• VP Clinical Operations

    Digital Health Insurance
    Hybrid
    Hybrid : 1

    VP Clinical Operations

    $300K - 350K per year
    Salary
    job location icon
    New York, New York, United States
    Location
    job industry icon
    Digital Health Insurance
    Industry
    job work mode icon
    Hybrid
    Working model

    Storm3

    Vice President of Clinical Operations
    📍 New York City, NY (Onsite)
    📅 Full-Time | HealthTech | Series B ($50M+ Funded)

    About Us
    We’re a fast-growing healthtech company on a mission to transform care delivery through data, technology, and personalized clinical experiences. Backed by $50M+ in Series B funding, we’re building innovative solutions that improve outcomes for patients while reducing friction across the healthcare ecosystem. As we scale, we’re looking for a strategic and hands-on VP of Clinical Operations to lead the next phase of our clinical programs.

    About the Role
    As VP of Clinical Operations, you’ll be a key member of the executive team, responsible for overseeing the planning, execution, and optimization of our clinical delivery models. You’ll work cross-functionally with Product, Data, Engineering, and Commercial teams to ensure our clinical programs are scalable, compliant, patient-centric, and outcomes-driven.

    This is an onsite role based in NYC—ideal for a leader who thrives in a collaborative, fast-moving startup environment and wants to be deeply embedded with the team.

    What You’ll Do

    • Build & Scale Clinical Programs: Lead the design and execution of scalable clinical operations aligned with business goals and regulatory requirements.

    • Leadership & Team Development: Hire, mentor, and manage a multidisciplinary clinical operations team, including nurses, physicians, and support staff.

    • Cross-Functional Collaboration: Partner with product, data science, and engineering teams to integrate clinical workflows into tech-enabled platforms.

    • Compliance & Quality Oversight: Ensure all clinical activities are HIPAA-compliant and meet applicable standards (e.g., NCQA, URAC, CMS).

    • Vendor & Partner Management: Oversee relationships with third-party providers, clinical networks, and technology partners.

    • Operational Excellence: Optimize clinical workflows, implement performance KPIs, and lead continuous improvement initiatives.

    • Clinical Strategy: Contribute to company-level strategic planning, representing the voice of clinical operations at the leadership table.

    • Patient Experience: Drive exceptional member outcomes and experience through thoughtful, efficient clinical service delivery.

    What You Bring

    • 10+ years of experience in clinical operations, with at least 5 years in a leadership role within healthtech, digital health, or healthcare services.

    • Deep knowledge of clinical delivery models, especially virtual/hybrid care or tech-enabled services.

    • Proven success scaling clinical teams and operations in a high-growth environment.

    • Strong understanding of healthcare compliance, quality, and safety regulations.

    • Operational mindset with experience building SOPs, workflows, and metrics from scratch.

    • Excellent leadership, communication, and project management skills.

    • Clinical credentials (RN, NP, MD, or similar) are a strong plus but not required.

    • Passion for building in a startup environment and directly improving patient outcomes.

    Why Join Us?

    • Be part of a mission-driven team building the future of healthcare

    • Influence strategic decisions at the highest level

    • Work onsite with a tight-knit, ambitious team in the heart of NYC

    • Competitive salary, equity, and full benefits package

    Apply now

    Add your LinkedIn profile URL
    Upload your CV/resume or any other relevant file. Max. file size: 128 MB.
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    $300K - 350K per year
    New York, New York, United States
    View job

  • SVP of Claims Operations

    Family And Fertility
    Hybrid
    Hybrid : 1

    SVP of Claims Operations

    job location icon
    New York, New York, United States
    Location
    job industry icon
    Family And Fertility
    Industry
    job work mode icon
    Hybrid
    Working model

