20 days old
2017-11-042017-12-04

Clinical Governance Liaison

MetLife
Oriskany, NY 13424
**Job Location:** Oriskany, NY: **Alternate Job Location:** Tampa, FL







**Role Value Proposition:**







Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. Were looking for unique talent with fresh perspectives that can propel innovation. In this role you will develop criteria and ensures that operational processes and transactions meet quality standards for performance. Analyzes problems and uses root cause diagnostics to determine problematic trends, and recommends corrective action plans







**Key Responsibilities:**







+ Completes statistical analysis control charts for audit findings. Conducts monthly audits of all disability products to determine if case managers and clinicians are compliant with established internal clinical and claim management processes and procedures



+ Identifies training and improvement opportunities for case managers and clinicians.



+ Assists in compiling monthly, quarterly, and annual data; uses clinical expertise in conducting analyses of data and determining root cases of identified trends



+ Contributes to development of new and updated quality processes for continuous improvement



+ Coaches, directs and develops clinicians to enhance and improve individual skills and performance



+ Works with management to address clinical/customer issues from our partner areas (training, Quality program, vendor and reporting



+ Acts as a resource for clinical related and technical issues



+ Assists management in analyzing quality and clinical results, and developing action plans to resolve any trending that may occur



+ Partners with learning and development staff to insure quality training for new hires as well as existing staff.



+ Partners with our reporting team to develop/implement reporting to manager our clinical operations



+ Partner with our vendor teams to provide feedback on opportunity, concerns, needs for our clinical program



+ Provides timely and meaningful feedback to associates and management in regards to performance and quality standards.



+ Designs quality assurance reporting formats and metrics to meet business goals.



+ Compiles QA reports, statistics and analyses for management.



+ May assist in research, analysis and recommendation of key quality improvements and cost reduction opportunities.



+ Identifies trends, root causes, and quality gaps from the analysis of data to improve the customer experience.



+ Continuously communicates areas of opportunity to the leadership.



+ Identifies and makes recommendations for process improvements or training needs utilizing root cause analysis and the PDCA methodology.



+ Identify opportunities to improve the quality assurance inspection process.



+ Performs internal audits such as peer reviews as necessary.







**Essential Business Experience and Technical Skills:**



**Required**







+ 5+ years of disability experience



+ High School Diploma







**Preferred**







+ Bachelors degree in a related field or equivalent experience.







**Travel**







_0-5%_







**Business Category**







_Global Technology and Operations_







**Number of Openings**







_1_







**At MetLife, were leading the global transformation of an industry weve long defined. United in purpose, diverse in perspective, were dedicated to making a difference in the lives of our customers.**







MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.







MetLife maintains a drug-free workplace.







**For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.**







Requisition #: 82864

Categories

  • Legal

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Clinical Governance Liaison

MetLife
Oriskany, NY 13424

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Clinical Governance Liaison

MetLife
Oriskany, NY
US

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