We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Job Summary

The Director of Clinical Performance designs and implements an operational framework to ensure clinical operations performance metrics are monitored, measured and reported to all stakeholders as well as mitigate potential performance issues. The Director oversees the administrative functions that support clinical operations and other interdependent operational departments. This role aligns contract requirements with workflows and departmental processes including regulatory compliance, clinical operations, interdepartmental collaboration, project management and government request for information.

Education & Experience

Required:

• Bachelor's degree in nursing
• U.S. Citizen
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• 10+ years of healthcare leadership experience that includes progressively responsible roles in driving clinical performance and business goals with operational disciplines, tools and practices
• At least five years of leading and managing healthcare operations and people leadership to include supervision of direct and indirect staff and management of teams
• Expertise with process improvement, project planning, team management, or new program development Demonstrated successes with operational design and performance improvement initiatives with measurable results
• Expertise in planning, directing and managing enterprise-wide projects with measurable short and long-term impact
• Experience facilitating large-scale meetings resulting in clearly defined project plans and/or strategies
• Experience briefing and/or advising executive leadership

Preferred:

• Master's degree in Nursing, Business Administration/Healthcare Administration, or other related field
• Experience and knowledge of the Veterans Affairs health care system and Department of Defense military healthcare system
• Experience with regulatory and compliance leadership for example: TJC, URAC

Key Responsibilities

• Oversee the project management, regulatory compliance, and other clinical operations support teams to ensure clinical performance and compliance with contractual and regulatory compliance standards.
• Collaborate with operational leadership to identify and develop solutions to drive performance improvements across departmental processes, training, and monitoring measures.
• Develops deep understanding of the business units' operations, performance requirements and barriers to performance and utilizes quantitative tools and techniques to perform data-based analysis and identify improvement opportunities.
• Leads cross-functional teams to assess, track and trend quality and performance measures and serves on cross-functional committees and project teams to lead improvement efforts.
• Supervises and provides direction, coaching and support to assigned teams and across interdepartmental team to meet objectives and goals.
• Promotes the development and integration of systems thinking, customer focus and use of improvement tools.
• Provides regular and actionable reports to senior leadership on analysis of issues, trends and recommendations for changes to achieve and sustain performance improvements. • Utilizes consulting and facilitation approaches for qualitative assessments.
• Organizes new, complex and disparate issues into strategic and tactical performance plans. Creates innovative solutions and implements corrective action plans in coordination with TriWest's ePMO, command center and business units.
• Champions Lean, Six Sigma, system redesign and PI initiatives and functions as a facilitator during TriWest's operational construct design and improvement sessions.
• Supports project implementation when required using project management tools to develop project plans/timelines, coordinate/manage project, monitor and report status, progress and areas of risk in relation to established project objectives, requirements and timelines.
• Track and follow through on all issues.
• Performs other duties as assigned.
• Regular and reliable attendance is required.

Competencies

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate, empathize and obtain consensus.

Creativity / Innovation: Ability to develop unique and novel solutions to problems; view change as necessary.

Empathy / Customer Service: Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position.

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions. Experience with Excel, Visio, Word and PowerPoint.

High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow.

Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching.

Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment.

Technical Skills: Broad Medical Management leadership expertise. Expertise with project management and process/program development; expertise with quality and performance metrics and analysis for driving management decision-making and process/program improvement; collaboration and group facilitation skills. Proficient with Excel, SQL, Word, PowerPoint, and Visio. Ability to navigate and apply use of PowerBI and Tableau reports and dashboards.

Working Conditions

Working Conditions:

• Availability to work non-regular hours, including weekends
• Works within a standard office environment, with occasional travel based on business needs
• Extensive computer work with prolonged sitting
• Department of Defense and Department of Veterans Affairs security clearance required

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time

TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $150, 000 - $208, 000 per year.

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.