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(Archived) Clinical Director

Last Updated: 10/27/22

Job Description

Maximus is seeking a Clinical Director to oversee quality functions in Maximus’s Clinical Services Division, which performs a wide array of clinical assessment services for individuals with physical and/or mental disabilities seeking Medicaid-funded services and supports. The incumbent provides management and execution of key quality, technical, and operational processes to support program and technical operations. This role is based in Raleigh, NC; however, due to precautions related to COVID-19, this position may be temporarily remote. Great opportunity to grow your professional network!

*Role pending award of the contract.

Primary Responsibilities:

  • Direct clinical operations of the company, ensuring compliance with standards
  • Hold formal and informal meetings and discussions with employees to offer clinical support and ensure clinical compliance in all areas of operations
  • Ensure clinical standards are incorporated into all project plans
  • Inform the Project Director about new and ongoing clinical issues
  • Communicate clinical updates throughout the company
  • Direct the management of the company Quality Improvement Plan (QIP) with the Quality Improvement Manager, ensuring compliance with standards and meeting customer expectations
  • Develop and monitor QIP processes and inform Project Direction about quality performance issues
  • Leads investigations of all clinical concerns, including formal complaints and quality of care concerns, through careful analysis of documentation and discussions with associated employees, customers, and/or stakeholders
  • Ensure complaint investigation and quality of care concern processes are followed and recommends course(s) of action to Project Director
  • Responsible for the delivery of a wide range of complete strategic program and/or business process analytics for the project
  • Analyze trends and create solutions to ensure that customer service needs are met, and the program remains in compliance


Additional Responsibilities:

  • Collect reportable data and completes any reporting needs for the project
  • Direct the management of the quality of the program with the Project Director, ensuring compliance with standards and meeting customer expectations
  • Develop and monitors quality processes and informs Program Director about quality performance issues
  • Translate reportable data into information, interpret data, and understand the implications of data to the business
  • Provide recommendations to management, create and implements strategies to ensure that productivity goals are met while containing costs for the program
  • Document program issues and performance measures for management review, and provides information to assist in the feedback and formal education process of employees
  • Develop processes to build operational policies, procedures, and/or user guides for the project
  • Address exceptional issues related to quality, service and compliance of the project
  • Analyze operational processes, including reviewing, creating, and improving policies, procedures, systems, forms, and reports
  • Analyze existing forms and methods to promote effective operations through standardization, improvement, simplification, discontinuance or other methods
  • Responsible for working with the IT Vendor to develop improved systems to ensure effective program operations


Minimum Requirements:

  • Registered Nurse or Licensed Clinical Social Worker or equivalent (LMHC, etc.) licensed in North Carolina
  • Five (5) years of experience working in a clinical medical capacity, knowledge of hospital and home health care, including experience collaborating with physicians
  • Experience with both medical and behavioral health strongly desired.
  • Capability to lead and drive continuous quality improvement
  • Ability to work effectively in a “hands-on” management role
  • Outstanding work ethic, integrity, and value system
  • Excellent clinical process skills
  • Ability to perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies
  • Ability to analyze large and varied sets of data and draw meaningful conclusions
  • Ability to multitask effectively while performing job duties, including ability to prioritize tasks, and ensuring all voice mail and email messages are returned expeditiously
  • Excellent organizational skills
  • Excellent negotiation and interpersonal skills, including ability to use effective diplomacy in dealing with senior business leaders and other business parties
  • Ability to work independently with minimal day-to-day supervision
  • Ability to interact professionally and collegially with referral sources (hospital & nursing home staff, physicians, social service workers, etc.), state contract officers, and coworkers

Preferred Skills/Experience:

  • Advanced skill with word processing, spreadsheet, presentation, and publishing software (Microsoft Word, Excel, PowerPoint, Publisher, and Visio)
  • Professional training and/or certification in a formal quality program (e.g. Six Sigma, Baldrige, CQM)
Knowledge of Medicaid programs

Company Details

Reston, Virginia, United States
Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People®, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. With approximately 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi...