Clinical Operations Manager

Avail Health • Cincinatti, OH

1d • $90,000 - $105,000 • Remote

About The Position

About Avail Health Avail Health is a Nurse Practitioner–founded organization dedicated to removing barriers to care, access, and meaningful clinical work for Medicare-age individuals. We combine thoughtful technology, strong operational infrastructure, and deep respect for the patient–provider relationship to enable nurse-led virtual and mobile care. By empowering nurses, reducing administrative burden, and supporting consistent, high-integrity clinical practices, we deliver compassionate, high-quality care through scalable, team-based, and data-driven care models that improve access, quality, and patient outcomes in the communities we serve. Program Overview Avail Health partners with Medicare Advantage health plans to support Institutional Special Needs Plan (I-SNP) members through nurse-led programs focused on accurate risk adjustment and proactive risk management. Care is delivered by a hybrid team of Nurse Practitioners and mobile nurses, with nurses supporting NP-led telehealth visits through in-person member engagement, clinical data collection, and coordination. The team conducts structured in-person and virtual assessments to identify and document chronic and complex conditions in alignment with CMS requirements, producing actionable insights for the health plan and care teams. In select programs, NPs also provide limited, plan-directed clinical support to address identified risks and close care gaps, improving member experience and health plan performance without serving as the primary care provider. Role Summary The Manager, Clinical Operations – Risk Performance leads the day-to-day operations and overall performance of Avail Health’s Risk Performance programs. This role is accountable for operational execution, workflow standardization, and team performance, serving as a hands-on leader and first-line operational resource for frontline clinical teams. The position supports an interdisciplinary clinical team and reports directly to the Vice President of Operations, with matrixed accountability to the Vice President of Care Delivery. The Manager, Clinical Operations partners closely with clinical leadership, peer Clinical Operations Managers, and cross-functional teams—including Technology, Product, Quality, Analytics, and Revenue Cycle—to identify operational challenges, implement workflows and tools, and drive continuous improvement. This role supports program scalability by creating structure, standardizing processes, and ensuring consistent execution as the program evolves. This is a primarily remote, work-from-home role requiring a reliable high-speed internet connection and a dedicated, HIPAA-compliant workspace to support confidential patient information and secure communications. Minimal travel may be required for team meetings, occasional site visits within and around the Ohio region, or other operational priorities. Preference given to candidates residing in or near Ohio and in the Eastern Standard Time Zone. While the role primarily supports clients in the Ohio region, there may be periodic travel to other states and time zones periodically to support other operational initiatives. Standard business hours are Monday–Friday, 8 a.m. to 5 p.m. Eastern Time. Flexibility is required to accommodate occasional early or late meetings across multiple time zones. Position Overview This is a hands-on, “player-coach” operations role responsible that drives day-to-day execution building operational structure for Avail Health’s Risk Performance program. The Clinical Operations Manager serves as the internal operations lead, partnering with clinical leadership to define, standardize, and improve workflows. This role is responsible for documenting current-state processes, developing SOPs, and identifying opportunities to improve efficiency, consistency, and performance. This individual also supports frontline clinical teams by addressing day-to-day operational needs, including scheduling coordination, workflow troubleshooting, and field support. In addition, the role leads onboarding and training for new hires and ensures teams have clear processes and expectations. The Clinical Operations Manager tracks and manages key performance metrics and partners with analytics and technology teams to improve reporting and support data-driven decisions. This role requires a highly adaptable, tech-savvy operator who can build structure in a fast-paced, evolving environment.

Requirements

• Bachelor’s degree in healthcare administration, business administration, public administration, nursing, or a related field; or equivalent combination of education and experience
• 5+ years of progressive experience in healthcare operations or clinical practice management, ideally in virtual, mobile, or hybrid care settings
• Demonstrated experience developing and implementing SOPs, workflows, training materials, and process improvement initiatives
• Experience supporting clinical or care delivery teams, with the ability to troubleshoot operational and workflow challenges in real time
• Familiarity with value-based care, managed care, or integrated delivery models
• Proven ability to influence, coach, and support distributed or remote teams, driving accountability and performance across cross-functional environments
• Strong technology aptitude, including experience with EHRs, telehealth platforms, and data/reporting tools
• Experience defining, tracking, and improving key operational performance metrics (KPIs)
• Authorization to work in the United States
• Ability to work on an Eastern Time Zone schedule

Nice To Haves

• Experience in Medicare Advantage, including familiarity with risk adjustment and quality (e.g., HEDIS/STARS)
• Familiarity with revenue cycle workflows and billing processes
• Experience building dashboards, reports, or operational performance tracking tools
• Experience in a startup or high-growth environment, building structure and processes from the ground up
• Residence in Ohio, Indiana, or West Virginia preferred

Responsibilities

• Program Operations, Workflow Design & Execution Own day-to-day operational execution across the program, ensuring reliable and efficient care delivery for mobile and virtual clinical teams. Document current-state workflows and translate them into standardized, scalable SOPs across core functions, including scheduling, patient engagement, clinical team support, and care coordination. Identify operational gaps and implement process improvements to enhance efficiency, consistency, and quality across markets.
• Frontline Operations Support & Clinical Team Enablement Serve as the primary operational resource for frontline clinical teams, providing real-time support to address day-to-day needs, remove barriers, and maintain continuity of care. Coordinate scheduling and field support for mobile teams, and ensure workflows, tools, and processes enable clinicians to operate effectively. Partner closely with clinical leadership to reinforce expectations, improve throughput, and support high-quality, compliant care delivery.
• Training, Onboarding & Team Readiness Lead onboarding for new clinical hires by developing and delivering structured training programs, materials, and workflows. Ensure all team members are equipped with clear guidance on operational processes, documentation requirements, and tools. Continuously refine training content and onboarding approaches based on field feedback, performance trends, and program evolution.
• Performance Management, Metrics & Continuous Improvement Track and manage key operational and clinical performance metrics, including access, productivity, documentation quality, patient engagement, and program outcomes. Partner with analytics and technology teams to define reporting needs, improve data visibility, and close gaps in performance tracking. Use data-driven insights to identify trends, inform workflow improvements, and drive ongoing program optimization.
• Cross-Functional Collaboration and Standardization Partner cross-functionally with Product, Technology, Analytics, Quality/Compliance, and Revenue Cycle teams to support program evolution and scaling across markets. Translate new initiatives and enhancements into clear, actionable workflows and standardized SOPs that align with the care model and regulatory requirements. Establish operational structure by documenting best practices, driving consistency across teams, and supporting change management in a rapidly evolving environment. Provide feedback to inform product and technology development, particularly to improve workflow efficiency, reporting capabilities, and overall program performance.

Benefits

• Medical, dental, and vision insurance, in accordance with company benefit plans and eligibility requirements.
• Paid time off: 3 weeks annually (accrued per pay period)
• Holidays: 8 paid holidays plus 1 floating holiday
• Retirement: 401(k) plan with 2% employer match
• Base salary: $90,000 – $105,000, commensurate with experience
• Performance bonus: Quarterly bonus of up to 2.5% of annual salary. Performance bonuses are tied to operational KPIs, including access, documentation quality, productivity, and program execution milestones.
• Annual salary increase: Up to 5% of base salary, subject to performance review

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level