Our Story
At Alight, we believe a company’s success starts with its people. Alight embraces values that come directly from our people – purposeful, human, united and growth-minded – reflecting our inclusive culture and promise that our clients expect. We are passionate about connecting purpose with impact. Alight empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management.
Our Benefits
With a comprehensive total rewards package, Alight offers programs and plans that support your mind, body, wallet, and life. Benefits include health, starting Day One. Additionally, Alight colleagues enjoy wellbeing programs, retirement plans, and career growth opportunities – all within a thriving global organization.
Great Place to Work
Thanks to the work of every colleague, Alight has received multiple awards of recognition including “Great Place to Work” for the past 7 years and Fortune’s “Best Companies to Work For.” To learn more about our company culture and awards Click Here.
We invite you to join our team! Learn more at careers.alight.com.
JOB ROLE:
The Clinical Operations Manager will manage the activities of a team of clinical case managers supporting STD, FMLA and LTD. Also, the Clinical Operations manager will provide oversight and asst in training of all clinical protocols and best practices used by our absence management clinical staff, including Registered Nurses, and Vocational Rehabilitation Counselors. The Clinical Operations Manager will serve as a Senior Clinical reviewer for highly complex, high-profile escalated claims.
You will
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Manage a team of clinical case managers (CCM’s)
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Lead, motivate, and develop assigned clinical case manager staff
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Assess and monitor clinical case manager’s workload capacity and efficiency
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Assess and measure staff performance and set appropriate goals
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Perform mid-year and annual performance evaluations, communicating expectations, goals, deadlines and team results
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Monitor and control personnel issues of clinical claim managers and work directly with Human Resources as needed
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Coordinate with other clinical operations managers to provider clinical case management support across Alight’s book of business.
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Conduct clinical audits and provide feedback and mentoring, coordinate with clinical leaders on corrective actions as applicable
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Support operations claims teams by monitoring and resolving escalated customer complaints related to clinical issues
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Participate in the reinforcement of return-to-work best practice protocols and workflows
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Occasionally assist with overflow of clinical reviews upon request of manager
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Perform side by side listening/shadowing and coaching with team members to assist in further development of clinical staff.
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Collaborate with senior clinical reviewer for highly complex high profile disability claims and/or escalated claims.
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Conduct regular clinical round tables to determine level of functional impairment based on knowledge of medical signs and symptoms and the employer’s essential job functions and reinforce methodology of reviewing claims based on best practice case review per Medical disability guidelines review protocol.
You have
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RN license
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1-3 years minimum of clinical experience
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Minimum of 5 years of experience in disability management and/or managed care
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2+ years of supervisory experience
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Unrestricted state clinical licensure
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Superior clinal case manager skills and eagerness to function in a leadership role
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Strong teaching or mentorship skills
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Advanced problem-solving and analytical skills
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Excellent communication (written/verbal) and relationship building skills
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Superior ability to work in a team setting
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Ability to communicate complex information in a mentoring/training situation
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Strong organization skills, time management and follow-through are essential
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Strong presentation skills
Application and Interview
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: Government ID validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.
Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations.
Our commitment to Inclusion
We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.
At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future.
As part of this commitment, Alight will ensure that persons with disabilities are provided with reasonable accommodation for the hiring process. If reasonable accommodation is needed, please contact [email protected].
Equal Opportunity Policy Statement
Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans.
Alight provides reasonable accommodation to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations/modifications by contacting their recruiter.
Authorization to work in the Employing Country
Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.
Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.
We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.
DISCLAIMER:
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.
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