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Phamily · 2 weeks ago

Clinical Operations Leader (Hybrid)

Chicago, IL

Full-time

Hybrid

Senior Level

7+ years exp

Jaan Health is a leading care management company that helps healthcare providers deliver high-quality, personalized care to their patients between visits. The Clinical Operations Leader will guide clinical staff and care teams, overseeing the national virtual care delivery model while ensuring clinical quality and compliance. This role involves strategic leadership, operational oversight, and cross-functional collaboration to enhance patient outcomes and drive performance.

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Responsibilities

Develop and execute the operational strategy for a national care delivery program, aligned with CCM, APCM, and VBC models

Lead and grow a multi-layered clinical operations team (clinical managers, LPNs, MAs, care coordinators) to deliver efficient, high-quality, patient-centered care at scale

Build and refine workforce planning models to meet growth and performance targets

Partner with executive leadership to define success metrics, operational KPIs, and quality goals

Partner with the Director of Service Delivery to ensure compliance with CMS regulations, HIPAA requirements, and other state and federal requirements

Establish and monitor clinical quality assurance processes, escalation pathways, and continuous improvement loops to drive HEDIS/Stars measures

Drive outcome performance across patient engagement, care plan adherence, documentation quality, and regulatory compliance

Serve as a clinical escalation and decision-making authority for complex patient and operational issues

Partner closely with Product and Engineering teams to shape the evolution of Phamily, ensuring platform design aligns with clinical workflows and operational priorities

Translate frontline operational needs into product requirements, enhancements, and automation opportunities

Collaborate with Client Success and Implementation teams to support client onboarding, program performance, and outcomes reporting

Oversee daily operational performance while driving long-term process optimization and scalability

Lead the design and deployment of standard operating procedures (SOPs), training programs, and quality frameworks

Monitor and report on operational performance metrics, identifying trends and opportunities for improvement

Build mechanisms to ensure consistency and accountability across distributed, remote clinical teams

Support the creation of outcomes studies, leveraging internal data to demonstrate the clinical and economic impact of our programs

Translate operational and clinical achievements into clear, credible narratives for external stakeholders

Partner with Marketing, Growth, and Client Success teams to provide clinical input on case studies, white papers, and presentations

Ensure that clinical excellence is not only delivered but also communicated effectively and strategically

Lead, manage, and mentor clinical managers and team leads to build a strong, empowered, and mission-aligned team culture

Invest in leadership development, performance management, and clear growth pathways for team members

Foster a culture of operational excellence, innovation, and patient advocacy

Qualification

Clinical licensureOperations leadershipCare delivery experienceCCM/APCM workflowsEHR systemsData-driven decision makingCross-functional leadershipTech-savvyCommunication skillsLeadership skillsProblem-solving skillsOrganizational skillsConflict resolution

Required

RN, NP, PA, or other clinical licensure required

7+ years of clinical or care delivery experience, with at least 3+ years in operations leadership at a healthcare organization, virtual care provider, or value-based care entity

Proven experience building and scaling care delivery teams and operations in a high-growth environment

Deep understanding of CCM/APCM workflows, CMS regulations, value-based care programs, and population health strategies

Strong track record of cross-functional leadership with product, engineering, and client-facing teams

Demonstrated ability to use data and technology to drive clinical outcomes and operational efficiency

Experience managing remote, distributed teams at scale

Exceptional leadership, communication, and strategic problem-solving skills

Proficiency with EHR systems (e.g., Epic, Cerner) and care management platforms

Highly organized with excellent communication, leadership, and conflict resolution skills

Tech-savvy and comfortable using digital platforms, analytics dashboards, and communication tools

Authorized to work in the U.S. and available for occasional travel to team or client meetings