Clinical Workflow Specialist at Somatus
Remote
Summary:
TheClinical WorkflowSpecialist, reporting to theSenior Manager of Clinical Operations- Program development,will focus on development andoptimizingclinical andoperational workflows to better the CKD and ESRD population, using evidence-based research and best practices.
Essential Duties and Responsibilities:
Ensureclinical andoperationalworkflows align with requirements set forth by NCQA, Medicaid,SNP, CMS, and other regulatory entities.
Createand update workflows for new implementations, updated processes, and any changes related to operational processes.
Updateassociatedclinical/operational documentation, checklists, job aids, etc.
Collaborate closely withclinical/operational training department to ensureseamless coordinationof new and updated workflows and processes.
Collaborate with clinical program teams to ensure alignment of clinical and operational workflows.
Work cross functionallywith multiple teams todetermineclinical/operational development needs and updates.
Identify areas of opportunity to clarify or improveclinical/operational workflows.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Required Education and Experience:
Bachelor's degree, Nursing degree, or other comparable healthcare experience.
experience with interpreting clinical data to create process to improve clinical outcomes
Three (3) years' experience designingclinical/operational workflows.
Three (3) years' experience in care management, value-based care, or population health.
Experience with MOC, SNP, SLA, NCQA, CMS, and other training compliance requirements.
RN, NP, RD or PharmD clinical licensure preferred, but notrequired.
Experience in managing vulnerable patient populations (ESRD, pediatrics, geriatrics, minorities, low income, uninsured, etc.)
Knowledge, Skills, and Abilities :
Acute attention to detail.
Ability to be both a strategic and tactical change agent in renal space.
Self-starter who will take initiative and be proactive.
Strategic solution-seeker who sees opportunities when others see barriers.
Strong interpersonal and communication skills arerequired for cross-functional collaboration.
Understanding of healthcare workflows for population health, value-based care, and care management, as well as the ability to think through workflows and any implications from suggested changes.
Contributes to a strong culture of continuous development and rapid iteration.
Ability to document and analyze complex business requirements and processes.
Ability to manage multiple, competing priorities with minimal oversight.
Ability to handle ambiguity and desire to work in a fast-paced start-up environment.
Understands andcomplies with highest standards of confidentiality.
Proficient in Microsoft applications including Visio, Word, Excel,PowerPoint and other web-basedapplications
Travel Requirement :
- This position requires up to 10% travel. Travel may be outside the local area and overnight.
Physical Requirements :
This joboperates in a professional office setting.While performing the duties of this job, the employee is regularly required to sit or stand for extended periods of time. Normal manual dexterity isrequired.
Normal speaking and hearing abilities to interact with others in an office environment, over telephone or other video conferencing platform.
The employeeis occasionally required tostand; walk; and reach with hands and arms and continuously repeat the same hand, arm finger motion many times as in typing.
OTHER DUTIES:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions .
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
