Summary:

The Clinical Workflow Specialist, reporting to the Senior Manager of Clinical Operations- Program development, will focus on development and optimizing clinical and operational workflows to better the CKD and ESRD population, using evidence-based research and best practices.

Essential Duties and Responsibilities:

• Ensure clinical and operational workflows align with requirements set forth by NCQA, Medicaid, SNP, CMS, and other regulatory entities.

• Create and update workflows for new implementations, updated processes, and any changes related to operational processes.

• Update associated clinical/operational documentation, checklists, job aids, etc.

• Collaborate closely with clinical/operational training department to ensure seamless coordination of new and updated workflows and processes.

• Collaborate with clinical program teams to ensure alignment of clinical and operational workflows.

• Work cross functionally with multiple teams to determine clinical/operational development needs and updates.

• Identify areas of opportunity to clarify or improve clinical/operational workflows.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Required Education and Experience:

• Bachelor's degree, Nursing degree, or other comparable healthcare experience.

• experience with interpreting clinical data to create process to improve clinical outcomes

• Three (3) years’ experience designing clinical/operational workflows.

• Three (3) years' experience in care management, value-based care, or population health.

• Experience with MOC, SNP, SLA, NCQA, CMS, and other training compliance requirements.

• RN, NP, RD or PharmD clinical licensure preferred, but not required.

• Experience in managing vulnerable patient populations (ESRD, pediatrics, geriatrics, minorities, low income, uninsured, etc.)

Knowledge, Skills, and Abilities:

• Acute attention to detail.

• Ability to be both a strategic and tactical change agent in renal space.

• Self-starter who will take initiative and be proactive.

• Strategic solution-seeker who sees opportunities when others see barriers.

• Strong interpersonal and communication skills are required for cross-functional collaboration.

• Understanding of healthcare workflows for population health, value-based care, and care management, as well as the ability to think through workflows and any implications from suggested changes.

• Contributes to a strong culture of continuous development and rapid iteration.

• Ability to document and analyze complex business requirements and processes.

• Ability to manage multiple, competing priorities with minimal oversight.

• Ability to handle ambiguity and desire to work in a fast-paced start-up environment.

• Understands and complies with highest standards of confidentiality.

• Proficient in Microsoft applications including Visio, Word, Excel, PowerPoint and other web-based applications

Travel Requirement:

• This position requires up to 10% travel. Travel may be outside the local area and overnight.

Physical Requirements:

• This job operates in a professional office setting. While performing the duties of this job, the employee is regularly required to sit or stand for extended periods of time. Normal manual dexterity is required.

• Normal speaking and hearing abilities to interact with others in an office environment, over telephone or other video conferencing platform.

• The employee is occasionally required to stand; walk; and reach with hands and arms and continuously repeat the same hand, arm finger motion many times as in typing.