Director of Clinical Operations

Summary

The Director of Clinical Operations reports to the Vice President of Clinical Operations and is responsible for leading, optimizing, and scaling Genuine Health’s clinical programs and workflows. This role ensures the efficient implementation, performance, and continuous improvement of care delivery models—including Chronic Care Management (CCM), Transitional Care Management (TCM), and other population health initiatives.

The Director oversees day-to-day clinical operations, ensuring alignment with organizational goals, regulatory standards, and quality outcomes. The ideal candidate is a hands-on leader who combines operational excellence, data-driven decision-making, and a passion for improving patient care and provider engagement.

Essential Duties and Responsibilities

• Provide strategic and operational oversight of clinical programs to meet departmental KPIs and organizational goals.
• Lead the Clinical Operations team to ensure timely, high-quality service delivery and excellent member and provider experience.
• Develop, implement, and continuously improve Standard Operating Procedures (SOPs), job aids, and workflows that drive efficiency, compliance, and quality outcomes.
• Partner with the VP of Clinical Operations to launch and optimize clinical programs.
• Manage and refine system platforms and workflows for both clinical and non-clinical teams to improve productivity and data visibility.
• Establish productivity benchmarks and performance dashboards to monitor progress and identify opportunities for improvement.
• Collaborate with VP of Clinical Operations to determine RN visit frequency, efficiency standards, and quality metrics.
• Prepare and present operational reports and performance dashboards to leadership on a recurring basis.
• Participate in organizational planning, goal-setting, and budget management to align clinical operations with strategic priorities.
• Collaborate with cross-functional leaders (Quality, IT, Finance) to ensure coordinated care and program success.
• Support recruitment, onboarding, and ongoing training of clinical and non-clinical staff.
• Maintain compliance with all federal, state, and payer program requirements, implementing corrective actions as needed.
• Ensure providers and partners are informed and engaged on clinical program updates, workflows, and benefits.
• Partner with the Quality Department to leverage care management and patient touchpoints for closing gaps in care and improving quality metrics.
• Oversee management of department expenses, ensuring adherence to operational budgets.
• Promote a culture of accountability, collaboration, and continuous improvement within the Clinical Operations team.
• Other duties as assigned.

Knowledge, Skills and Abilities

• Strong leadership and team management skills with the ability to motivate and develop staff.
• Strategic thinker with the ability to translate goals into actionable plans.
• Excellent communication and collaboration skills across multidisciplinary teams.
• Analytical mindset with the ability to interpret and leverage data for decision-making.
• Strong organizational and project management skills, with the ability to prioritize multiple initiatives.
• Proficiency in Microsoft Office Suite and experience with healthcare data/reporting platforms.
• Deep understanding of managed care, value-based models, and clinical performance metrics.
• Bilingual (English/Spanish) strongly preferred.

Minimum Education and Experience

• Bachelor’s Degree required; Master’s Degree preferred.
• Current RN license with multistate registration.
• Minimum 7 years of progressive experience in healthcare management; 10 years preferred.
• Demonstrated success in leading clinical operations in an ACO, MSO, or value-based care environment.

Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Application Question(s):

• Will you now or in the future require sponsorship for employment visa status (e.g., H-1B, TN, OPT, etc.)?
• What are your salary expectations?
• Do you have experience managing Chronic Care Management (CCM) or Transitional Care Management (TCM) programs?

Education:

• Bachelor's (Required)

Experience:

• healthcare management: 7 years (Required)
• ACO/MSO/value-based care leadership: 7 years (Preferred)
• managing clinical or non-clinical teams: 3 years (Required)

Language:

• English and Spanish (Preferred)

License/Certification:

• RN license in the state of Florida (Required)

Location:

• Coral Gables, FL 33134 (Preferred)

Work Location: Hybrid remote in Coral Gables, FL 33134