Clinical Operations Manager

Job description

Clinical Operations Manager At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! JOB SUMMARY: The Clinical Operations Manager is responsible for leading and managing clinical operations staff, ensuring accurate and timely review of complex claims by applying clinical knowledge, coding standards, industry expertise, and federal regulations. This role oversees daily operations, supports quality and compliance initiatives, and drives performance to meet client expectations and service level agreements. The incumbent will also provide guidance, training, and mentorship to clinical staff while suppor...