Lead multi-location clinical teams, ensuring alignment with organizational objectives.Develop, implement and enhance clinical programs, driving continuous improvement.Empower and assess clinical teams to boost efficiency and performance, while cultivating a culture of continuous improvement.Conduct data-driven analysis to identify trends and implement process improvements, enhancing business and clinical operations.Investigate escalations for clinical soundness and compliance, coordinating next steps for service and clinical involvement.Establish and execute written Standard Operating Procedures to clinical staff on topics of quality and compliance.Utilize data analysis to enhance business and clinical process, improving the patient experience and evolution of clinical staff.Oversee audit preparations and compliance measures, ensuring a seamless NCQA and customer audit processes.

Coordinated comprehensive care for patients, maintaining adherence to physician plans and facilitating family involvement in care decisions.Guided and educated patients and families on navigating the healthcare system and their health plan coverage, improving their understanding of treatment plans and care options.Conducted clinical assessments and coordinated care, ensuring individuals received timely, appropriate and cost-effective services by identifying clinical needs, removing barriers, and maintained compliance with treatment plans for effective continuity of care.