This position is responsible for supervising program staff and will provide technical guidance and training to staff related to the contract/program operations. Health management services may include: population health management, practice facilitation, medical/utilization management, quality improvement activities. The position will be responsible for monitoring compliance in accordance with client and contract deliverables as well as service/accreditation requirements as applicable.
This individual is required to be in-office two days per week- Mondays and Fridays.
Essential Functions
- Supervises day to day operation of staff to ensure compliance with program protocols, state requirements and URAC accreditation standards as applicable. Ensures the operations of the contract/program are completed in a timely and satisfactory manner.
- Selects, develops, and manages employees to achieve individual, team, and organizational success. Ensures employee accountability through routine observation, performance measurement, and performance feedback. Fulfills Telligen’s Management Philosophy that "Managers coach, engage, and support our people to achieve results".
- Performs audits or quality monitoring of staff to provide feedback on strengths and opportunities for improvement.
- Develops training protocols for staff education tools to be used for orientation and on-going education, which addresses operating protocols, URAC accreditation and/or state requirements as applicable and workflow processes.
- Identifies and implements opportunities for process and quality improvement
- Stays abreast of health care trends and changes.
- Performs miscellaneous duties as assigned
Requirements
- Four-year degree in business or health related field and /or equivalent training and/or experience; 3-5 years clinical experience required; Minimum of 5 years’ experience in leadership role or has demonstrated leadership capabilities.
- Licensed or eligible to be licensed as an RN in IA
- Because of the nature and immediacy of the work, the ability to maintain regular and predictable attendance is essential.
- Utilization management experience highly preferred
- Home and Community Based Waiver experience preferred
Who We Are:
Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we’re seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
Are you Ready?
Benefits: A general description of the benefits and other compensation available for this position can be found in Telligen's Benefits Summary.
We’re on a mission to transform lives and economies by improving health.
Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.
Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.
Thank you for your interest in Telligen!
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While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.
Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.
If you need assistance to navigate Telligen’s careers website or to apply for a position, please send an email to [email protected]
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.