits and population focused organizations

Consulting experience

Health care / health insurance industry experience

Clinical program design experience with familiarity with clinical program delivery and use of internal and external public health data to inform program design

Quality Improvement experience

Product design