Director of Clinical Operations Predliytics.com
THIS JOB HAS EXPIRED Responsibilities:
Participate in hiring, orientation, staffing and development of clinician teams;
Provides direct client support. May serve as a liaison with the client's clinical teams in coordinating member care;
Support implementation of products/services as a subject matter expert and may be responsible for the execution of implementation activities;
Analyze reports summarizing overall operational and financial performance of clinical operations ensuring consistency in service delivery by the entire team to drive contract outcomes;
Manage the quality process and conducting chart audits for metric and quality performance monitoring;
Provide leadership, coaching, guidance, and support focusing on quality services and compliance with company standards;
Continually evaluate performance against objectives for the team, develop strategies and implement initiatives to achieve performance goals;
Maintain compliance with Predilytics' policies, procedures and mission statement; and
Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company.
A current RN license in good standing.
Demonstrated critical thinking, analytical and problem solving skills.
Displays high level of emotional intelligence.
High energy/positive attitude/enthusiastic/creative/able to deal with ambiguity.
Excellent verbal and written communication skills
Computer competencies in a Windows environment essential.
Health plan experience a plus.
THIS JOB HAS EXPIRED
Predilytics provides heathcare analytic products that deliver unique predictive models and business information to enable sales, marketing, clinical and operational improvements. We generate the required information to enhance revenue and earnings performance. In addition, the company provides services to help our customers execute on the analytic information and drive business results.
5 - 20M RaisedInvestors: Flybridge Capital Partners
, Google Ventures
, Highland Capital Partners All Jobs: at Predliytics.com
|Headquarters:||150 Baker Ave Ext|
Concord, MA 07142
|Company Profile:||Predilytics, Inc. is an information technology company that provides solutions to the healthcare industry. The Company's products focus on assisting health plans, providers and risk bearing entities identify and prioritize opportunities against key business initiatives: improve appropriate documentation for disease burden, attract and retain plan membership, enhance the effectiveness of care management, and reduce costly facility admissions/re-admissions. Predilytics utilizes the latest machine learning technology; proven in the financial and advertising sectors but not yet leveraged in the healthcare market.
Predilytics offers a new approach for generating healthcare insights - applying big data, machine learning technology to create transparent, unbiased, business driven results. This approach provides exceptional predictive models that are 2x to 4x more insightful and actionable than conventional statistical/regression modelling and rules-based methods. Additionally, this approach allows for efficient allocation of limited resources; leveraging marketing and reducing costs.
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