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Behavioral Health Clinical Operations Manager - MD - Remote

Remote / Online - Candidates ideally in
Northern, Floyd County, Kentucky, USA
Listing for: Cigna Health and Life Insurance Company
Full Time, Remote/Work from Home position
Listed on 2026-09-24
Job specializations:
  • Management
    Change Management, Healthcare Management
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 94700 - 157900 USD Yearly USD 94700.00 157900.00 YEAR
Job Description & How to Apply Below
** Position Description
** The Clinical Operations Manager is a member of the Nursing and Clinical Operations leadership team responsible for leading people, programs, workflows, and operational performance across assigned clinical service lines.  This role requires a strong operational leader who can evaluate complex processes, identify opportunities for improvement, design and implement scalable workflows, and collaborate across business functions to improve patient, provider, and organizational outcomes.  

The position will have significant responsibilities for Behavioral Health (BH) operations, while also supporting broader initiatives and programs. Previous experience within behavioral health, care coordination, case management, social work, nursing, or a related healthcare environment is strongly preferred; however, the candidate’s ability to lead operations, develop programs, improve processes, manage change, and drive measurable results is paramount.
** Essential Job Functions**
* ** Operational Leadership**:
Lead assigned clinical operations programs and teams, ensuring effective day-to-day execution while identifying opportunities to improve performance, quality, efficiency, and scalability.
* ** Behavioral Health Operations**:
Provide operational leadership for BH programs and workflows including care coordination, referrals, patient and provider support, and other activities across the BH continuum.
* ** Process and Workflow Design:
** Support the design, implementation, and ongoing management of clinical programs including development of workflows, procedures, performance measures, escalation pathways, and operational controls.
* ** People Leadership:
** Lead, mentor, and develop clinical and operational team members through coaching, performance management, goal setting, professional development, and accountability.
* *
* Cross-Functional Collaboration:

** Partner with Behavioral Leaders, Nursing, Medical Affairs, Operations, Product, Tech
* Continuous Improvement:
Apply critical thinking, data, and operational expertise to identify root causes, eliminate unnecessary manual work, and develop sustainable solutions.
* ** Performance Management & Analytics:
** Establish, monitor, analyze, and report operational and clinical performance metrics. Use data to identify trends, emerging risks, capacity concerns, and improvement opportunities.
* ** Change Management:
** Lead teams through new programs, technology changes, workflow redesigns, and organizational initiatives.
* ** Escalation Management:
** Provide leadership and decision support for complex operational patients, providers, and workflow escalations and coordinate appropriate resolutions.
* ** Quality and Compliance:
** Ensure assigned operations are performed in accordance with organizational policies, clinical standards, regulatory requirements, privacy requirements and applicable best practices.
* ** Resource and Capacity Management:
** Support staffing, scheduling, workload management, and resources planning based on operational demand and program priorities.
* ** Training and Onboarding:
** Partner in the development and implementation of onboarding, training, job aids, procedures, and other resources necessary to support consistent and compliant performance.
* ** Business Continuity:
** Provide leadership during urgent operational events, system outages, significant workflow disruptions, or other situations requiring coordinated clinical operations response.
* ** Special Projects:
** Lead or participate in cross-functional initiatives and special projects based on organizational priorities.  
** Required Knowledge/Skills/Abilities
*** Strong operational and systems-thinking skills, with demonstrated ability to evaluate complex workflows…
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