Clinical Operations Manager

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $111.3k - $159.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Clinical Operations

👻 Ghost score 0%

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Sparrow

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2018

👥 HR Tech

☁️ SaaS

🤝 B2B

💰 $35M Series B - Sparrow on 2025-07

HR Tech • SaaS • B2B

Sparrow is a B2B HR technology company providing an end-to-end employee leave management platform and high-touch service. Its SaaS automates federal, state, and local leave compliance, payroll calculations, filings and notices, reporting, and payroll reconciliation while integrating with HRIS, payroll systems, insurance carriers and even state agencies. Sparrow combines automated software with dedicated leave specialists to support HR/People teams and employees, offers enterprise-ready security and multinational support (U. S. and Canada), and emphasizes cost savings, compliance, and a streamlined employee experience.

📋 Description

• Own end-to-end clinical review of medical certifications supporting leave requests • Apply clinical judgment to documentation sufficiency and consistency questions • Oversee day-to-day clinical operations, including intermittent leave analysis and extension evaluations • Manage the medical certification team, including hiring, coaching, and performance management • Serve as the clinical escalation point for disputed certifications and work cases to defensible resolutions • Support cross-functional execution across Product, Legal, Compliance, and CX • Resolve operational issues and remove bottlenecks affecting clinical review throughput • Build and improve workflows for consistent reviewer outcomes • Create and update SOPs and documentation-sufficiency standards • Manage operational systems and reporting and maintain audit-ready documentation trails • Identify certification-review trends and translate them into continuous workflow improvements • Own clinical consistency and compliance oversight • Manage licensing and credentialing for the clinical team • Support compliance initiatives and coordinate insurance and regulatory requirements • Partner with Compliance leadership on escalated and legally sensitive cases • Align regularly with department leaders on operational priorities and performance • Review operational performance and quality-assurance results and run reviewer quality calibration • Set performance standards and design onboarding and training curricula • Plan operational improvements and own the roadmap for expanding the clinical operations function • Develop and facilitate ongoing education for the Leave Specialist team

🎯 Requirements

• Strong knowledge of FMLA, ADA, and state paid-leave/disability laws as they apply to clinical certification standards • 3+ years experience in disability, leave-of-absence, or claims-related clinical review • RN license strongly preferred; significant utilization review experience within an insurance company, TPA, or leave-management environment may be considered in lieu of licensure • Direct experience managing a care team with expertise in Short & Long-Term Disability, Family & Medical Leave Administration, and ADA Accommodations and the Interactive Process • 3+ years of people-management experience • Experience designing or standardizing operational workflows, SOPs, or training programs • Strong cross-functional collaboration with Compliance, Legal, Finance, CX, and Product • Comfortable building a new function amid ambiguity • Certified Case Manager (CCM) or similar credential a plus • URAC/NCQA accreditation experience a plus • Prior experience at a leave/disability carrier or TPA a plus • Must be legally authorized to work in the United States • Must be physically working from within the United States

🏖️ Benefits

• Full-time, exempt position • Remote work arrangement • Equal opportunity employer • Diverse, supportive, collaborative team environment • Mission-driven work supporting employees and People teams • Venture-backed company resources and scale