Supervisor - RN Clinical

As a pharmaceutical support industry leader , UBC is devoted to empowering health solutions for a better tomorrow . We take pride in improving patient outcomes and advancing healthcare. At UBC we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an inclusive workplace that fosters creativity. If you are seeking a career that will challenge, inspire, and reward you, join us at UBC! Brief Description : The Supervisor - RN Clinical is responsible for managing the daily operations of the clinical team in the area of medical management operations, inclusive, but not limited to maintaining production metrics, delivering on current service level agreements, fulfilling contractual requirements, and supporting future state initiatives while meeting strategic, operational and budgetary targets. Additionally, this position will partner with leadership to continue the development of clinical quality programs. In collaboration with key business partners, the Supervisor – RN Clinical will identify operational opportunities and areas for process development, improvement, and administration applicable to clinical product offerings and present recommendations to leadership. Supervises and coordinates daily activities of business support, technical support, or production team at entry level and/or at non-exempt levels using established policies and procedures. Sets priorities for the team, Coordinates work activities with other supervisors and managers. Work is reviewed for soundness of decision-making and overall quality and efficiency. Specific job duties: Monitor operational performance relating to Operational metrics, Quality measures, Contractual requirements, Execution of policies and procedures and Clinical appropriateness. Monitor the daily administration of clinical programs, including application of medical policy, utilization management processes and practices while remaining compliant with contractual and regulatory requirements. Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve. Provides department leadership in the area of staff performance including mentoring, auditing, productivity monitoring and coaching for success. Corresponds with management on employee/HR issues, state of the department and any service issues involving key clients or legal risk issues to the company. Analyze reporting data trends within team relative to quality to ensure efficiency and productivity requirements are maximized. Provide feedback to team related to productivity and efficiency. Continual identification of operational opportunities to gain efficiencies, improve processes and workflow and develop best practices. Ability to travel as needed Actively participates in in-person and virtual meetings (internal and external) S upervisory Responsibility: 1-20 Direct Reports Desired Skills and Qualifications: Bachelor’s degree in relevant discipline or equivalent experience 2 – 5 years relevant experience or master’s degree Registered Nurse License in good standing in the state in which you work and/or cross-licensed in other states Telephonic nursing roles are required to have a Compact State License in eligible states; additionally, employee must be willing to obtain Compact State license at such time as their state elects to adopt Compact legislation Telephonic nursing roles are required to have a California State License, and the employee must be willing to obtain additional Single State Licenses upon request. Solid PC navigation skill set Working knowledge of Microsoft Office Excellent verbal and written communication and presentation skills Solid understanding of the health insurance industry Ability to navigate and support both public and private insurance/plan requirements Managed care exposure Understanding or ability to implement utilization management principles Proven leader in a clinical Ops environment Benefits: At UBC, employee growth and well-being are always at the forefront. We offer an extensive range of benefits to ensure that you have everything you need to thrive personally and professionally. Here are some of the exciting perks UBC offers: Remote opportunities Competitive salaries Growth opportunities for promotion 401K with company match* Tuition reimbursement (after 90 days of employment) Flexible work environment Discretionary PTO (Paid Time Off) Paid Holidays Employee assistance programs Medical, Dental, and vision coverage HSA/FSA Telemedicine (Virtual doctor appointments) Wellness program Adoption assistance Short term disability (after 90 days of employment) Long term disability Life insurance Discount programs UBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class. We are committed to a diverse, equitable and inclusive culture that fosters respect for each other, our clients, and our patients.