We’re unique. You should be, too.
We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.
The Associate Director, Central Specialty Operations owns the operations of ChenMed’s centrally and virtually delivered specialty services, including clinical appropriateness reviews, physician-to-physician curbside consultations, telehealth programs, clinical pathways, and other related opportunities that arise over time. Reporting to the VP, Specialty Strategy & Operations, this position builds and runs the operating model for these services and works as a collaborative peer with physicians and clinical leaders to make sure patients receive the right specialty care, at the right time, within our Medicare Advantage capitated model. Additionally, this role is expected to bring advanced systems thinking and AI-native workflow design, and will be expected to drive adoption and innovation using technology. The role starts as a hands-on leader and is expected to grow in team and scope as the central services mature. ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
Clinical appropriateness reviews: Owns end-to-end operations of the central review process in which specialists review PCP referral requests for appropriateness and advise on whether a referral is necessary
Manages intake, reviewer capacity and scheduling, turnaround times, and decision documentation
Partners with specialist reviewers and PCPs to establish and calibrate review criteria and share feedback in a collaborative, supportive manner
Monitors review quality, consistency, outcomes, and labor cost, and directs review effort to where it adds the most value
Curbside consultations: Operates curbside consultation programs that give PCPs fast, informal access to specialist guidance
Sets specialist participation expectations, response-time standards, and escalation paths
Tracks utilization, responsiveness, and the downstream care avoided or redirected
Telehealth and virtual care: Designs, pilots, and scales telehealth projects that extend specialist access to patients and care teams
Defines pilot scope, workflows, and success measures, then evaluates early results
Recommends whether and how to scale, and leads the operational rollout
Clinical pathways: Operationalizes clinical pathways in partnership with medical leadership and specialists
Translates clinical guidance into practical workflows, tools, and training for the field
Tracks adoption and impact and drives continuous improvement
Technology & Innovation: Build new, and transform existing, workflows using AI
Operating model and performance: Defines the operating model, key metrics, and reporting for all central specialty services
Works with the performance and analytics team to build dashboards and use them in regular operating reviews
Diagnoses root causes, prioritizes improvements, and drives results across cost, quality, speed, and experience
Cross-functional partnership: Partners with National Specialty Operations, Network, medical leadership, and Performance & Automation so central services reinforce field operations
Engages physicians and clinical leaders as a peer to align on protocols, resolve friction, and drive adoption
Team building: Builds and develops the team over time, beginning as a hands-on leader and adding leaders and specialists as volume and scope grow
Performs other duties as assigned or modified at manager’s discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
Strong analytical and problem-solving skills, with a systems-thinking mindset and the ability to map workflows and find root causes
Working knowledge of value-based care and Medicare Advantage capitated models
Ability to build credibility and collaborate as a peer with physicians,…