Director of Clinical Services

Summary

Join a rapidly growing healthcare services and technology company as their Director of Clinical Services. Lead in-home risk adjustment and care gap programs for Medicare Advantage payor clients. Serve as the primary contact for assigned payor clients, ensuring smooth implementation and high-quality service delivery. Lead client onboarding, build and manage production plans, and proactively identify and resolve operational challenges. Track client escalations, share feedback internally, and conduct regular business reviews. This role requires strong communication, project management, and analytical skills, along with experience in healthcare operations and payor relations. The position offers the opportunity to reshape how healthcare reaches patients and help payors achieve their value-based care goals.

Requirements

• Direct experience working with payor clients, ideally Medicare Advantage plans or other value-based care organizations
• Previous experience supporting in-home clinical assessments or mobile healthcare delivery models
• Minimum 5 years of client service, account management, or healthcare operations experience
• Strong knowledge of HIPAA, HEDIS, NCQA, and risk adjustment programs
• Exceptional communication and interpersonal skills, with the ability to build trust across both client and internal teams
• Experience managing complex project timelines, cross-functional stakeholders, and client expectations
• Comfortable analyzing performance data and translating it into client-facing insights and recommendations
• Proficiency with Microsoft Office (Word, Excel, PowerPoint) and project tracking tools

Responsibilities

• Serve as the day-to-day contact for assigned payor clients, ensuring smooth implementation and high-quality service delivery
• Lead client onboarding, including contract execution, configuration, launch, and transition to production
• Coordinate with internal teams—including marketing, legal, and compliance—to gain approvals for communications and materials
• Build and manage production plans that meet client goals for volume, quality, and revenue
• Proactively identify operational challenges and lead resolution efforts to maintain service levels and client satisfaction
• Track client escalations, provide timely updates, and serve as the internal advocate for your accounts
• Share client feedback, insights, and risks internally to support continuous improvement
• Conduct regular business reviews with clients to present performance insights and align on forward strategy