Clinical Operations Manager – Leave Management

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Manager, Operations to join our growing team.

Job Summary:

The Clinical Operations Manager, Leave Management FML Administration Reviews, oversees the daily operations of clinical review and leave administration functions, ensuring timely, accurate, and compliant review of Family and Medical Leave (FML) requests and related documentation. This role leads and develops clinical review teams, drives operational excellence, monitors quality and productivity performance, and ensures adherence to regulatory requirements, organizational policies, and service-level commitments. The manager serves as a key liaison between internal departments, clients, healthcare providers, and other stakeholders, fostering effective communication, resolving escalated issues, and delivering operational insights and performance reporting to leadership. This position is responsible for implementing process improvements, maintaining audit readiness, and ensuring a high-quality customer and client experience while supporting organizational goals and business outcomes.

Responsibilities:

• Coordinates and directs clinical operations and related programs and directly supervises clinical support staff. Coordinates special programs such as automated outreach system and incentive plans.
• Develops and maintains procedures and practices for accomplishing departmental or program goals and objectives.
• Develops and monitors business and financial metrics related to the day-to-day operational success of the program; reports and measures progress toward operational goals through periodic reviews.
• Coordinates all aspects of clinical operations including program coordination, scheduling, work plan management, status reporting and issue resolution tracking.
• Assumes responsibilities for the Director, Operations in his/her absence.
• Resolves program or department operations issues or delegates to the appropriate personnel or staff members for prompt resolution.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Required Qualifications

• Requires an active unrestricted RN or other applicable State and/or Compact State clinical license per contract requirements.
• Public and private sector healthcare experience and/or has been involved in providing services to government or commercial programs.
• Requires 5 years of clinical experience required.
• Requires 3 years of utilization review experience required.
• Ability to work within the company’s decision-making and organizational structure.
• Skill in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Knowledge of U.S. healthcare industry; preferably with experience in both public and private sector.
• Demonstrated knowledge of Department of Labor (DOL) regulations, Family and Medical Leave Act (FMLA) requirements, and applicable leave administration practices. 
• Expertise in employee development and performance management skills.
• Ability to analyze resources and environment appropriate to the scope of responsibility and design a course of action consistent with the company’s mission and strategic plan.
• Demonstrated achievement in P&L management, operational process engineering, remote operations management, and new business development support.

Preferred Qualifications

• Ability to successfully manage change and growth.
• Knowledge of business development, strategic planning, tactical implementation, and creation of business partnerships.
• Demonstrated expertise in managing differing customer needs.
• Ability to participate as a team member fostering collaborative decision-making among leadership, committees, teams, or work groups of diverse composition.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Experience in Lieu of Degree

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Compensation

The pay range for this position is listed below. 

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.