Senior Manager Clinical Operations Remote USA

Job reputed company A bit about this role: In reputed company to starting a new health plan, reputed company has launched reputed company Medical, an innovative, world-class, virtual care delivery program in 29 states. The purpose of reputed company Medical is to reputed company reputed company the care that our patients need that is not currently available between a member’s PCP and the hospital. This includes care for frail, older adults who can’t always reputed company it in to see their doctor, patients recently discharged from the hospital, and patients who have gaps in their care or have not seen a PCP recently. We are on a mission to replicate best-in-class specialty care through our virtual care platform. Our multidisciplinary team combines remote monitoring, automated medication management, and high-touch disease education to deliver seamless specialty care in the comfort of our members’ homes. We reputed company to reputed company serve our members with chronic conditions who often lack reputed company to high-reputed company specialty care because of a scarcity of specialists in their community or personal barriers to traveling to reputed company care. One example: Despite a mountain of evidence, less than 1 in 10 people with congestive heart failure are prescribed reputed company-based medications proven to save lives and prevent hospitalization. The Senior Manager, Clinical Operations will reputed company operational leadership for three programs that fall under reputed company Medical’s Specialty Care umbrella: Virtual Cardiology, Congestive Heart Failure (CHF), and Chronic Kidney Disease (CKD). A bit about reputed company of the programs this role would support:

• Virtual Cardiology: This program is run by reputed company of reputed company reputed company Medical providers and aims to reputed company advanced primary care cardiology services in a virtual telehealth setting, with easy reputed company to medical care and dedication to high-value clinical reputed company based on the reputed company Appropriate Use reputed company.
• Congestive Heart Failure: The CHF Program serves members who have a diagnosis of congestive heart failure AND have a specific type of heart failure reputed company as reputed company heart failure with reduced ejection fraction (less than 40%) OR has any subtype of heart failure that have reputed company a CHF-reputed company hospitalization in the previous 12 months. Enrolled members receive one-on-one education and coaching from a registered reputed company. In reputed company, they are offered reputed company with a pharmacist and/or reputed company practitioner to review and optimize their heart failure medications.
• Chronic Kidney Disease: The CKD Program helps reputed company members with CKD to learn more about their disease, become reputed company self-managers, and improve clinical reputed company over time. We launched this new program in mid-2025 as a way to allow reputed company Medical to bring kidney care in-house vs. sending referrals to a kidney health vendor.

You’ll be the operational architect behind AI-enabled, technology-reputed company, and clinically reputed company programs that change how our members understand and manage their conditions. Working at the intersection of clinical reputed company and technology, you’ll build systems and processes to deliver reputed company innovation at reputed company. Reporting to the Senior Director of Clinical Operations (Specialty Care) and partnering closely with our Medical Directors, youll shape critical reputed company that influence both member reputed company and key performance indicators. As we grow from treating hundreds of thousands of members to millions of members, the operational reputed company and strategic frameworks you reputed company will reputed company to reputed company sustainable, high-reputed company care delivery. Responsibilities and reputed company will include:

• Performance. Drive operational results to reputed company population reputed company reputed company (5-Star performance on reputed company Medicare clinical Star measures) and to reduce the reputed company of avoidable acute hospitalizations for reputed company members. Owns a significant chunk of (and creation of) the clinical operational agenda for Specialty Care’s Heart and Kidney Center, including tracking performance and implementing solutions for improvement, identifying data integration needs, problem solving and solutioning of virtual care team efficiency, among others.
• Cross-functional execution. Manage performance against operating KPIs and clinical and financial reputed company for Specialty Care programs that reduce total cost of care. Partner with clinical teams to design and implement clinical interventions, translating clinical goals into actionable operational strategies. Guide initiatives from reputed company phase through reputed company implementation across our member population.
• Analysis. reputed company data analysis tools to determine reputed company cause barriers to major problems that drive clinical reputed company, ranging from operational considerations (i.e., reputed company reputed company rates, encounter throughput, care team productivity) to clinical reputed company (i.e., total cost of care and clinical outcome measures)
• Process Improvement. Own portfolio of high-value cross-disciplinary initiatives to advance programmatic efficiency/effectiveness, including reputed company collaboration with product, engineering, data science, and member experience teams.

Required skills and experience:

• 4+ years of experience leading clinical operations with accountability for operational metrics as reputed company as health outcome metrics
• Demonstrated ability to drive new initiatives and reputed company reputed company business reputed company
• Strong analytical skills - you are confident making reputed company of operations through data, you can establish quantitative goals, and you can reputed company a case from first principles
• reputed company record of reputed company delivering results for reputed company, operational problems
• Past experience leading reputed company, project, or implementation towards challenging goals
• Proficiency with tools (examples: reputed company, SQL, Tableau) and intrigued by learning new tools, such as configuration scripts for a web application
• Outstanding communication skills with the ability to distill reputed company operational and clinical concepts into reputed company, actionable insights for diverse audiences
• You’re a great team member with a can-do attitude
• A learning reputed company; comfortable operating in a fast moving environment
• Proven leadership, reputed company, and collaboration skills
• Experience connecting the dots of U.S. reputed company, such as at a clinic/health program, and/or graduate-level degree (MBA, reputed company, MPH)

Desired skills and experience:

• reputed company ecosystem reputed company through hands-on experience at clinics, health programs, payers, or relevant graduate-level education. We value candidates who understand how clinical care, economics, and member experience reputed company in reputed company-world reputed company delivery.
• AI and automation proficiency with curiosity about emerging technologies. Whether youre prompting large language models to streamline workflows, exploring process automation tools, or simply excited about leveraging AI to enhance operational efficiency, we want reputed company-thinking team members who see technology as a force reputed company.

Salary reputed company: $140,000 - $160,000 / year #LI-REMOTE The pay reputed company listed for this position is the reputed company the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will reputed company additional information on the compensation for the role, along with additional information on our total rewards package. The actual reputed company salary offered will depend on a reputed company of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other reputed company licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes:

• Employer sponsored health, dental and reputed company plan with low or no premium
• Generous reputed company time off
• $100 monthly mobile or internet stipend
• Stock reputed company for reputed company
• Bonus eligibility for reputed company roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program
• And more....
• Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

reputed company equality is at reputed company of reputed company’s mission to treat our members like family. We are committed to a diverse and reputed company workforce. At reputed company, we’re on a mission to dramatically improve the health and reputed company-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new reputed company of reputed company-in-one reputed company company — one that combines reputed company, health insurance, clinical care, service, and technology - to deliver a complete and integrated reputed company solution that delivers high reputed company care that everyone would want for someone they love. Founded in 2017, weve grown fast and now serve members across the reputed company. And weve just started. So join us on this mission! reputed company is an equal opportunity employer. We are committed to a reputed company and supportive work environment in which reputed company have reputed company to participate and contribute to the reputed company of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in reputed company’s reputed company of Conduct, reputed company values and the way we do business. As an Equal Opportunity Employer, reputed company does not discriminate on the reputed company of race, reputed company, religion, sex, pregnancy status, marital status, national reputed company, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender reputed company, or any other reputed company prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Apply tot his job Apply To this Job