Wider Circle · 1 month ago
Director of Clinical Operations
Wider Circle is a company focused on delivering unique community care programs that connect neighbors for better health. The Director of Clinical Operations will design and implement the operational engine for virtual and community-based care, overseeing workflows, staffing, and reimbursement processes while leading a small team to ensure effective day-to-day operations.
Health CareInternetiOSPublishing
Responsibilities
Build and Execute the Care Model
Define and implement the clinical workflows, staffing ratios, and touchpoints that shape how we deliver care
Partner with Product to translate workflows into the EHR and digital tools — from intake through follow-up
Personally test, document, and optimize processes before scaling
Roll up your sleeves to solve operational bottlenecks and pilot new care approaches
Run Clinical Operations Day-to-Day
Oversee the small but mighty care team, ensuring quality, efficiency, and compliance
Manage scheduling, escalation protocols, documentation standards, and QA
Own coordination between clinical staff, product, and data teams
Step into operational tasks yourself when needed — modeling high standards and bias for action
Own Reimbursement and Financial Performance
Define viable reimbursement models for each patient segment (e.g., MA, Medicaid, risk-bearing groups)
Oversee revenue cycle management (RCM) and coding processes — ensuring claims accuracy and timeliness
Partner with Finance and Quality to measure unit economics, reimbursement rates, and ROI
Build the infrastructure to support scalable, value-based care operations
Shape Strategy Through Execution
Identify patient populations where our care model has the most clinical and financial leverage
Run pilots that test different staffing and reimbursement configurations
Translate frontline insights into strategy — working closely with leadership to adjust direction
Lead and Develop the Team
Manage the Care Team Lead, Care Coordinators, and RCM Lead — with a hands-on approach
Train, coach, and document processes as you scale the model
Build a culture of accountability, continuous improvement, and empathy
Qualification
Required
5-8 years of experience in clinical operations, care management, or tech-enabled care — ideally in digital health or multi-site provider settings
Proven record of personally building and operating care workflows, not just overseeing teams
Experience training providers of different licensures
Strong understanding of reimbursement, coding, and operational compliance
Experience standing up RCM or care delivery processes from zero to one
Deep operational instincts — able to see both the system and the edge cases
Excellent communicator who can partner across product, clinical, and finance teams
Builder mindset: you're excited to be in the weeds early, building the plane as it flies
Ability to travel 10%
Preferred
Clinical licensure (NP, RN, LCSW, etc.) + Ability to jump in as a provider to deliver care and test workflows yourself
Startup experience in virtual care
Familiarity with new CMS reimbursement models (e.g. CCM, CoCM, CHI)
Familiarity with group-based care models (group therapy, SMAs)
Benefits
Performance-based incentive bonuses
Opportunity to grow with the company
Comprehensive health coverage including medical, dental, and vision
401(k) Plan
Paid Time Off
Employee Assistance Program
Health Care FSA
Dependent Care FSA
Health Savings Account
Voluntary Disability Benefits
Basic Life and AD&D Insurance
Adoption Assistance Program
Training and Development
Company
Wider Circle
Wider Circle works with health plans nationally to deliver a unique community care program that connects and unites vulnerable populations for better health.
Funding
Current Stage
Growth StageTotal Funding
$38M2021-09-29Series B· $38M
Recent News
2024-05-23
Company data provided by crunchbase