The Clinical Operations Manager will manage the activities of a team of clinical case managers supporting STD, FMLA and LTD. Also, the Clinical Operations manager will provide oversight and asst in training of all clinical protocols and best practices used by our absence management clinical staff, including Registered Nurses, and Vocational Rehabilitation Counselors. The Clinical Operations Manager will serve as a Senior Clinical reviewer for highly complex, high-profile escalated claims. You will Manage a team of clinical case managers (CCM’s) Lead, motivate, and develop assigned clinical case manager staff Assess and monitor clinical case manager’s workload capacity and efficiency Assess and measure staff performance and set appropriate goals Perform mid-year and annual performance evaluations, communicating expectations, goals, deadlines and team results Monitor and control personnel issues of clinical claim managers and work directly with Human Resources as needed Coordinate with other clinical operations managers to provider clinical case management support across Alight’s book of business. Conduct clinical audits and provide feedback and mentoring, coordinate with clinical leaders on corrective actions as applicable Support operations claims teams by monitoring and resolving escalated customer complaints related to clinical issues Participate in the reinforcement of return-to-work best practice protocols and workflows Occasionally assist with overflow of clinical reviews upon request of manager Perform side by side listening/shadowing and coaching with team members to assist in further development of clinical staff. Collaborate with senior clinical reviewer for highly complex high profile disability claims and/or escalated claims. Conduct regular clinical round tables to determine level of functional impairment based on knowledge of medical signs and symptoms and the employer’s essential job functions and reinforce methodology of reviewing claims based on best practice case review per Medical disability guidelines review protocol. You have RN license 1-3 years minimum of clinical experience Minimum of 5 years of experience in disability management and/or managed care 2+ years of supervisory experience Unrestricted state clinical licensure Superior clinal case manager skills and eagerness to function in a leadership role Strong teaching or mentorship skills Advanced problem-solving and analytical skills Excellent communication (written/verbal) and relationship building skills Superior ability to work in a team setting Ability to communicate complex information in a mentoring/training situation Strong organization skills, time management and follow-through are essential Strong presentation skills We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. DISCLAIMER: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units. . About Alight Solutions Alight is a leading benefits administration provider of health, wealth, leave and point solutions for many of the world’s largest organizations and over 30 million people. Through the administration of employee benefits, Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation. Our Alight Worklife® platform empowers employers to gain a deeper understanding of their workforce and engage them throughout life’s most important moments with personalized benefits management and data-driven insights, leading to increased employee wellbeing, engagement and productivity. Learn more at alight.com. Our values are the essence of who we are: Agility. Move with purpose. Learn fast. Adapt quickly. Leadership. Lead by example. Own the outcome. Serve others. Integrity. Do the right thing - even when it is difficult or unseen. Growth Mindset Stay curious. Keep learning. Never stop improving. High-Quality. Do it thoughtfully. Do it completely. Do it well. Trust. Trust is earned through consistency, authenticity, and credibility. Our Colleague Experience At Alight Solutions, we are reimagining how people and organizations thrive. To deliver on this purpose, we do things differently. From company leaders to our newest colleagues, we all play a role in bringing our values to life. Every colleague shapes how Alight can become better, stronger and brighter – together. With technology as our catalyst and humanity at our core, we advance each day toward a better future in work and life. We understand the powerful human connections that create success for organizations. We bring an industry leader's expertise and a true partner's commitment to our benefits and administration solutions around health, wealth, HR, finance and consumer experience. Are you interested in helping us shape the future of work and life for organizations, people and their families? If so, you've come to the right place. Help us reimagine how people and organizations thrive! Our story starts with a simple, universal truth: Every business is a people business. We are Alight Solutions. Reimagining how people and organizations thrive. @AlightSolutions