Clinical Operations Specialist - Licensed Therapist

CLINICAL OPERATIONS SPECIALIST – LICENSED THERAPIST Employment Type: Full-time, Salaried Reports To: Clinical Director Location: Remote/Hybrid 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 1. 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   2. 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   3. 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   4. 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   5. 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   6. 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   7. 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.