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Director of Telehealth Clinical Operations

Added
2 days ago
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Full time
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Related skills

telehealth compliance artificial intelligence scheduling network optimization

Everlywell is a digital health company pioneering the next generation of biomarker intelligence—combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into life-changing insights—seamlessly integrating advanced diagnostics, virtual care, and patient engagement to reshape how and where health happens.

Over the past decade, Everlywell has delivered close to 1 billion personalized health insights, transforming care for 60 million people and powering hundreds of enterprise partners. In 2024 alone, an estimated 1 in 86 U.S. households received an Everlywell test, solidifying our spot as the #1 at-home testing brand in the country. And we’re just getting started. Fueled by AI and built for scale, we’re breaking down barriers, closing care gaps, and unlocking a more connected healthcare experience that is smarter, faster, and more personalized.

We are seeking an experienced, hands-on Director of Telehealth Clinical Operations to lead and scale the clinical operational infrastructure that powers Everlywell. This leader will serve as the operational backbone for our growing telehealth business, partnering closely with Clinical, Product, Engineering, and Commercial teams to build a cohesive, high-performing telehealth enterprise capable of supporting business in 2026 and beyond.

This role will focus on integrating and optimizing our clinical workflows across platforms, building dynamic scheduling and network optimization capabilities, and driving operational excellence across our multi-disciplinary provider network and support teams. The ideal candidate has deep experience building telehealth or virtual care operations at scale - with meaningful exposure to regulatory standards and high-volume care delivery models.

Telehealth Platform Strategy & Operations Responsibilities:

  • Build a scalable operational model capable of supporting rapid volume growth and new care modalities.
  • Lead the operational design, implementation, and optimization of Everly’s telehealth platform.
  • Own platform and vendor management and consolidation.
  • Build and refine dynamic scheduling, provider capacity modeling, and network optimization processes.
  • Partner with Product and Engineering on roadmap planning and execution, representing clinical operations needs and ensuring scalable workflows.
  • Cross-Functional Leadership Responsibilities:

  • Work closely with Product, Engineering, Data, and AI teams to drive seamless end-to-end telehealth workflows and system integrations.
  • Operationalize AI solutions with guardrails and auditability.
  • Collaborate with commercial and business leadership to ensure telehealth infrastructure aligns with growth forecasts and partner commitments.
  • Clinical Quality & Compliance Responsibilities:

  • Develop and maintain operational processes that support high-quality clinical documentation, regulatory compliance, and risk adjustment accuracy.
  • Enhance clinician training, and build quality oversight baked into workflows.
  • Partner with clinical leadership to ensure alignment across care delivery, documentation standards, and performance expectations.
  • Maintain accreditations where applicable.
  • Practice Management Responsibilies:

  • Operate within a multi-entity PC structure across all states; ensure licensure, credentialing/enrollment, CPOM compliance, and practice policies are embedded in system setup and workflows.
  • Stand up provider performance scorecards, NPS/QA reviews, and license-expiration monitoring; integrate with scheduling/service enablement to avoid service gaps.
  • Roll up sleeves to establish processes, documentation, and systems where none exist; this is a builder role.
  • Identify operational gaps and lead cross-functional initiatives to address them.
  • Drive continuous improvement across scheduling, provider management, consult flow, and care delivery quality.
  • Qualifications:

  • 10+ years experience in telehealth, virtual care operations, care delivery operations, or related healthcare leadership roles.
  • Experience building or scaling telehealth workflows, scheduling systems, or care delivery infrastructure.
  • Strong understanding of telehealth regulations, accreditation (e.g., NCQA), clinician management, and payer and coding landscape.
  • Proven success operating cross-functionally with Product, Engineering, and Data teams.
  • Ability to operate strategically while also executing tactically.
  • Excellent communication, problem-solving, and stakeholder management skills.
  • Passion for transforming care delivery through technology, automation, and clinical excellence.
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