Head of Care Navigation Operations | Portfolio Company of 2070 Health

2070Health • San Francisco, CA

14h • Remote

About The Position

W Health Ventures has established India's first healthcare-focused Venture Studio, 2070Health, an innovation platform dedicated to building transformative healthcare companies. Unlike accelerators, the venture studio is actively involved in idea generation, daily operations, and strategic growth of new businesses. Companies incubated in the past 24 months include Elevate Now, Nivaan Care, Reveal Healthtech, BabyMD, and Everhope Oncology. This role is for a company currently being incubated within the studio, Kero Health. Kero Health is a care navigation platform that integrates directly into physician practices to implement two new Medicare billing codes: Community Health Integration (CHI, G0019/G0022) and Principal Illness Navigation (PIN, G0023/G0024). The platform provides the necessary staffing, technology, and compliance infrastructure, enabling practices to generate new reimbursement revenue from care navigation without any initial investment. Kero Health's navigators operate under the practice's brand, utilize AI assistance while maintaining a human-centered approach, and ensure every billing packet is audit-ready. The company is supported by W Health Ventures, Leo Capital, and Sanos Capital.

Requirements

• 5+ years of direct, hands-on experience in community health work, patient navigation, or care coordination, with personal experience carrying a patient caseload.
• At least 2 years in a supervisory or program management role overseeing CHWs, patient navigators, or care coordinators.
• Deep working knowledge of Medicare billing, specifically incident-to services, and ideally direct experience with CHI (G0019/G0022) or PIN (G0023/G0024) codes.
• Fluency in SDOH screening tools (AHC HRSN, PRAPARE, or similar) and community resource navigation.
• Experience building programs or teams from scratch.
• Understanding of CMS compliance requirements: time-based billing, documentation standards, audit preparation.
• CHW certification, patient navigator certification, or equivalent clinical/social work credential.

Nice To Haves

• Experience navigating patients with serious chronic conditions (oncology, CHF, CKD, COPD, dementia).
• Familiarity with FQHC, health system, or managed care organization care navigation programs.
• Experience working with or building health technology platforms (EHR workflows, care management systems).
• Bilingual (Spanish/English strongly preferred given patient demographics).
• Comfort operating in an early-stage, ambiguous environment where you're writing the rules, not following them.

Responsibilities

• Build the operation from scratch, designing end-to-end navigator workflows for both CHI (SDOH barrier resolution) and PIN (serious chronic illness navigation).
• Establish the 16-phase workflow covering identification, consent, initiating visit coordination, navigator assignment, disease-specific navigation, specialist coordination, medication management, care transitions, insurance/financial navigation, caregiver support, time tracking, billing review, claims, workforce ops, offboarding, and outcomes reporting.
• Carry a patient caseload initially, working directly with the first practice partners to navigate real patients, conduct SDOH screenings, coordinate referrals, log billable time, and generate documentation artifacts.
• Hire and train the navigator team, defining the navigator profile and building training programs covering CMS's 8 billable service categories and condition-specific modules.
• Own compliance and audit readiness, ensuring every navigator interaction meets CMS documentation standards and building a QA cadence.
• Shape the product by working with the engineering team to define navigator needs from the Kero platform.
• Scale the model by documenting everything into repeatable playbooks and defining operational metrics to enable Kero to grow from 1 practice to 50.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed