Manager, Clinical Operations

Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.

Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.

As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.

Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.

The Opportunity

The Manager, Clinical Operations plays a critical role in executing and optimizing Homeward’s clinical workflows, ensuring compliance, and driving continuous improvement across service lines. This role bridges clinical strategy with operational execution, ensuring that care delivery remains safe, high-quality, and aligned with business objectives while enabling scalability through process standardization and technology integration.

This position supports clinical service line execution, informatics & EMR optimization, regulatory compliance, and continuous improvement, ensuring that clinical teams have the tools, workflows, and structure needed to operate efficiently. Additionally, this role works to provide structure for executional leadership in complaints & grievances management, patient safety, clinical auditing, and quality adherence to drive effective, compliant care delivery.

This role requires a detail-oriented problem solver who thrives in a fast-paced, cross-functional healthcare environment, working across service lines, Market Medical Directors, and strategic operations to enable operational success.

Key Responsibilities 

• Standardization & Implementation of Clinical Workflows
• Support the development and rollout of standardized clinical workflows, ensuring alignment with compliance, safety, and operational best practices.
• Facilitate the adoption of new care delivery models, working with Clinical and Strategic Operators to ensure workflows are scalable and adaptable across markets and payor landscapes.
• Partner with Service Line Leaders and Market Medical Directors to ensure workflows are operationally efficient and effectively implemented.
• Operational Support for Performance & Risk Mitigation
• Assist in translating quality performance and risk management strategies into operational workflows, ensuring clinical teams have the tools to meet contractual and regulatory obligations.
• Identify and mitigate process inefficiencies that impact clinical performance, workflow adoption, or provider burden.
• Partner with Compliance and Strategic Operations teams to ensure operational processes align with quality, utilization, and regulatory goals. Provides Complaints & Grievances Support.
• Continuous Improvement & Scalability
• Monitor the adoption and effectiveness of clinical workflows, using Plan-Do-Study-Act (PDSA) cycles to drive continuous improvement.
• Gather real-world feedback from frontline teams, integrating insights into workflow refinements and operational enhancements.
• Ensure new workflows and process improvements are scalable, supporting Homeward’s ability to expand across payer and geographic landscapes.
• Clinical Informatics & EMR Optimization
• Support EMR workflow enhancements, ensuring efficient documentation, risk capture, and provider usability.
• Act as a liaison between frontline clinical teams and Product/Technology teams, identifying EMR inefficiencies and driving workflow improvements.
• Assist in technology adoption efforts, including automation solutions, clinical decision support tools, and process refinements to improve documentation efficiency.
• Regulatory Compliance, Safety & Quality Alignment
• Ensure clinical workflows integrate regulatory, payer, and safety standards (CMS, HEDIS, NCQA), supporting compliance without adding unnecessary burden to care teams.
• Assist in designing and executing clinical audits, ensuring adherence to quality measures, patient safety protocols, and contractual performance benchmarks.
• Support root cause analysis (RCA) efforts for complaints, grievances, and safety concerns, ensuring service recovery processes are embedded into workflow improvements.

Qualifications

• 8+ years of experience in clinical operations, healthcare quality, compliance, or workflow optimization.
• Experience working in value-based care, population health, or healthcare technology environments is a plus.
• Strong problem-solving and execution skills, with the ability to translate clinical needs into operational solutions.
• Knowledge of healthcare compliance standards (CMS, HEDIS, NCQA) and quality measurement frameworks.
• Experience with clinical informatics, EMR optimization, and workflow automation preferred.
• Strong cross-functional collaboration skills, with experience working across clinical, product, and operational teams.
• Proficiency in Google Suite / Microsoft Office and familiarity with healthcare management tools.
• Self-starter with a proactive approach to identifying and solving operational challenges.
  
  

Success Metrics for the Role

• Workflow standardization & adoption: Ensuring clinical workflows are successfully implemented, adopted, and optimized across service lines and markets.
• Operational execution & process improvement: Identifying inefficiencies and implementing solutions that improve workflow effectiveness and clinical operations.
• Issue resolution & service recovery: Reducing complaints, grievances, and safety-related issues through effective root cause analysis and workflow improvements.
• Technology adoption & informatics optimization: Driving the adoption of automation tools, clinical decision support, and EMR enhancements to improve documentation accuracy and usability.
• Regulatory compliance & quality alignment: Maintaining adherence to CMS, HEDIS, NCQA, and contractual quality standards while supporting clinical teams in meeting performance targets.

Benefits

• Competitive salary and equity grant
• Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
• Unlimited Paid Time Off
• Company-sponsored 401k plan

The base salary range for this position is $100,000-120,000 annually. Compensation may vary outside of this range depending on a number of factors, including a candidate’s qualifications, skills, location, competencies and experience. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package.

At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.

Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.