Director, Clinical Operations

Carenet HealthSan Antonio, TX
Onsite

About The Position

We are hiring - Director, Clinical Operations in San Antonio! At Carenet, every operational decision has the power to improve lives. We're looking for a strategic and results-driven leader who is passionate about delivering exceptional healthcare experiences. In this role, you'll lead high-performing operations, champion quality and workforce excellence, and drive continuous improvement initiatives that enhance client satisfaction, member outcomes, and Carenet's continued growth as a trusted healthcare partner.

Requirements

  • Associate’s Degree in Nursing, Diploma Nursing Program, or equivalent required; Bachelor’s degree preferred.
  • Current unrestricted RN license in Texas; additional state licensure as required by client or regulatory requirements.
  • Minimum 10 years of progressive clinical operations, medical management, and telehealth experience.
  • Minimum 5 years of leadership experience managing leaders and clinical teams in a healthcare contact center environment, leading teams of not less than 200
  • Experience leading clinical performance, workforce planning, service delivery, and operational improvement initiatives.
  • Strong understanding of healthcare operations, quality management, compliance requirements, and clinical governance.
  • Demonstrated ability to lead teams and improve performance in a high-volume, metrics-driven environment.
  • Strong analytical, decision-making, and problem-solving capabilities.
  • Excellent communication and stakeholder management skills with the ability to influence across multiple functions.
  • Ability to operate effectively within a fast-paced, 24/7 environment.
  • Experience with healthcare technology platforms, workforce management, and performance analytics.
  • Knowledge of health insurance, care management, and clinical service delivery models.

Responsibilities

  • Lead and develop Clinical Managers, Supervisors, and clinical teams to drive high-quality, safe, and efficient clinical operations.
  • Oversee operational performance, workforce planning, quality, productivity, service levels, and financial results across a 24/7 environment.
  • Monitor clinical and operational metrics, identify trends, and implement continuous improvement initiatives to enhance outcomes and operational efficiency.
  • Ensure clinical quality, patient safety, regulatory compliance, and adherence to organizational policies and standards.
  • Partner with Operations, Workforce Management, Quality, Technology, and Client teams to implement, optimize, and scale clinical programs.
  • Provide leadership for complex clinical, operational, and employee-related issues, including cross-functional problem resolution and executive escalations.
  • Drive process improvements, technology adoption, and resource optimization to strengthen service delivery, scalability, and organizational performance.
  • Provide clinical expertise and strategic recommendations to senior leadership, while building high-performing teams through coaching, talent development, and performance management.
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