Director of Clinical Operations and Strategy
This is a remote position.
Aquarius Strategies has been retained to recruit The Director of Clinical Operations and Strategy. This individual serves as a key clinical and operational leader, for a trusted, established company, reporting directly to the Vice President of the Division. The role is responsible for shaping, advancing, and scaling this organization’s IME, Review Services, Case Management, and managed care service lines. A critical function of this position is to provide clinical guidance to ensure the delivery of high-quality, evidence-based services across all business lines, but with a focus on Case Management Services. The Director drives client satisfaction, retention, and revenue growth, by developing innovative clinical programs, optimizing operational performance, and expanding service capabilities across diverse markets, specialties, and business lines. The ideal candidate brings a strong blend of clinical expertise, strategic vision, and operational leadership to achieve impactful outcomes and advance organizational goals.
Requirements
Essential Duties and Responsibilities:
- Develop and execute clinical strategies that support organizational growth, enhance workflows, and strengthen clinical operations and staffing models across IME, Review Services, Case Management, and managed care service lines.
- Design, implement, and evaluate new clinical programs that improve outcomes and maximize value for clients across diverse markets and specialties.
- Provide clinical guidance to ensure the delivery of high-quality, evidence-based services and compliance with clinical standards and regulatory requirements.
- Identify areas of client or employee dissatisfaction and implement targeted solutions to elevate the customer and workforce experience.
- Partner closely with operations, business development, and cross-functional teams to streamline processes, improve efficiency, and support revenue objectives.
- Identify and support collaborative selling opportunities to expand service utilization and client engagement.
- Lead, mentor, train and inspire nursing and clinical teams to achieve high performance and professional growth.
- Oversee clinical recruitment strategies, including interviewing, hiring, onboarding, and performance development planning.
- Establish, monitor, and ensure compliance with quality initiatives, clinical standards, and regulatory requirements.
- Leverage data and analytics to identify trends, educate clients, and drive continuous improvement in program outcomes.
- Conduct regular performance reviews, coaching sessions, and leadership development activities for clinical staff.
- Perform other duties and responsibilities as assigned
Competencies:
- Proven ability to design and articulate business plans/business models, program design, business/sales proposals and implementation plans. Solicits input from others and transitions concepts into strategic, tangible plans, products, and services
- Proven ability to analyze a business situation quickly from many perspectives and to create well-reasoned solutions. Must be a conceptual thinker, able to recognize problems from few or subtle clues and be innately comfortable with complexity
- Must be able to foster strong working relationships and credibility quickly at all levels of the organization Able to create a partnership atmosphere with internal and external resources while achieving key operating objectives
- Must be able to balance risk taking and judgment, aggressive and confident.
- Exceptional verbal and written communication skills, including strong presentation capabilities.
- Advanced analytical and interpretive skills with the ability to translate data into actionable insights.
- Proficiency in Microsoft Office and related business tools.
- Experience with operational platform development, workflow optimization, and workforce efficiency initiatives.
- Strong organizational, interpersonal, and relationship-building abilities.
- Skilled in negotiation, facilitation, and conflict resolution.
- Deep knowledge of IME, Review Services, Case Management, workers’ compensation, liability, and disability claims management.
- Strong understanding of client service principles, including marketing and sales collaboration with internal and external stakeholders.
- Ability to excel in a fast-paced environment and consistently exceed performance expectations.
Education and/or Experience: (includes certificate & licenses)
- Bachelor’s degree in nursing required; active Registered Nurse with Compact License.
- Minimum of 14 years of leadership experience in IME, Review Services, Case Management, clinical operations, claims, or managed care.
- Demonstrated success in developing new service lines and expanding program volume and geographic reach.
- Proven ability to lead nursing programs, execute business strategy, and deliver measurable results.
- Strong background in service innovation, talent development, accountability, and building high-performance cultures.
- Experience collaborating with executive leadership and sales teams during program development and launch.
- Experience supporting business capture efforts, including proposal development and bid processes.
- Certified Case Manager (CCM) preferred.