JOB REQUIREMENTS: Description Role Snapshot The Director, Clinical Programs will lead all of the clinical functions across the Commercial and Medicare business lines. In this role the Director is responsible for the overall strategy, operational performance, and outcomes of WPS\'s Clinical Programs. This will be accomplished through building an industry-leading suite of clinical services that advance our members\' clinical experience, specifically focusing on improving outcomes while lowering the total cost of care, and enhancing administrative efficiency and provider experience. In addition, the Director will lead the clinical and non-clinical teams, which include intake, grievance, and appeals, as well as oversee vendor partners, to successfully develop, implement, and manage the clinical services offered by WPS. In this role you will: Designs and deploys innovative and industry leading clinical programs for Commercial and Medicare lines of business to include clinical support and management before, during, and after service\'s are performed. Ensures our clinical programs position WPS to compete in the areas of Utilization and Case Management, Clinical Review, Provider Partnerships, and Ad-Hoc Clinical Initiatives or Programs for specific lines of business such as ASO. Develops and oversees the Clinical Programs budgets, metrics/goals and performance reporting. Creates organizational structure and identify and develop talent to deliver Clinical Programs metrics and goals. Identifies and implements tools to support the Clinical Program team and their work. Monitors work performance to ensure all Quality and Accreditation standards are met, while continuously designing and advancing standards, policies, and procedures. Ensures accuracy and timeliness of output and deliverables for assigned functional areas. Implements and ensures compliance with corporate management policies, practices, and procedures. How do I know this opportunity is right for me? If you: Thrive on driving sustainable business growth. Are a visionary leader who cultivates and inspires high-performing teams through insightful mentorship and engagement strategies. Communicate with confidence, clarity, and sound reasoning when discussing concerns, ideas, and suggestions with all levels of staff and management. What will I gain from this role? An opportunity to partner and collaborate across the organization, with Senior Management, Quality, Sales/Account Mgmt, Actuary, Product, and Operations. An opportunity to have a significant impact within a thriving organization. Experience working in an Agile environment to help drive high-priority work. Experience working in an environment that serves our nation\'s military, veterans, Guard and Reserves, and Medicare beneficiaries. Working in a... For full info follow application link. Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/D9688B6F2DAE4DFE Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.