Director of Clinical OperationsWider Circle • Murrieta, CA, US
Director of Clinical Operations
Wider Circle • Murrieta, CA, US
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job_description.job_card.job_descriptionOversee 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. 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. 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. 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.
Director Of Clinical Operations
We're looking for a Director of Clinical Operations who can both design and do someone who thrives in the details of operations, is comfortable executing workflows themselves, and can zoom out to build the model that will scale.
You'll be responsible for standing up and running the operational engine that powers our virtual and community-based care model. This includes defining how care is delivered, staffed, documented, and reimbursed and then ensuring those systems work day-to-day.
You'll partner closely with the VP of Care Delivery to test and refine the model as we expand into new patient segments. This is a builder role, not a pure management role. You'll lead a small team (Care Team Lead, Coordinators, RCM Lead) and will also personally own key operational processes until they're ready to scale.
Wider Circle works with health plans and providers nationally to deliver unique community care programs that connect neighbors for better health. Centered on trusted relationships, Wider Circle connects health plan members with like-minded neighbors to inform, support and motivate one another, empowering them to be more proactive about their health. Wider Circle's trusted delivery network has been proven to drive resilience, improve member experience and engagement, and reduce inappropriate utilization and has been published in peer-reviewed literature. Today, Wider Circle offers its unique neighborhood care programs to tens of thousands of communities nationwide.
Responsibilities
1. 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.
2. Run Clinical Operations Day-to-Day
3. Own Reimbursement and Financial Performance
4. Shape Strategy Through Execution
5. Lead and Develop the Team
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