Clinical Operations Manager, Operations and Accidents Benefits

Clinical Operations Manager, Operations and Accidents Benefits

Reference: R2603671

Duration: Full time

The work arrangement for the position is hybrid work

Unposting Date: 2026-04-4

This new and impactful leadership opportunity invites a visionary clinical leader to shape the future of national clinical operations within our Operations and Accident Benefits Administrative Department. As the Manager, Clinical Operations, you will build and elevate a new function that influences clinical excellence across the organization. Reporting directly to the Director, you will lead national multidisciplinary clinical teams, business relationship roles, and strategic vendor partners, ensuring clinical integrity, operational consistency, and best?in?class claimant outcomes.

We are seeking a leader with a proven ability to lead leaders, inspire high?performing teams, and deliver measurable results. You bring strong analytical and operational expertise, the ability to interpret medical evidence, and a talent for optimizing clinical processes. You excel at building relationships with internal partners, vendors, and regulators, and you can translate complex clinical information into strategic guidance for executive decision?makers. If you are energized by building something new, driving innovation, and making a national impact—this role is for you. More specifically, you will be required to:

• Lead the national clinical strategy for accident benefits, casualty, bodily injury, and disability claims, ensuring alignment with organizational goals. Including positioning the organization for Alberta Accident Benefits reform and applying transferable insights from worker's compensation systems and provincial auto insurance systems (i.e. WSIB/WCB, ICBC and MPI).
• Ensure all clinical programs meet legislative, regulatory, college, and privacy requirements across all jurisdictions.
• Provide strategic clinical guidance to senior leaders and translate complex clinical insights into clear, actionable recommendations.
• Lead and develop multidisciplinary clinical teams nationally, setting standards for clinical quality, service excellence, and operational performance.
• Oversee national clinical governance, including audits, quality indicators, continuous improvement, and identification of systemic risks or opportunities.
• Direct national vendor management strategies, including onboarding, governance, performance evaluation, and collaboration with procurement.
• Drive major enterprise initiatives by contributing clinical expertise to project work, assessing training needs, and supporting change management and modernization efforts.
• Conduct data?driven analysis of claims and financial trends, complete gap analyses, and recommend solutions to optimize clinical outcomes and operational efficiency.

What we offer

• Competitive salary and annual bonus
• 4 weeks of flexible vacation starting in the first year
• Defined benefit pension plan that provides predictable, stable income throughout retirement
• Group insurance including telemedicine.
• Reimbursement of health and wellness expenses and telework equipment
• Benefits apply based on eligibility criteria.

What you bring to the table

• Bachelor's degree in a related field
• A minimum of ten years of relevant experience including four years of management experience in insurance, rehabilitation, assessments, or health operations
• Please note that other combinations of qualifications and relevant experience may be considered
• Experience leading leaders and drive performance across multidisciplinary teams
• Experience leading multidisciplinary clinical teams and managing clinical programs or medical vendors
• Experience in Accident Benefits, casualty (Bodily Injury), or disability claims (including WSIB or WCB)
• Regulated clinical designation (RN, OT, PT, Psych, or equivalent)
• Advanced proficiency in English due to the nature of the duties or work tools or because the position involves interactions with English speaking partners, members and/or clients
• Expert knowledge with IME or medico?legal assessment programs
• Advanced knowledge of Alberta Accident Benefits reform, BC and Manitoba no fault systems
• Advanced knowledge with SABS, FSRA guidelines, HCAI standards, and privacy legislation
• Advanced knowledge of Canadian healthcare systems and provincial regulations
• Advanced knowledge of Disability Claims, WSIB, WCB
• Available for travel between Ontario and Alberta (4-6 times/year)
• Action oriented, Business insight, Communicates effectively, Complexity, Customer Focus, Decision quality, Differences, Directs work, Interpersonal Savvy, Nimble learning, Stakeholders, Strategic mindset, Vision and purpose, Work processes

At Desjardins, we believe in equity, diversity and inclusion. We're committed to welcoming, respecting and valuing people for who they are as individuals, learning from their differences, embracing their uniqueness, and providing a positive workplace for all. At Desjardins, we have zero tolerance for discrimination of any kind. We believe our teams should reflect the diversity of the members, clients and communities we serve.

If there's something we can do to help make the recruitment process or the job you're applying for more accessible, let us know. We can provide accommodations at any stage in the recruitment process. Just ask!

Market Segment

Health Insurance
Health Sciences - Rehabilitation

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