Lead Clinical Operations The role of Lead Clinical Operations is to oversee and optimize clinical services across multiple functions, including utilization review, physician advisory, denials, appeals, and CDI. The adecuado candidate will have a proven track record of leading clinical teams and improving operational efficiency. Responsibilities: Manage quality leaders, SMEs, and audit teams to ensure high-quality deliverables across multiple specialties. Monitor performance metrics proactively identify risks and resolve escalations efficiently. Talent Development Foster a customer-centric, collaborative, and high-performance workplace culture by leading talent development initiatives, including training, coaching, and succession planning. Partner with HR and vertical leads on recruitment and workforce management strategies. Client Relationship Management Collaborate with Customer Success and vertical leads to strengthen client relationships and support account growth by leading discussions on operational metrics, escalations, and regulatory updates, participating in sales processes, RFP responses, resource planning, and new service transitions. Process Improvement Drive process improvement and service line expansion using Lean Six Sigma or similar methodologies, overseeing financial and P&L; management, including budget optimization and multi-site cost control. Key Requirements: Bachelor's degree in healthcare administration, business administration, public health, or clinical discipline; Master's (MHA, MBA, MPH, or Nursing Administration) preferred. Licensed clinician (MD, Nurse, or Allied Health Professional) strongly desired.5+ years of leadership experience in healthcare operations, clinical documentation, or related areas. Proven track record in P&L; management, budget optimization, and cost control. Strong background in process improvement and project management (Lean Six Sigma experience preferred). Experience leading large clinical teams and implementing talent development programs. Familiarity with healthcare compliance and data privacy regulations (HIPAA required). Fluency in English (written and spoken); strong communication and interpersonal skills. Competencies: Expertise in at least one clinical services scope (UR, Physician Advisory, Denials & Appeals, CDI). Analytical problem-solving and decision-making skills. Exceptional team leadership and stakeholder management. Strong organizational time management and multitasking ability. Integrity, ethics, and attention to detail.