    Storm3

    SUMMARY Under the direction and in support of operational leadership, this role will be responsible for several key components of WIN’s claims and health plan coordination functions. Involves “hands-on” daily interaction with all levels of staff and other relevant departments, particularly IT and the PMO. Recommends and implements initiatives to improve department efficiency, productivity, workflows, and costs. Responsible for delivery of quality claim process management to members, providers and pharmacies that exceeds customer expectations, company standards and contract obligations. ESSENTIAL FUNCTIONS Critical features of this position are listed below and may be revised, updated or reassigned at management’s discretion in accordance with business needs or other factors. • Plans, organizes and manages key claim functions. • Works “on the floor” and coaches team members in the supervision of all tactical and strategic activities. • Drives performance by ensuring all employees are trained, and work is completed in accurate timely manner and meets company and contractual standards. • Monitors and tracks staff and department performance against established productivity and quality metrics, including regular audits assessing department performance. Identifies and acts on both positive and negative performance trends to ensure attainment of goals. • Monitors work queues, prioritizes incoming authorizations and effectively delegates tasks to team staff to ensure company standards and contract obligations are met. • Handles complex customer issues escalated by team members. Assists staff in troubleshooting techniques as well as difficult customer issues. • Participates in daily, weekly and ad hoc cross-functional meetings to discuss and resolve operational and technical issues. • Oversees day-to-day claims operations, including claims evaluation, adjudication and customer service in accordance with contract and Company quality and production standards. • Reviews claim audits for completeness, accuracy of information and compliance with WIN’s policies, standards and procedures. Resolves any issues or directs claim to team lead/area manager for resolution prior to payment. • Conducts regular customer service audits to ensure accuracy and timeliness consistent with company and or client standards. • Recommends changes to workflow, procedures or policies and ensures that all Customer Service and Claims employees are fully informed, understand and implement changes. • Identifies, leads, develops and organizes training, re-training and cross-training of team members and new employees as appropriate and in coordination with Human Resources. • Prepares and presents a variety of management reports, including explanation of variances, significant trends, and recommendations for change or resolution. Keeps department management adequately informed of issues, trends, challenges, and problem identification/resolution. • Ensures service compliance with client performance guarantees, and regulatory or accreditation standards. • Participates in sales presentations, demonstrations, and new client implementations as needed, to ensure smooth and timely transition of new business. Page 2 • Follows and ensures team follows HIPAA and URAC protocols when discussing or accessing protected health information. SUPERVISORY RESPONSIBILITIES Responsible for direct supervision of various levels of staff within the operations area. Carries out supervisory responsibilities in accordance with Company policies and applicable laws. Responsibilities including interviewing, participating in hiring decisions, and training employees; planning, assigning, and directing work; appraising performance; addressing and resolving problems. MINIMUM QUALIFICATIONS • Bachelor’s degree in a business-related subject or equivalent experience. • At least seven years operational supervisory experience managing and training a claims service unit with a healthcare payer, delegated vendor, or TPA, supervising a team of agents. • Expertise in claims adjudication, including interface with payers with or without delegation, eligibility and benefit determination, and member copay/coinsurance allowances. • Working knowledge of electronic commerce, including EDI submission and payment of provider claims, EDI submission to payers, EFT, transmission of forms, and web portal interface for providers and members. • Working knowledge of current commercial health insurance product options, including HMO, PPO, EPO, high deductible plans, copay/coinsurance variations, and HRA’s/HSA’s. • Strong performance management and productivity optimization skills, including reporting, analysis and recommendations. • Strong technology background interfacing with IT personnel. • Strong working knowledge of MS Office products, primarily Excel. • Knowledge of ICD-10, NDC/GPI, and CPT/HCPCS coding. • Thorough HIPAA knowledge. KNOWLEDGE, SKILLS AND ABILITIES • Claims management experienced within healthcare payer environment. • Microsoft Office fluency

    Apply now

    Add your LinkedIn profile URL
    Upload your CV/resume or any other relevant file. Max. file size: 128 MB.
    By ticking this box, you consent to receive emails and marketing communications from Levin (PP Recruitment Holdings Ltd), you can unsubscribe at any time (see Privacy Policy). By providing your mobile number, you agree to receive SMS messages from Levin. Reply STOP to opt out. Msg & Data rates may apply; message frequency varies. You acknowledge that Levin will handle your data per its Privacy Policy.

