This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Regional Director, Clinical Operations in United States.
This is a high-impact clinical operations leadership role focused on driving performance across multiple healthcare markets within a value-based care environment. The role sits at the intersection of clinical operations, population health, and physician enablement, with responsibility for ensuring strong execution across quality, risk adjustment, and cost-of-care initiatives. You will lead multi-market operational strategy and execution, ensuring that clinical and administrative workflows are aligned, scalable, and performance-driven. This position requires a leader who thrives in complex, data-driven healthcare environments and can translate strategy into measurable operational outcomes. You will work closely with market leaders, physicians, and cross-functional teams to improve patient outcomes and operational efficiency. The role is central to strengthening care delivery infrastructure and enabling consistent performance across regions.
Accountabilities:- Lead and oversee clinical operations across multiple markets, including Risk Adjustment, Quality (HEDIS), and Cost of Care programs
- Design, implement, and enforce standard operating procedures, SLAs, and governance frameworks to ensure operational consistency and scalability
- Manage end-to-end workflows such as clinical documentation review, coding validation, chart abstraction, and provider engagement processes
- Partner with market leadership to monitor performance metrics, identify gaps, and execute corrective action plans
- Define and track KPIs, conduct root-cause analysis, and drive continuous process improvement initiatives
- Oversee operational budgets, vendor relationships, and resource allocation to ensure efficiency and performance optimization
- Collaborate with data, analytics, and technology teams to enhance dashboards, reporting capabilities, and automation initiatives
- Support workforce planning, including staffing, recruiting, training, and performance management for clinical operations teams
Requirements:
- 5+ years of healthcare operations experience, preferably in value-based care or population health environments
- 3+ years of experience leading multi-market Risk Adjustment and/or Quality programs
- Bachelor’s degree required; advanced degree preferred
- Strong expertise in HEDIS, risk adjustment coding, and healthcare performance metrics
- Experience working with claims, EMR/EHR data, and clinical documentation workflows
- Proven ability to lead operational teams, manage vendors, and drive cross-functional collaboration
- Strong analytical skills with experience in KPI development, dashboards, and performance reporting
- Lean Six Sigma or similar process improvement certification preferred
- Strong leadership, communication, and problem-solving skills with the ability to operate in complex, fast-paced environments
Benefits:
- Competitive salary range aligned with experience and qualifications (approx. $153,000 – $191,300)
- Remote-first work arrangement within the United States
- Comprehensive medical, dental, and vision insurance coverage
- Opportunity to work in a mission-driven organization focused on improving healthcare outcomes
- Strong emphasis on professional development and leadership growth
- Exposure to large-scale, multi-market clinical operations transformation initiatives
- Collaborative and impact-oriented work environment.
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Why Apply Through Jobgether?
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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