Manager, Clinical Operations (Oregon)

SCAN Health Insurance; Portland (OR); Remote; USD 106,000 - 152,000; Full time

Benefits offered by this job

Mostly remote

Annual bonus

Wellness program

PTO

Holidays

401(k)

Tuition reimbursement

Employee recognition program

Job summary

SCAN Health Insurance is seeking a Manager, Clinical Operations to oversee and optimize daily POD operations, partnering with central teams to improve care delivery and efficiency. The role focuses on clinical team management, process implementation, and performance monitoring to ensure high quality patient care.

Ideal candidates have experience with care management, CMS audits, remote team leadership, and a data-driven approach to decisions.

Qualifications

• Bachelor’s or Master’s degree in healthcare or business-related field.
• Experience with Model of Care and Care Management requirements, CMS audit experience.
• Experience with mobile care delivery operations.
• Experience with managed care preferred.
• Manager level interpersonal, management and communication skills.
• Strong diligence, data-driven decision maker.
• Demonstrated leadership and management skills.
• Strong skills in remote team management.

Responsibilities

• Oversee POD operations and align with SCAN’s goals.
• Improve POD processes and collaboration with central operations.
• Monitor POD metrics and prepare leadership reports.
• Engage with APC manager and Medical Director to optimize POD performance.
• Conduct in-person POD rounding and address member concerns.
• Recruit, onboard, and coach clinical operations team.
• Ensure compliance with regulatory standards and quality care.

Skills

CMS audit experience

Mobile care delivery

Managed care

Remote team management

Leadership

Data-driven decisions

Interpersonal skills

Communication skills

Education

Bachelor’s or Master’s degree in healthcare or business-related field

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Job

The Manager, Clinical Operations, will oversee and optimize daily operations within clinical pods, process improvement in partnership with central operations, ensuring alignment with SCAN’s strategic goals, enhancing healthcare delivery, and maintaining high standards of patient care and operational efficiency.

You Will

The Manager, Clinical Operations, will be focused on clinical team (POD) management, this individual ensures seamless day-to-day operations and strategic alignment with SCAN’s initiatives. Their key responsibilities include:

• POD Process Implementation and Infrastructure Maintenance: Implement and maintain the infrastructure that supports daily POD operations, aligning with SCAN’s strategic initiatives, vision, and goals. Collaborate with central operations project teams to identify standardization opportunities and promote best practices.

• Healthcare Initiatives and Program Management: Design, implement, and manage new healthcare initiatives and programs to enhance the capabilities of the integrated care delivery program within PODs. Oversee panel management to ensure effective patient assignment, route optimization, and PCP relationships.

• Performance Monitoring and Analysis: Monitor and analyze POD performance metrics, including ADK, visits per day, open notes, notifications, documentation, and RAF scoring. Identify trends and collaborate with the APC manager and Medical Director on process improvements. Prepare reports on POD performance for leadership.

• Communication and Collaboration: Conduct regular touchpoints with the APC manager and Medical Director to review POD performance metrics, identify coaching or performance management opportunities, address operational issues, and ensure alignment with clinical goals. Foster positive relationships with communities and community partners to enhance collaboration and service delivery by rounding in POD communities.

• Patient Engagement and Quality Care Delivery: Perform in-person rounding at POD communities, collaborating with the APC manager to engage with APCs, address concerns, and ensure quality care delivery. Address regional member issues and concerns promptly and effectively, ensuring resolution and member satisfaction.

• Team and Vendor Management: Recruit, on-board, manage, and coach the team supporting clinicians. Communicate expectations clearly, monitor job performance, motivate, and develop opportunities for career growth. Manage regional vendor issues and relationships, including communication with community stakeholders and escalation to central management for resolution.

• Operational Efficiency and Compliance: Develop, update, and audit POD operations workflows to optimize efficiency, improve quality, and ensure compliance with regulatory standards. Adhere to all quality, compliance, and regulatory standards to achieve SCAN outcomes.

• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

• Actively support the achievement of SCAN’s Vision and Goals.

• Other duties as assigned.

Your Qualifications

• Bachelor’s or Master’s degree in healthcare or business-related field preferred.

• Experience with Model of Care and Care Management requirements, including CMS audit experience required.

• Experience with mobile care delivery operations required.

• Experience with managed care preferred.

• Manager level interpersonal, management and communication skills.

• Strong diligence, data-driven decision maker.

• Demonstrated leadership and management skills.

• Strong skills in remote team management.

What’s in it for you?

• Base Salary Range: $106,200.00to$151,910.00 annually

• Work Mode: Mostly Remote (Ideal candidate located in Oregon with about 20-30% travel in local area)

• An annual employee bonus program

• Robust Wellness Program

• Generous paid-time-off (PTO)

• 11 paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday

• Excellent 401(k) Retirement Saving Plan with employer match

• Robust employee recognition program

• Tuition reimbursement

• An opportunity to become part of a team that makes a difference to our members and our community every day!

We’re always looking for talented people to join our team!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affimative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)