Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
“The Clinical Systems and Special Projects, Sr. Manager works cross organizationally and directly with clinical teams to ensure that business user requirements are understood and appropriately considered and supported within existing systems. The Sr. Manager supports enhancements to existing systems and new system design, testing, documentation of workflows, and end user training.
The Clinical Systems and Special Projects Sr. Manager supports the Clinical Operations team with new program projects that support the organizational growth and improve efficiencies across the clinical teams.
Essential to the Sr. Manager role is contributing to the success of the company. The Sr. Managers actions should be poised toward business growth and comply with Alignment policies. The Sr. Manager will collaborate with the department Director and upper management team to promote successful growth within the department and throughout the company.
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General Duties/Responsibilities (may include but are not limited to):

• Must have the ability to understand requirement’s objective, facilitate requirements gathering activities, including meeting with internal stakeholders to discuss existing functionality and enhancements.
• Proactively communicate and collaborate with clinical teams to analyze information needs and documentation needed.
• Translate requirements into detailed technical specifications and participate in reviewing technical specifications with all teams.
• Review and approve requirement, design specifications, physical solution design, functional requirements, prototypes, and system testing.
• Review operational workflows of high degree of complexity and/or for multiple departments, identifying problems and developing improvements, modifications, and enhancements.
• Document issues, resolutions and write specific requirements for system changes and troubleshooting issues to ensure issues as identified, tracked, and reported on and resolved in a timely manner, including the creation of test scenarios, testing data, and understanding of outcomes.
• Partner and consult with AVA product development and services teams to create and execute training plans, customer facing guides to facilitate adoption of application features and functionality, workflow participant guides, job aids, training curriculum and other required coursework that is clear, concise, and accurate.
• Create exercises, instructional activities and training assessments that reinforce learning
• Reviews workflows, job aid, standard operating procedures, and/or policies and recommend or change as appropriate to ensure timely, efficient, and effective outputs.
• Collaborate with other leaders in the department to improve processes and work flow,
• Assist with assessment activities and other process improvement strategies to enhance the effectiveness of the Clinical department.
• Communicate effectively, both verbally and in writing, including presentations as required.
• Establish and maintain effective interpersonal relationships with staff at all levels, providers, other departments or programs.
• Initiate and follow through on projects.
• Collaborate with Leadership team to create programs and ensure that systems meet company and CMS requirements
• Assess processes to identify workflow efficiencies
• Develop/update training materials and implement a train the trainer approach with team leads
• Work well as part of a team to manage/lead multiple projects simultaneously.
• Think critically to solve problems effectively.
• Function to gather data for analyzing and reporting purpose. Build and update reports for performance management and compliance monitoring. Ensure reports are accurate and aligned with departmental/individual goals.
• Adheres to Confidentiality and HIPAA regulations.
• Other projects and duties as assigned.

Supervisory Responsibilities:
None
Minimum Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Minimum Experience:5 years of clinical program experience; or any combination of education and experience, which would provide an equivalent background.Clinical program project and/or design experience or other experience designing, implementing, and managing clinical systems and projects which would provide an equivalent background.Demonstrated ability to understand requirement’s objective, facilitate requirements gathering activities, including meeting with internal stakeholders to discuss existing functionality and enhancements.
• Education/Licensure:Bachelors (required)Masters in Healthcare or systems field (preferred)
• Other:Knowledge of Medicare Managed Care PlansDemonstrated leadership skills, including the ability to motivate, coach and support team members.Ability to manage projects/initiatives to improve program performanceAbility to organize, prioritize and delegate workflow
• Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
• The employee may lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.
If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com .
Pay Range: $113,332.00 - $169,999.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/ . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com

General Duties/Responsibilities (may include but are not limited to):

• Must have the ability to understand requirement’s objective, facilitate requirements gathering activities, including meeting with internal stakeholders to discuss existing functionality and enhancements.
• Proactively communicate and collaborate with clinical teams to analyze information needs and documentation needed.
• Translate requirements into detailed technical specifications and participate in reviewing technical specifications with all teams.
• Review and approve requirement, design specifications, physical solution design, functional requirements, prototypes, and system testing.
• Review operational workflows of high degree of complexity and/or for multiple departments, identifying problems and developing improvements, modifications, and enhancements.
• Document issues, resolutions and write specific requirements for system changes and troubleshooting issues to ensure issues as identified, tracked, and reported on and resolved in a timely manner, including the creation of test scenarios, testing data, and understanding of outcomes.
• Partner and consult with AVA product development and services teams to create and execute training plans, customer facing guides to facilitate adoption of application features and functionality, workflow participant guides, job aids, training curriculum and other required coursework that is clear, concise, and accurate.
• Create exercises, instructional activities and training assessments that reinforce learning
• Reviews workflows, job aid, standard operating procedures, and/or policies and recommend or change as appropriate to ensure timely, efficient, and effective outputs.
• Collaborate with other leaders in the department to improve processes and work flow,
• Assist with assessment activities and other process improvement strategies to enhance the effectiveness of the Clinical department.
• Communicate effectively, both verbally and in writing, including presentations as required.
• Establish and maintain effective interpersonal relationships with staff at all levels, providers, other departments or programs.
• Initiate and follow through on projects.
• Collaborate with Leadership team to create programs and ensure that systems meet company and CMS requirements
• Assess processes to identify workflow efficiencies
• Develop/update training materials and implement a train the trainer approach with team leads
• Work well as part of a team to manage/lead multiple projects simultaneously.
• Think critically to solve problems effectively.
• Function to gather data for analyzing and reporting purpose. Build and update reports for performance management and compliance monitoring. Ensure reports are accurate and aligned with departmental/individual goals.
• Adheres to Confidentiality and HIPAA regulations.
• Other projects and duties as assigned

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Minimum Experience:5 years of clinical program experience; or any combination of education and experience, which would provide an equivalent background.Clinical program project and/or design experience or other experience designing, implementing, and managing clinical systems and projects which would provide an equivalent background.Demonstrated ability to understand requirement’s objective, facilitate requirements gathering activities, including meeting with internal stakeholders to discuss existing functionality and enhancements.
• Education/Licensure:Bachelors (required)Masters in Healthcare or systems field (preferred)
• Other:Knowledge of Medicare Managed Care PlansDemonstrated leadership skills, including the ability to motivate, coach and support team members.Ability to manage projects/initiatives to improve program performanceAbility to organize, prioritize and delegate workflow
• Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
• The employee may lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus