Head of Clinical OperationsCOO

Mae is looking for a Head of Clinical Operations / COO who is passionate about maternal health equity. This is a leadership role responsible for the quality and performance of health plan operations with both team management and team oversight responsibilities. While the primary focus is on Maes health plan related operations this role will also drive cross-functional process improvements and strategic operational initiatives to drive overall business performance.

The Head of Clinical Operations / COO will report directly to the Chief Executive Officer and directly manage the Claims & Billing Team and the Members Services Team Manager who manages Maes member-facing teams.

A successful Head of Clinical Operations / COO at Mae is :

• A seasoned clinical operations leader who has historically performed and / or directly overseen day-to-day health plan operations (member-facing care billing & claims management new member enrollment)
• A builder who has rolled up their sleeves to create processes teams and structure driven by strategic priorities
• A people leader who can develop high-potential team members while also mentoring less experienced team members in a fast-paced setting
• Driven by mission and impact motivated by solving complex problems and energized by creating structure and clarity where none existed before
• Technically fluent and system-minded comfortable using and optimizing modern tools and platforms as well as able to design fit-for-purpose workflows within these tools that scale with the organization
• Experienced in and energized by guiding teams through change with clarity and empathy and fostering a culture that embraces continuous improvement

Key responsibilities :

In your first 90 days : This role requires a blend of tactical and strategic execution. Your first objective is to drive the strategic restructuring of member-facing roles into a new Member Services Team consisting of :

Alongside a new Member Services Manager you will implement role & process definition to drive our most critical company metrics : new member enrollment and doula utilization.

You will also take over management of the Claims & Billing Team where you will :

After 90 days : Youll continue to improve and refine your teams processes and performance while transitioning to an oversight role for the Member Services Team.

Ensure quality and performance standards are defined for mission-critical processes and meet the needs of the business

You will be responsible for executive reporting and strategic planning on key member-facing processes including but not limited to :

With our cross-functional leadership team youll develop a strategic operational roadmap aligned to our company goals with a focus on :

Optimized workflows efficiency and collaboration

Quality Change Management & Process Improvement Initiatives :

Evaluate the comprehensiveness & quality of procedural documentation and develop strategies to improve and align to a cohesive internal standard

Qualifications :

What we are looking for :

Preferred Experience :

Masters Degree (e.g. MBA) or Process Methodology Certifications (e.g. Lean Six Sigma)

Additional Information :

Benefits include

Additional Information

We are currently only hiring US based applicants and are unable to sponsor visas. All your information will be kept confidential according to EEO guidelines.

All your information will be kept confidential according to EEO guidelines.

Mae Health Participates in E-Verify

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.

Remote Work : No

Employment Type : Full-time

Key Skills

Succession Planning,Growing Experience,Expense Management,Management Experience,Rackspace,Laboratory Management,Senior Leadership,Operations Management,Relationship Management,Leadership Experience,negotiation,Taxonomy

Experience : years

Vacancy : 1