Strategy & Operations

Seen Health • Alhambra, CA

1d

About The Position

At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen Health is a culturally-focused, technology-enabled healthcare organization that integrates comprehensive medical care and social support with a high-touch, interdisciplinary approach. Our mission is to empower seniors to age-in-place with dignity and provide their families peace of mind. We are building upon a proven Home and community based services model to create a culturally-competent and scalable PACE program. We are also building a comprehensive operating system focused on data and workflows that span across systems, processes, people, and care contexts. We want to empower our clinicians and staff with tools that deliver relevant data at the time and site of care and enable them to deliver exceptional care to our participants, which improve clinical outcomes, participant & provider satisfaction, and ultimately our strength as an organization. We are a mission-driven, multidisciplinary team with deep healthcare, technology, and operations expertise, each inspired by our own personal stories of caring for seniors in our lives. Our name, Seen Health, was chosen to reflect our commitment to provide the highest standard of care to underserved older adults while respecting and incorporating their individual beliefs, heritage, and values, so that they can truly be seen . About the role At Seen Health, Population Health drives both our clinical and financial model, ensuring frail seniors receive proactive, high-quality, cost-effective care in our PACE program. As a pay-vider, we blend managed care strategy with provider-led execution , ensuring every participant receives the right care, at the right time, in the right setting. The Strategy & Operations – Population Health role is equal parts strategy and execution, responsible for 0→1 designing and implementing key capabilities that optimize quality, cost, and care coordination. This is a fast-paced, cross-functional role requiring strong leadership, execution, and problem-solving skills to build population health capabilities from the ground up

Requirements

• 5-8 years of work experience in healthcare operations, population health, or managed care, preferably in value based care settings, health plan or provider networks
• Experience in managed care operations, clinically integrated network (CIN) operations, utilization management, risk adjustment, or medical group operations are a plus.
• Experience in a startup or fast-paced environment is strongly preferred.
• Strong operational, analytical, and problem-solving skills.
• Excellent communication and stakeholder management skills.
• Ability to execute and deliver results in an ambiguous, evolving environment.
• Based in Los Angeles / San Gabriel Valley or San Francisco
• Self-Starter : You take initiative, work independently, and don’t wait for direction to drive projects forward.
• Strategic & Execution-Oriented : You can think big picture while also rolling up your sleeves to get things done.
• Problem-Solver : You thrive in ambiguity and excel at breaking down complex problems into actionable solutions.
• Operationally-Minded : You have experience establishing new processes and improving efficiencies in care delivery or health plan operations.
• Cross-Functional : You have the ability to build the trust and confidence of a wide range of stakeholders..
• Collaboration: You're someone who connects the dots between teams — a proactive communicator who puts individual projects into broader organizational objectives
• Fast-Paced & Adaptable : You excel in a dynamic, startup-like environment where priorities shift rapidly.

Nice To Haves

• Mandarin / Cantonese Chinese language ability is a plus.

Responsibilities

• Drive Strategy & Execution : Own and drive initiatives end-to-end, from strategy development to implementation, ensuring projects stay on track.
• Build Managed Care & Utilization Processes: Build and implement scalable programs across care coordination, care management, utilization management, and provider engagement (e.g. transitions of care, poly-pharmacy, quality, etc.)
• Enhance Provider Network & Preferred Partnerships: Strengthen relationships with PCPs, specialists, pharmacies, and community-based organizations to optimize participant access to high-quality care.
• Cross-Functional Collaboration : Work closely with clinical teams, enrollment, compliance, and health plan operations to ensure seamless service delivery.
• Solve Ambiguous Problems : Tackle operational challenges with a problem-solving mindset, using data and stakeholder insights to drive decision-making.
• Data-Driven Decision-Making: Leverage claims data, encounter data, and quality metrics to monitor performance, identify trends, and drive continuous improvement.
• Health Plan & Compliance Support : Partner with health plan operations and regulatory teams to ensure compliance with CMS and state guidelines.
• Support Rapid Growth : Adapt quickly to changing priorities and help scale operations as Seen Health expands.

Benefits

• Medical, Dental, and Vision benefits for you and your family
• Life Insurance and Disability Benefits
• Parental and Caregiver Leave
• Lunch, as well as delicious snacks and coffee to keep you energized
• Paid Time Off across holidays, vacation time, personal days, and sick days
• 401k Plan
• Personal and professional development, including CME support and career growth opportunities
• Subscriptions and training on using AI tools including ChatGPT

What This Job Offers

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