Experienced Clinical Health Services Associate Manager – Remote Full-Time Opportunity for Passionate Healthcare Professionals at arenaflex

Introduction to arenaflex

At arenaflex, we are driven by a singular, clear purpose: to bring our heart to every moment of your health. This purpose guides our commitment to delivering enhanced human-driven healthcare for a rapidly changing world. Embedded in our brand — with heart at its center — our mission sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose, empowering every individual who works at arenaflex to feel inspired by the role they play in transforming our culture and accelerating our ability to grow and deliver solutions to make healthcare more personal, convenient, and affordable.

Job Overview

We are seeking an experienced and passionate Associate Manager, Clinical Health Services to join our team in a full-time remote capacity. As a key member of our clinical health services team, you will be responsible for directing the execution of healthcare management services for assigned functional areas. This is an exceptional opportunity for a seasoned clinical professional to make a meaningful impact on the lives of our members and drive the delivery of high-quality, patient-centered care.

Key Responsibilities

• Implement clinical policies and procedures in accordance with relevant regulatory and licensure standards (e.g., NCQA, URAC, state and federal regulations and mandates as applicable)
• Serve as a subject matter expert and coach to the team regarding practice guidelines, quality of interventions, issue resolution, and critical thinking
• Ensure implementation and monitoring of best practice approaches and innovations to better address the needs of our members across the continuum of care
• Collaborate with other key business areas to drive strategic initiatives and improve health outcomes
• Develop and/or assist in the development and review of new training content
• Collaborate and deliver inter- and intra-departmental training sessions
• Safeguard the confidentiality of member data and adhere to company policies regarding confidentiality
• Oversee resources responsible for identification of members, development and implementation of care plans, enhancement of clinical appropriateness and quality of care, and monitoring, evaluating, and documenting of care
• Analyze and interpret data, identify areas for improvement, and focus on interventions to enhance outcomes
• Establish, initiate, evaluate, monitor, and communicate performance expectations
• Ensure the team's understanding and utilization of data system capability and functionality
• Participate in the recruitment and hiring process for staff, involving clearly defined requirements with regards to education, experience, technical, and performance skills
• Evaluate developmental needs and collaborate with others to identify and implement action plans that support the development of high-performing teams
• Establish a work environment and style that promotes the concept of teamwork, cross-functional integration, and continuum of care feeling that results in strong performance
• Consistently demonstrate the ability to act as a model change agent and lead change efforts
• Establish a positive work environment by recognizing team contributions, requesting input, and offering individual support, when required
• Maintain compliance with policies and procedures and execute them at the employee level
• Communicate effectively with suppliers, members, staff, and other leaders (e.g., may provide support to the sales staff and company staff via on-site client visits as well as presentations)

Essential Qualifications

• 3+ years of experience in clinical subject matter
• Active and unrestricted RN or LCSW licensure in the state of residence
• Bachelor's degree in a related field

Preferred Qualifications

• Managed Medicare insight
• Experience working remotely/independent contractor, using tools to virtually collaborate and connect with teams
• Master's degree in a social health field; or Registered Nurse (BSN preferred)

Career Growth and Development

At arenaflex, we are committed to the growth and development of our employees. We offer a range of training and development programs, including free development courses, education assistance, and a comprehensive onboarding program. Our goal is to provide our employees with the skills and knowledge they need to succeed in their roles and advance their careers.

Work Environment and Company Culture

At arenaflex, we pride ourselves on our positive and supportive work environment. We believe in recognizing and rewarding our employees for their contributions and providing a healthy work-life balance. Our company culture is built on the principles of teamwork, respect, and open communication, and we strive to create an environment where our employees feel valued, supported, and empowered to succeed.

Compensation and Benefits

We offer a competitive salary range for this position, as well as a comprehensive benefits package, including medical, dental, and vision benefits, a 401(k) retirement savings plan, and a range of wellness programs. Our employees also enjoy a range of perks, including paid time off, holidays, and a generous discount program.

How to Apply

If you are a motivated and experienced clinical professional looking for a new challenge, please submit your application, including your resume, cover letter, and any supporting documentation. We thank all applicants for their interest; however, only those selected for an interview will be contacted.

Conclusion

At arenaflex, we are passionate about delivering exceptional healthcare services that make a meaningful difference in the lives of our members. If you share our passion for healthcare and are looking for a new challenge, we encourage you to apply for this exciting opportunity. Join our team of dedicated professionals and be part of a company that is committed to making a positive impact on the lives of others.

Apply Now