Head of Care Navigation Operations | Portfolio Company of 2070 Health

2070Health • San Francisco, CA

1d • Remote

About The Position

This role is for Kero Health, a care navigation platform that embeds directly inside physician practices to operationalize two new Medicare billing codes: Community Health Integration (CHI) and Principal Illness Navigation (PIN). Kero Health provides the staffing, technology, and compliance infrastructure so practices can generate new reimbursement revenue from care navigation without any upfront investment. The navigators work under the practice's brand, are AI-assisted but human-centered, and every billing packet is audit-ready. This role is for the first operational hire who will architect how care navigation is done at scale, leveraging their lived expertise as a community health worker, patient navigator, or care coordinator. In the early months, this person will also carry a caseload of patients alongside the first practice partners to validate workflows, stress-test the platform, and write the playbook for future navigators. The role requires a hands-on approach, not just strategy.

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 CHI (SDOH barrier resolution) and PIN (serious chronic illness navigation), from patient identification and enrollment through monthly time documentation and billing attestation.
• 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 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, defining caseload ratios, hiring rubrics, onboarding timelines, and performance metrics.

What This Job Offers

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