Director of Clinical Operations

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Wider Circle

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Healthcare Insurance • Community

Wider Circle is a neighborhood-based health organization that aims to empower community members to lead happier and healthier lives. By partnering with health plans and physician groups, the company offers engaging and educational programs both in-person and virtually. These programs are designed for members who share similar interests and life experiences, creating a social group with the purpose of improving access to care within a trusted community network. Wider Circle connects residents in a neighborhood to support each other's health and well-being, offering help with tasks such as scheduling doctor’s appointments and accessing food resources, thereby revitalizing the sense of community care. The company collaborates with national and regional Medicare Advantage plans and Managed Care Organizations.

11 - 50 employees

⚕️ Healthcare Insurance

💰 $38M Series B on 2021-09

📋 Description

• 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. • Run Clinical Operations Day-to-Day • Oversee 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. • Own Reimbursement and Financial Performance • 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. • Shape Strategy Through Execution • 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. • Lead and Develop the Team • 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.

🎯 Requirements

• 5–8 years of experience in clinical operations, care management, or tech-enabled care — ideally in digital health or multi-site provider settings. • Proven record of personally building and operating care workflows, not just overseeing teams. • Experience training providers of different licensures • Strong understanding of reimbursement, coding, and operational compliance. • Experience standing up RCM or care delivery processes from zero to one. • Deep operational instincts — able to see both the system and the edge cases. • Excellent communicator who can partner across product, clinical, and finance teams. • Builder mindset: you’re excited to be in the weeds early, building the plane as it flies. • Ability to travel 10%

🏖️ Benefits

• Performance-based incentive bonuses • Opportunity to grow with the company • Comprehensive health coverage including medical, dental, and vision • 401(k) Plan • Paid Time Off • Employee Assistance Program • Health Care FSA • Dependent Care FSA • Health Savings Account • Voluntary Disability Benefits • Basic Life and AD&D Insurance • Adoption Assistance Program • Training and Development