“Making Healthcare Right. Together.” is the cornerstone of all we do. Our vision is through powerful relationships with Care Partners, we help all people live healthy and brighter lives. To successfully achieve our mission and vision as we operate in a dynamic health care environment, we expect Bright employees to embody and uphold our core values in work and interactions, both internal and external: be brave, be brilliant, be accountable, be inclusive, and be collaborative.

ABOUT THE ROLE

The Director of Clinical Performance is responsible for launching and sustaining NeueHealth’s clinical programs. This role implements an effective clinical oversight and monitoring methodology that includes performance improvement to meet established performance goals. The role has responsibility for the development of relationships with Care Partners to successfully deploy clinical operation processes including population health, utilization management, and quality management. 

YOUR RESPONSIBILITIES

• Develop partnerships with key stakeholders in the Healthcare ecosystem to communicate and implement clinical programs and to achieve clinical performance goals; to include, but not limited to, Care Partners, Health Plans, Hospitals, Post Acute Care Providers, and other care vendors
• Launch and sustain clinical operations in new markets, including establishment of market-specific clinical roadmaps with Care Partners that span the functions of health optimization (population health management, quality, coding performance, accreditation, pharmacy management, and data and analytics)
• Ability to develop documented processes to support implementation of clinical programs; to include value stream mapping and standard operating procedures
• Ability to collaborate with analytics to support the development and maintenance of the data governance structure for clinical outcome measures 
• Works closely with Compliance to ensure appropriate operational responses to regulatory changes and is able to update the policy repository based on state specific requirements or regulatory changes
• Ability to support the development of a learning management structure for clinical programs. 
• Manage a team of nurses and clinical consultants (analysts) across geographies. This includes working with nurses to ensure competencies and productivity targets are met and that nurses are working efficiently at the top of their licenses.
• Work closely with the Implementation Manager and/or Program Managers to inform on clinical program initiatives
• Works to leverage technology platforms for clinical programs
• Adheres to the Policies and Procedures set forth by NeueHealth and performs all additional duties as assigned

SUPERVISORY RESPONSIBILITIES

• This position does have supervisory responsibilities for Care Managers, Care Coordinators, Quality, and Clinical staff

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• Master’s degree in nursing, Business, or other related Healthcare field
• Certified Case Management preferred
• Minimum five (5) years’ experience in a supervisory capacity
• Minimum ten (10) years’ experience in population health management 

LICENSURES AND CERTIFICATIONS

• Active and unrestricted license as a Registered Nurse (RN) 

PROFESSIONAL COMPETENCIES

• High Attention to detail and Strong analytical skills
• High level of critical thinking and problem-solving skills
• Strong work ethic and overall positive attitude
• Effective communication skills including verbal and written
• Ability to manage time effectively, understand directions, and work independently in a fast-paced environment
• Demonstrated flexibility, organization, and self-motivation
• Highly adaptable to change

ABOUT US

At Bright Health, we brought together the brightest minds from the health care industry and consumer technology, and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized, and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities, we are reshaping how people and physicians achieve better health together.

We’re Making Healthcare Right. Together. 

We've won some fun awards like Modern Healthcare and Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our team!

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

BRIGHT ON!