Company Overview:

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!

Job Title & Role Description:

The Manager, Clinical Operations leads multidisciplinary Care Teams providing in-home care to high-risk patients. Reporting to the Vice President of Clinical Operations, this role focuses on managing care delivery in value-based environments, reducing hospitalizations and ED visits, and increasing access to care. Key responsibilities include hiring and onboarding staff, ensuring adherence to clinical protocols, and fostering team development.

This role drives performance by managing caseloads, monitoring key performance indicators (KPIs), and leading quality improvement initiatives. The Manager ensures compliance with healthcare regulations and contractual agreements while continuously improving processes for patient onboarding, care delivery, and reassessments. Collaboration with internal and external partners is critical to achieving positive patient outcomes and operational efficiency.

Skills Required:

RN required; additional experience in healthcare administration or policy preferred.
Minimum of 2 years of leadership experience in a clinical operations environment, with a focus on value-based care.
Proven experience in case management and driving patient engagement to improve health outcomes.
Experience managing multidisciplinary care teams and implementing patient-centered care.
Proven track record in analyzing data, making decisions, and implementing improvements in a fast-paced setting.
Knowledge of quality metrics for value-based care and experience working with Medicare and Medicaid populations.
Excellent interpersonal skills with the ability to influence and interact with clients and community partners at all levels.
High level of flexibility and adaptability, particularly in an evolving, rapidly growing company.
Strong communication skills, both written and oral, with the ability to communicate proactively and clearly with team members. Experience in managing Medicare and Medicaid populations preferred.
Ability to travel throughout the market, with occasional travel within the US.

Key Behaviors:

Leadership:

Lead by example, fostering a collaborative and high-performing culture while supporting the growth and development of team members.

Strategic Problem-Solving:

Demonstrate a proactive approach in identifying and addressing operational and clinical challenges.

Adaptability:

Quickly adjust to evolving protocols, service models, and client needs.

Efficiency Focused:

Prioritize work to meet deadlines while maintaining high standards of care and service delivery.

Accountability:

Ensure team members adhere to established protocols and performance standards, with a focus on continuous improvement.

Competencies:

Clinical Operations Management:

Experience managing clinical processes including onboarding, care plan development, and patient reassessments.
Ability to measure and manage key performance indicators (KPIs) effectively.

Team Leadership & Development:

Proven ability to hire, train, and mentor clinical and non-clinical staff, fostering professional growth.

Data Analysis & Decision-Making:

Utilize data to monitor performance, identify trends, and drive process improvements.

Client & Partner Collaboration:

Build strong relationships with internal and external partners to ensure service excellence.

Compliance & Regulatory Knowledge:

Knowledge of federal, state, and local healthcare regulations.
Ensures clinical operations align with accreditation standards, regulatory requirements, and client needs.

Cultural Competency & Engagement:

Promote an inclusive tea culture focused on coaching, collaboration, and high employee engagement.

Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.

Compensation details: 110000-115000 Yearly Salary

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