Clinical Operations Specialist - Licensed Therapist

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.