Essential Duties & Responsibilities
The essential functions include, but are not limited to the following:
Clinical Implementation Leadership
- Lead clinical implementation including workflow design and system configuration.
- Design future-state workflows across multi-facility enterprises
- Lead clinical implementation meetings and manage timelines and risks.
- Deliver product demonstrations and introduce analytical reporting.
- Design new training approaches & development of training scripts, class outlines, and learning objectives
Training, Adoption, and Change Management
- Design and deliver training using adult learning principles.
- Conduct onsite and/or remote training and assess adoption.
- Facilitate nursing rounds as needed
Enterprise Clinical Strategy & Optimization
- Lead enterprise-level clinical engagements with large, complex health systems across Utilization Review (UR), Case Management (CM), Physician Advisor (PA), and mid Revenue Cycle Management (RCM) functions.
- Assess and optimize enterprise workflows aligned to performance metrics and ROI
- Analyze KPIs, LOS, denials, and observation data to identify trends.
- Monitor Dragonfly dashboards and reporting to prioritize enterprise interventions.
- Drive adoption and close performance gaps using XSOLIS tools.
Executive Partnership & Value Realization
- Partner with VRP and CRE on enterprise strategy.
- Lead clinical portion of Business Reviews, presenting outcomes/KPI’s and areas for improvement.
Minimum Qualifications (Knowledge, Skills, and Abilities)
Education:
Experience:
- 8+ years of CM/UM experience
- Experience supporting regional or multi-site hospital systems
- Experience leading clinical implementations and training clinicians
Other:
- Strong executive presence and communication skills.
- Ability to translate data into strategy.
- Serve as Subject Matter Expert (SME) for assigned area of responsibility
- Proficiency with Microsoft Office and data platforms.
- Highly professional, adaptable, and detail-oriented.
- Entrepreneurial mindset and strong work ethic.
Supervisory Responsibilities
This role does not have any direct reports and is a single contributor role.
Working Environment and Travel Requirements
Work is typically in a normal office administrative environment involving minimal exposure to physical risks. Position requires little to moderate physical activity. Mostly sedentary work exerting up to 10 pounds of force occasionally or a negligible amount of force to lift, carry, push, pull, or otherwise move objects. Work involves sitting most of the time, but may involve walking or standing for brief periods of time. No significant stooping is usually required.
