Collaborate with clinical, customer support, product, and analytics teams to build scalable processes ensuring timely care for high-risk clients.
Triage daily clinical quality cases, including gaps in care, documentation requests, and member outreach, ensuring timely resolution.
Track and maintain key clinical quality metrics (HEDIS, STARs, preventive care measures) and support dashboards and internal reporting.
Assist with preparation, validation, and submission of payer-required quality reports.
Support planning and execution of clinical projects, including provider education and value-based care initiatives.
Coordinate cross-functional tasks, maintain project trackers, and provide progress updates to stakeholders.
Monitor adherence to SLAs, workflows, and escalation protocols, flagging issues and supporting corrective actions.
Maintain accurate documentation, audit-ready files, and evidence for quality programs and accreditation activities.
Assist in implementing process improvements to enhance efficiency and scalability of clinical programs.

1–3+ years of experience in clinical operations, healthcare quality, or behavioral health technology.
2+ years of project or program coordination experience, including tracking timelines, deliverables, and KPIs.
Familiarity with NCQA standards, HEDIS measures, or payer quality reporting is strongly preferred.
Proficiency in Excel, reporting tools, and workflow tracking systems; experience with Salesforce or EMRs is a plus.
Strong attention to detail, organizational skills, and ability to manage multiple priorities independently.
Data-literate, proactive, and able to engage with multiple teams to support operational and clinical objectives.
Associate’s or Bachelor’s degree in healthcare, public health, or a related field preferred.
PMP training preferred.

A generous PTO policy, with a minimum of three weeks off per year
A holiday schedule that follows standard U.S. holidays
Free therapy coverage benefits to ensure employees have access to the care they need (must be enrolled in a qualifying medical plan to participate)
Competitive Medical, Dental, and Vision coverage, with plans to meet every need — including HSA (with $1,100 company contribution) and FSA options
Employer-paid short-term disability, long-term disability, life & AD&D, plus coverage of the salary difference for up to seven weeks of short-term disability leave (after the required waiting period)
Eight weeks of paid Parental Leave; if the parent also qualifies for STD, this benefit is in addition, allowing for 8–16 weeks of paid leave
401(k) retirement plan with 100% match on up to 4% of base salary, immediately vested
Join teammates from across the country at our annual company gathering
Company shutdown between Christmas and New Year’s
Supplemental life insurance, pet insurance, commuter benefits, and more

Clinical Operations Associate

Key skills