    New York, New York, United States
    View job
Hybrid : 1

VP Clinical Operations

$300K - 350K per year
Salary
job location icon
New York, New York, United States
Location
job industry icon
Digital Health Insurance
Industry
job work mode icon
Hybrid
Working model

Storm3

Vice President of Clinical Operations
📍 New York City, NY (Onsite)
📅 Full-Time | HealthTech | Series B ($50M+ Funded)

About Us
We’re a fast-growing healthtech company on a mission to transform care delivery through data, technology, and personalized clinical experiences. Backed by $50M+ in Series B funding, we’re building innovative solutions that improve outcomes for patients while reducing friction across the healthcare ecosystem. As we scale, we’re looking for a strategic and hands-on VP of Clinical Operations to lead the next phase of our clinical programs.

About the Role
As VP of Clinical Operations, you’ll be a key member of the executive team, responsible for overseeing the planning, execution, and optimization of our clinical delivery models. You’ll work cross-functionally with Product, Data, Engineering, and Commercial teams to ensure our clinical programs are scalable, compliant, patient-centric, and outcomes-driven.

This is an onsite role based in NYC—ideal for a leader who thrives in a collaborative, fast-moving startup environment and wants to be deeply embedded with the team.

What You’ll Do

  • Build & Scale Clinical Programs: Lead the design and execution of scalable clinical operations aligned with business goals and regulatory requirements.

  • Leadership & Team Development: Hire, mentor, and manage a multidisciplinary clinical operations team, including nurses, physicians, and support staff.

  • Cross-Functional Collaboration: Partner with product, data science, and engineering teams to integrate clinical workflows into tech-enabled platforms.

  • Compliance & Quality Oversight: Ensure all clinical activities are HIPAA-compliant and meet applicable standards (e.g., NCQA, URAC, CMS).

  • Vendor & Partner Management: Oversee relationships with third-party providers, clinical networks, and technology partners.

  • Operational Excellence: Optimize clinical workflows, implement performance KPIs, and lead continuous improvement initiatives.

  • Clinical Strategy: Contribute to company-level strategic planning, representing the voice of clinical operations at the leadership table.

  • Patient Experience: Drive exceptional member outcomes and experience through thoughtful, efficient clinical service delivery.

What You Bring

  • 10+ years of experience in clinical operations, with at least 5 years in a leadership role within healthtech, digital health, or healthcare services.

  • Deep knowledge of clinical delivery models, especially virtual/hybrid care or tech-enabled services.

  • Proven success scaling clinical teams and operations in a high-growth environment.

  • Strong understanding of healthcare compliance, quality, and safety regulations.

  • Operational mindset with experience building SOPs, workflows, and metrics from scratch.

  • Excellent leadership, communication, and project management skills.

  • Clinical credentials (RN, NP, MD, or similar) are a strong plus but not required.

  • Passion for building in a startup environment and directly improving patient outcomes.

Why Join Us?

  • Be part of a mission-driven team building the future of healthcare

  • Influence strategic decisions at the highest level

  • Work onsite with a tight-knit, ambitious team in the heart of NYC

  • Competitive salary, equity, and full benefits package

Apply now

Add your LinkedIn profile URL
Upload your CV/resume or any other relevant file. Max. file size: 128 MB.
By ticking this box, you consent to receive emails and marketing communications from Levin (PP Recruitment Holdings Ltd), you can unsubscribe at any time (see Privacy Policy). By providing your mobile number, you agree to receive SMS messages from Levin. Reply STOP to opt out. Msg & Data rates may apply; message frequency varies. You acknowledge that Levin will handle your data per its Privacy Policy.