Associate Director,Clinical Services Job Hamden area,Connecticut USA,Management

Manage a professional clinical team responsible for consulting with internal partners, clients, and brokers to identify opportunities where Sun Life Health Care Capabilities can support members, improve access to care, and help clients achieve better financial and health outcomes.
Lead the team in identifying members and client populations that may benefit from Sun Life Health Care Capabilities, including Clinical 360, Clinical 360+, care navigation, specialty care support, and other solutions that optimize health and reduce avoidable costs.
Monitor Quality Assurance (QA) reviews regularly and provide staff coaching related to quality measures and feedback.
Set performance goals to drive individual performance; review staff through the use of performance review tools and provide regular coaching and performance, growth and developmental feedback.
Provide career development and training opportunities.
Make decisions on personnel actions such as hiring, terminations, promotions, salary increases.
Support individuals in the identification and implementation of innovative solutions or efficiencies.
Create collaborative relationships across Distribution, Client Services, Product, Claims, Operations, vendor partners, and other Health and Risk Solutions teams to support a coordinated service model for clients and brokers.
Serve as a leading contributor to special projects, operational readiness, and change management activities that advance Sun Life’s health capabilities strategy, improve broker and client engagement, and support measurable outcomes.
Understand client, broker, member, and business needs and foster an interdisciplinary clinical operating model that connects clinical expertise, relationship management, and health capability execution.
Develop and reinforce servicing approaches that clarify roles, improve response consistency, and strengthen broker and client confidence in Sun Life’s ability to deliver health-focused value.
Maintain operating expenses within budget.
Ensure Key Performance Indicators are met.
Other duties as assigned.

Requirements

Experienced Registered Nurse (RN) or clinical professional in good standing, additional certifications a plus.
3–5 years’ experience in clinical operations, health care navigation, health solutions, employee benefits, stop loss, or a similar health care or insurance-related field.
High level of clinical expertise and business knowledge related to health care delivery, client service, member engagement, cost containment, and health outcomes.
Demonstrated ability to coach and develop others.
Demonstrated ability to achieve results through staff.
Able to solve problems that don’t have clear solutions or outcomes.
Strong analytical and critical thinking skills.
Strong project management and organizational skills.
Collaborative and comfortable in cross-functional organizations.
Demonstrated ability to build trusted relationships with client-facing teams, brokers, clients, vendor partners, and cross-functional stakeholders.
Excellent communication skills, written and oral.
Proven ability to influence sales partners in adopting our health strategies.
Ability to analyze data to identify trends and opportunities.

Hard Skills

clinical operations
health care navigation
health solutions
employee benefits
stop loss
quality assurance
performance review
data analysis
project management
cost containment

Soft Skills

coaching
staff development
problem solving
analytical skills
critical thinking
organizational skills
collaboration
relationship building
communication skills
influencing

Certifications & Qualifications

Registered Nurse (RN)

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Associate Director, Clinical Services