Director of Clinical Operations
careviso
Director of Clinical Operations Location: Hybrid – Vienna, VA Employees are expected to work onsite three (3) days per week. Candidates must reside within a reasonable commuting distance of our Vienna, VA location. This is not a remote position. Our mission is to support patients, providers, and payors with total access to healthcare. This is a unique opportunity to play a meaningful leadership role in helping patients gain faster access to the diagnostic testing and healthcare services they need. At careviso, clinical operations are essential to ensuring that complex healthcare information, payor requirements, and operational processes translate into accurate, efficient, and reliable service for our customers. About the Role As Director of Clinical Operations, you will lead the clinical operations team and play a critical role in overseeing clinical operations processes, client data management, and quality assurance of system configurations. You will help ensure that clinical and laboratory information, payor policies, and operational workflows are accurately maintained within careviso's technology platform. You'll also lead data-driven process improvement initiatives, support clinical client onboarding, and oversee the training and quality of onboarding operations specialists. This role requires someone who combines healthcare operations knowledge, strong analytical skills, exceptional attention to detail, and the ability to collaborate across teams in a fast-paced, growing healthcare technology company. What You'll Do Clinical Operations & Data Management Oversee day-to-day clinical operations activities, including client data management and the accuracy of system configurations. Interpret, analyze, and communicate clinical and laboratory information, including ICD-10 and CPT codes. Manage and maintain clinical operations content in collaboration with team leads. Ensure information is accurately formatted, uploaded, and configured within careviso's internal platform. Payor Policy & Quality Assurance Monitor and review changes to payor policies, procedures, and administrative requirements. Ensure updates are accurately reflected in system configurations and operational processes in a timely manner. Maintain clear documentation of changes, historical data, and configuration requirements. Support quality assurance efforts to promote accuracy, consistency, and operational reliability. Process Improvement & Operational Excellence Lead data-driven research and analysis to identify opportunities for process improvement. Evaluate existing workflows and recommend enhancements that improve efficiency, quality, and accuracy. Partner with internal teams to implement operational improvements and support continuous optimization. Client Onboarding & Operational Readiness Support onboarding and operational readiness for clinical clients. Coordinate with internal stakeholders to ensure clinical information, workflows, and configurations are accurate and ready for implementation. Help identify and resolve operational issues that could affect client readiness or service quality. Team Leadership & Cross-Functional Collaboration Directly manage, coach, and develop clinical operations team leads and onboarding operations specialists, including setting goals, managing performance, and overseeing training and quality. Build a high-performing, accountable team culture through clear expectations, regular feedback, and ongoing development. Collaborate with clinical operations team leads to maintain consistent processes and standards. Work cross-functionally to address operational challenges, implement improvements, and support business priorities. Lead or participate in special projects as business needs evolve. What You Bring Bachelor's degree or equivalent relevant experience in healthcare or a related field. 5–7 years of experience in clinical operations, healthcare data, or related operational processes, including progressive responsibility in a leadership role. Candidates with fewer years of experience who bring exceptional analytical and data skills and a strong record of leadership are encouraged to apply. Demonstrated direct people management experience, including leading, coaching, and developing a team and managing performance. Advanced Microsoft Excel skills, including the ability to organize, analyze, and interpret data. Strong analytical and problem-solving skills with exceptional attention to detail. Excellent verbal, written, and presentation skills. Ability to manage multiple initiatives, prioritize competing demands, and meet deadlines. Strong cross-functional collaboration and communication skills. A self-directed, proactive approach with the ability to identify problems and pursue solutions with minimal supervision. Nice to Have Knowledge of medical terminology, medical coding, and healthcare reimbursement processes. Professional coding certification, particularly Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Experience with Tableau or other data visualization and reporting tools. Familiarity with payor policies, clinical laboratory workflows, or healthcare technology platforms. Location Hybrid (home and office) Vienna, VA Three (3) days onsite per week required Candidates must live within a reasonable commuting distance of the Vienna office. This position is not fully remote. Why Join careviso Make a meaningful impact by helping patients and providers navigate complex healthcare processes. Join a collaborative, mission-driven healthcare technology company in a high-growth phase. Play an important role in improving clinical operations, data quality, and customer outcomes. Work closely with cross-functional teams to solve challenging healthcare operational problems. Contribute to process improvements and operational initiatives that support the company's continued growth. Competitive compensation, health benefits, and paid time off. About careviso careviso is a rapidly growing healthcare technology company transforming patient access to care through automation and real-time data. Our proprietary seeQer platform simplifies some of healthcare's most complex administrative and financial challenges by enabling providers, laboratories, and pharmaceutical organizations to: Automate prior authorization workflows. Deliver real-time cost estimates, administrative requirements, and approvals. Verify medical and pharmacy benefits with exceptional accuracy. Ensure compliance with evolving price transparency regulations. Optimize revenue cycle management (RCM) across the patient journey. Empower patients to make informed healthcare decisions with greater confidence. Originally focused on prior authorizations, careviso has expanded its platform and services to support healthcare providers, laboratories, pharmaceutical companies, payors, and, most importantly, patients. At careviso, our mission is simple: to improve access to healthcare by automating the impossible. By combining innovative technology with deep healthcare expertise, we help eliminate administrative barriers, increase financial transparency, and create a more connected healthcare experience for everyone. All employees must be authorized to work in the United States. careviso provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other characteristic protected by applicable law. #J-18808-Ljbffr careviso
$93.52k - $105k
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