Clinical Operations Specialist - Licensed Therapist

CLINICAL OPERATIONS SPECIALIST – LICENSED THERAPIST

Employment Type: Full-time, Salaried Reports To: Clinical Director Location: Remote/Hybrid - preference for LA based applicants, may consider others with extraordinary experience. Compensation: $83,000–$100,000 per year (commensurate with experience) Equity: Offered Benefits: 401(k), full health, dental, and vision insurance, generous unlimited PTO package Role Type: Licensed Clinician Caseload: No Caseload Requirement

ROLE SUMMARY

The Clinical Operations Specialist is a licensed therapist who provides critical support to clinical operations, leveraging their expertise to address issues involving patients, providers, documentation, quality, and care delivery. This role acts as a bridge between clinicians and the organization’s operational, product, quality, credentialing, and care-coordination teams. Other duties may be assigned as needed.

QUALIFICATIONS

• Independent clinical license required: LCSW, LMFT, LPC, or PhD/PsyD (or state equivalent)

• Minimum of 4 years post-licensure clinical experience

• Experience with Electronic Health Record (EHR) systems required

• No specific EHR or scheduling platform experience necessary; training will be provided

• Comfortable working in a hybrid clinical/operational role (not traditional caseload-based)

• Strong cross-functional communication skills to collaborate with Product, Quality, Credentialing, and Operations teams

• Self-motivated and able to work independently in a remote/hybrid environment

RESPONSIBILITIES

• MEMBER AND CLINICAL SUPPORT

• Serve as a clinical resource for member issues requiring clinical judgment

• Support pre-intake clinical review and outreach as needed

• Review and follow up on member feedback requiring clinical attention

• Manage rematch escalations and assist with enrollment-related clinical questions

• Collaborate with the User-Success team to address member needs

• Handle clinical escalations beyond the scope of non-licensed operations staff

• Conduct consultation hours as needed

• Participate in clinical interviews during periods of active hiring

• CLINICAL QUALITY AND DOCUMENTATION

• Address documentation issues requiring clinical interpretation or provider-to-provider communication

• Support clinical review of incomplete or missing diagnoses

• Participate in clinical quality initiatives and audits

• Support and educate providers on clinical documentation standards

• Participate in payer and similar clinically-oriented audits

• Collaborate on quality-improvement initiatives

• Review caseload and documentation integrity

• THERAPIST DATA AND CLINICAL METRICS

• Work with Product and Clinical Leadership on workforce and quality metrics

• Use internal reporting and quality-monitoring tools

• Interpret metrics for full-time/part-time providers

• Identify trends in clinical quality and areas needing follow-up

• Partner with technical teams as reporting and automation tools evolve

• CLINICAL MEETINGS AND CROSS-FUNCTIONAL REPRESENTATION

• Represent Clinical Operations in cross-functional meetings (Clinical x Product, User-Success x Clinical, team meetings, Credentialing/Quality Committees, organizational meetings)

• Serve as a clinical liaison to other departments requiring clinical expertise

• MEDICATION MANAGEMENT OPERATIONS

• Assist with manual rescheduling of medication-management follow-ups when necessary

• Address exceptions to automated medication-management workflows

• Support resolution of escalated prior-authorization issues

• Handle documentation requests (e.g., FMLA, short-term disability) needing clinical review

• Draft physician-facing documentation for review and signature

• Coordinate member communication about documentation appointments

• Support related scheduling changes

• CLINICAL PROCESS IMPROVEMENT AND SPECIAL PROJECTS

• Identify and propose improvements to clinical workflows

• Collaborate with Product and Engineering for clinical input

• Translate clinician and patient needs into operational or product requirements

• Participate in clinical process redesigns and special projects needing clinical expertise

• Help develop scalable clinical workflows as the organization grows

• OTHER CLINICAL DUTIES AS REQUIRED

Marvin Behavioral Health is committed to building a diverse and inclusive team. We encourage applicants from all backgrounds and identities to apply.