Job description
Director of Clinical Services
Lead in-home risk adjustment and care gap programs for Medicare Advantage payor clients.
Location: Remote
Type: Full-Time
Travel: 10%
About the Opportunity
Our client is one of the fastest-growing healthcare services and technology companies in the U.S., with over $75 million raised to date. They partner with Medicare Advantage plans and other payors to close care gaps and improve outcomes through in-home and mobile clinical assessments.
They’re hiring a Director of Clinical Services who brings hands-on experience supporting payor clients and operating within in-home clinical service delivery models. This includes programs like risk adjustment, care gap closure, and mobile diagnostics. If you’ve worked in healthcare operations and know how to manage complex relationships with national or regional payors, this role is for you.
What You’ll Do
Serve as the day-to-day contact for assigned payor clients, ensuring smooth implementation and high-quality service delivery.
Lead client onboarding, including contract execution, configuration, launch, and transition to production.
Coordinate with internal teams—including marketing, legal, and compliance—to gain approvals for communications and materials.
Build and manage production plans that meet client goals for volume, quality, and revenue.
Proactively identify operational challenges and lead resolution efforts to maintain service levels and client satisfaction.
Track client escalations, provide timely updates, and serve as the internal advocate for your accounts.
Share client feedback, insights, and risks internally to support continuous improvement.
Conduct regular business reviews with clients to present performance insights and align on forward strategy.
What You’ll Need
Direct experience working with payor clients, ideally Medicare Advantage plans or other value-based care organizations.
Previous experience supporting in-home clinical assessments or mobile healthcare delivery models.
Minimum 5 years of client service, account management, or healthcare operations experience.
Strong knowledge of HIPAA, HEDIS, NCQA, and risk adjustment programs.
Exceptional communication and interpersonal skills, with the ability to build trust across both client and internal teams.
Experience managing complex project timelines, cross-functional stakeholders, and client expectations.
Comfortable analyzing performance data and translating it into client-facing insights and recommendations.
Proficiency with Microsoft Office (Word, Excel, PowerPoint) and project tracking tools.
Why It Matters
This is more than a typical client-facing role. You’re not just managing relationships—you’re helping reshape how healthcare reaches people where they live. If you know the payor landscape, understand in-home care delivery, and thrive in high-growth environments, we want to hear from you.
Apply now to help bring better care directly to patients—and help payors deliver on their value-based care goals.
