Clinical Operations Manager ()

Responsibilities:

• Triage and evaluate clinical escalations related to member services across various journeys in both the U.S. and international settings.
• Research individual cases, assess relevant circumstances, and align recommendations with benefit guidelines and clinical standards.
• Support the development of best practices using evidence-based guidelines to improve clinical operations and services.
• Conduct research on evidence-based data to inform and refine services provided in both U.S. and international contexts.
• Work in a fast-paced environment, managing multiple tasks while maintaining attention to detail and organization.

Required Qualifications:

• Minimum of 2 years of experience in the fertility clinical field.
• Medically-related degree, such as a BSN.
• Proficiency in the English language.

Preferred Qualifications:

• Background in pregnancy or women’s health.
• Ability to work remotely with reliable online resources in a confidential setting.
• Strong critical thinking and analytical skills for evidence-based eligibility assessments.
• Excellent verbal and written communication skills for collaborating across teams.
• A team player who engages across different cultures, functions, and regions.
• Detail-oriented with strong organizational skills.
• Tech-savvy and able to quickly adapt to new web-based systems.
• Flexibility to meet the evolving needs of a fast-paced start-up.
• Experience in public health or the insurance sector.
• Passionate about your field with a commitment to continuous learning.
• Strong presentation skills in virtual environments.
• Global awareness and cultural sensitivity, with an interest in working in a diverse setting.
• Ability to search and analyze medical databases to create concise, knowledge-based reviews.
• Experience in healthcare or scientific work outside the U.S.
• Additional language proficiency is a plus.

This is a full time position