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

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.