Behavioral Health Clinical Operations Manager

The Cigna Group

. Lead assigned clinical operations programs and teams .

Posted 9/22/2026full-timeRemote • United StatesMid-LevelSenior💰 $94,700 - $157,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong operational leadership in clinical programs, focusing on performance improvement, workflow design, and compliance with healthcare regulations. Proficient in managing cross-functional teams and utilizing data analytics to drive solutions in behavioral health operations.

Highest-signal resume keywords

Operational LeadershipProcess ImprovementHealthcare Regulatory ComplianceData AnalysisCross-Functional Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Process ImprovementWorkflow DesignProgram ImplementationData AnalysisPerformance MetricsHealthcare OperationsCare CoordinationClinical WorkflowsElectronic Medical RecordsExcel Proficiency

Soft Skills

People LeadershipPerformance ManagementCommunication SkillsRelationship ManagementProblem Solving

Tools & Technologies

Care Management PlatformsTelehealth SystemsVirtual Care Technologies

Certifications & Qualifications

RNLCSWLMSWLMHCLPSCCM

Industry Keywords

Behavioral HealthClinical OperationsHealthcare Delivery SystemsManaged CareHIPAA Compliance

About the role

Key responsibilities & impact

Lead assigned clinical operations programs and teams
Oversee day-to-day execution while improving performance, quality, efficiency, and scalability
Provide operational leadership for behavioral health programs and workflows, including care coordination, referrals, and patient and provider support
Design, implement, and manage clinical-program workflows, procedures, performance measures, escalation pathways, and operational controls
Lead, mentor, and develop clinical and operational team members through coaching, performance management, goal setting, professional development, and accountability
Partner with Behavioral Leaders, Nursing, Medical Affairs, Operations, Product, and Technology
Identify root causes, eliminate unnecessary manual work, and develop sustainable solutions
Establish, monitor, analyze, and report operational and clinical performance metrics
Identify trends, emerging risks, capacity concerns, and improvement opportunities using data
Lead teams through new programs, technology changes, workflow redesigns, and organizational initiatives
Provide leadership and decision support for complex patient, provider, and workflow escalations
Ensure operations comply with organizational policies, clinical standards, regulatory requirements, privacy requirements, and best practices
Support staffing, scheduling, workload management, and resource planning
Develop and implement onboarding, training, job aids, procedures, and performance-support resources
Provide leadership during urgent operational events, system outages, and significant workflow disruptions
Lead or participate in cross-functional initiatives and special projects
Protect Protected Health Information and Personally Identifiable Information in accordance with applicable regulations and company policies
Perform duties in a remote, HIPAA-compliant home office with minimal travel

Requirements

What you’ll need

Strong operational and systems-thinking skills
Experience with process improvement, workflow design, program implementation, and change management
Strong people leadership and performance management skills
Ability to manage multiple programs, priorities, and stakeholders in a fast-paced environment
Strong analytical skills and ability to use operational data and performance metrics
Excellent written and verbal communication skills
Strong cross-functional collaboration, influencing, and relationship management skills
Ability to identify problems, investigate root causes, develop recommendations, and drive solutions independently
Understanding of healthcare operations, patient care coordination, clinical workflows, and healthcare regulatory requirements
Familiarity with electronic medical records and care management platforms
Proficiency with Excel
Bachelor’s degree in healthcare administration, nursing, social work, psychology, business, operations, or equivalent relevant healthcare operations experience may be considered
Experience in healthcare operations, clinical operations, behavioral health operations, care coordination, or a related healthcare environment
Previous leadership experience with responsibility for people, programs, workflows, or operational performance
Experience improving processes, implementing workflows, or managing healthcare programs
Experience supporting behavioral health or psychiatric services is preferred
Experience in telehealth, virtual care, managed care, health plans, medical groups, or complex healthcare delivery systems is preferred
Experience leading cross-functional teams is preferred
Clinical licensure such as RN, LCSW, LMSW, LMHC, LPS, CCM, or comparable credentials is preferred
Ability to work in a HIPAA-compliant home office environment
Must comply with applicable privacy and security regulations and MD Live policies
Internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload for home working

Benefits

Comp & perks

Annual bonus plan eligibility
Medical insurance
Vision insurance
Dental insurance
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Remote work from a quiet, HIPAA-compliant, at-home office environment
Reasonable accommodation for individuals with disabilities
Cable broadband or fiber optic internet requirement with speeds of at least 10Mbps download/5Mbps upload for home working