Clinical Operations Manager- Radiology

• Own resolution of clinical escalations end-to-end: order processing and coding issues, protocol mismatches, authorization complications, facility capability gaps, and appointment-day problems
• Partner with ordering providers, imaging facilities, and payers to resolve issues quickly and keep members moving toward appointment completion
• Identify escalation patterns and drive root-cause fixes back into workflows, training, and product — so the same problem doesn't happen twice
• Serve as the escalation point for frontline teams on clinical questions that arise during scheduling, order intake, and appointment coordination

• Review and continuously refine clinically-informed operational workflows across the member imaging journey to reduce friction
• Build and deliver training for internal teams on radiology fundamentals — modalities, protocols, contrast considerations, prep requirements, and site-of-care nuances
• Review and refine member- and provider-facing talk tracks that are clinically accurate, plain-language, and empathetic

• When relevant, act as the embedded radiology SME for our product team — informing requirements, reviewing designs, and pressure-testing assumptions against real-world clinical and operational practice
• Help define what "clinically correct" looks like in product logic — from order-to-CPT mapping to appropriateness and site-of-care routing

• 5+ years of experience in radiology operations, with hands-on exposure across both health system/hospital-based imaging and outpatient/freestanding imaging center environments
• Deep working knowledge of the imaging order lifecycle: order intake, CPT/ICD-10 coding, protocoling, prior authorization, scheduling, prep and contrast requirements, and appointment completion
• Fluency across modalities (MRI, CT, PET, ultrasound, X-ray, mammography, DEXA) and their operational and clinical nuances
• Demonstrated ability to translate clinical knowledge for non-clinical audiences — you can explain protocoling to an engineer and prior auth to a new member services rep
• Strong escalation management instincts: calm under pressure, resourceful, and relentless about getting members to a resolved outcome

• Comfort operating in a fast-moving, dynamically changing environment where priorities shift and processes are still being built
• A builder's mentality — you see gaps as opportunities to create something, not blockers to progress
• Low ego, high ownership: no task is beneath you
• You won't be culture-shocked by the scrappiness of an early stage startup — you'll be energized by it

• Clinical or technical credential (e.g., RT(R), CT/MRI certification, RN, or radiology practice management background)
• Experience with radiology benefit management (RBM), utilization management, or payer-side imaging programs
• Familiarity with RIS/PACS systems, HL7/FHIR order workflows, or imaging network operations

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