Director of Care Operations

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About Pair Team

At Pair Team, we’re an innovative, mission‑driven company reimagining how Medicaid serves the most underserved populations. As a tech‑enabled medical group, we deliver whole‑person care—clinical, behavioral, and social—by partnering with organizations deeply connected to the communities we serve. We’re building a powerful care management platform that leverages AI and automation to scale meaningful, human‑centered care. Our work is driven by top talent across clinical care, technology, product, and operations—working together to improve access and outcomes for all our patients. We’re one of the largest Enhanced Care Management providers in California and are on track to build the nation’s largest clinically integrated network supporting high‑need Medicaid members. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions. At Pair Team, we’re not just delivering care—we’re building the future of a more equitable, community‑rooted Medicaid system.

About the Opportunity

As the Director of Care Operations at Pair Team, you will play a critical role in leading daily management of Pair Team’s most prominent program. You’ll ensure operational excellence, payer alignment, and scalable care delivery while working on mission‑critical programs that help fuel the future direction of the company. This high‑impact leadership role is at the center of our mission to transform care for underserved communities. This is a fully remote position reporting up to the SVP of Field Operations.

What You’ll Do

Oversee the day‑to‑day operations of our Enhanced Care Management (ECM) program to ensure delivery targets are consistently achieved

Grow and manage a large, multi‑disciplinary care operations team, which includes case managers, nurses and behavioral health providers

Manage the P&L, including unit economics, for your service line

Design and optimize workflows, processes, and staffing models to balance scalability, growth, and patient experience

Collaborate with thought partners in product, clinical, finance and growth to ensure operational readiness for new initiatives

Introduce and operationalize performance metrics to drive accountability in alignment with organizational priorities

Lead change management efforts as they arise; which include but aren’t limited to : reorganizations, KPI rollouts, growth initiatives, etc.

What You’ll Need

8+ years of experience in operations with at least 5+ years of experience leading large‑scale, clinical / clinical adjacent teams

Experience with managing a P&L, including unit economics

Well versed in driving key performance metrics, building a high‑performing team, and change management

A track record of success in healthcare and a strong understanding of its regulatory requirements

Ownership mindset – own driving results for the mission, business, and customer experience

Strong collaboration skills with thought partners from product, clinical and finance teams

Strong desire to work in an early stage startup environment that is fast paced, complex, and has minimal barriers to make decisions (no “red tape”)

Passion for helping individuals experiencing complex chronic needs such as homelessness, severe mental illness, and substance use disorder

Bonus points for additional experience in ECM, Medicaid, or value‑based care settings; scaling field‑based care delivery models, introducing new performance frameworks, and / or coaching managers through transitions

Able to flex to a PST‑based schedule to support your California‑based care team

Our Values

Lead with integrity : We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.

Embrace challenges : We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.

Break through walls : We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.

Act beyond yourself : We build each other up and respect boundaries. We seek first to understand and assume positive intent.

Care comes first : We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

Because We Value You

Competitive salary : $175,000 - $200,000

Equity compensation package

Flexible vacation policy – take the time you need to recharge

Comprehensive medical, dental, and vision coverage

401(k) through Guideline

100% company‑sponsored short and long‑term disability and life insurance

Subsidized backup childcare and caregiver supports through Wellthy

Work entirely from the comfort of your own home

Monthly $100 work from home expense stipend

We provide the equipment needed for the role

Opportunity for rapid career progression with plenty of room for personal growth!

Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law. Pair Team participates in E‑Verify to verify employment eligibility for new hires. Any offer of employment at Pair Team is conditioned upon passing a pre‑employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including criminal history, reference checks, and driving records if a role requires vehicle use.

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