Director, Clinical Operations

Overview

We are hiring - Director, Clinical Operations in San Antonio!

At Carenet, every operational decision has the power to improve lives. We''re looking for a strategic and results-driven leader who is passionate about delivering exceptional healthcare experiences. In this role, you''ll lead high-performing operations, champion quality and workforce excellence, and drive continuous improvement initiatives that enhance client satisfaction, member outcomes, and Carenet''s continued growth as a trusted healthcare partner.

Responsibilities

• Lead and develop Clinical Managers, Supervisors, and clinical teams to drive high-quality, safe, and efficient clinical operations.
• Oversee operational performance, workforce planning, quality, productivity, service levels, and financial results across a 24/7 environment.
• Monitor clinical and operational metrics, identify trends, and implement continuous improvement initiatives to enhance outcomes and operational efficiency.
• Ensure clinical quality, patient safety, regulatory compliance, and adherence to organizational policies and standards.
• Partner with Operations, Workforce Management, Quality, Technology, and Client teams to implement, optimize, and scale clinical programs.
• Provide leadership for complex clinical, operational, and employee-related issues, including cross-functional problem resolution and executive escalations.
• Drive process improvements, technology adoption, and resource optimization to strengthen service delivery, scalability, and organizational performance.
• Provide clinical expertise and strategic recommendations to senior leadership, while building high-performing teams through coaching, talent development, and performance management.

Qualifications

Associate's Degree in Nursing, Diploma Nursing Program, or equivalent required; Bachelor's degree preferred. Current unrestricted RN license in Texas; additional state licensure as required by client or regulatory requirements. Minimum 10 years of progressive clinical operations, medical management, and telehealth experience. Minimum 5 years of leadership experience managing leaders and clinical teams in a healthcare contact center environment, leading teams of not less than 200

Experience leading clinical performance, workforce planning, service delivery, and operational improvement initiatives.

Strong understanding of healthcare operations, quality management, compliance requirements, and clinical governance.

Demonstrated ability to lead teams and improve performance in a high-volume, metrics-driven environment.

Strong analytical, decision-making, and problem-solving capabilities.

Excellent communication and stakeholder management skills with the ability to influence across multiple functions.

Ability to operate effectively within a fast-paced, 24/7 environment.

Experience with healthcare technology platforms, workforce management, and performance analytics.

Knowledge of health insurance, care management, and clinical service delivery models.

Willing to work onsite in our San Antonio Office