Senior Director, Clincal Operations

Who is Nest Health?

As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America’s highest risk families. Founded in 2022 by Former Secretary of Health of Louisiana and practicing OB-GYN, Dr. Rebekah Gee, and Rebecca Kavoussi, Nest is the first-of-its-kind family-based, in-home, and virtual care model; this includes primary adult and pediatric care, mental health and nutrition support, vaccinations and labs, same-and-next-day acute visits, chronic condition and transitions of care management, social services and navigation, and more. Nest’s innovative model has resulted in partnerships, unlocking care for thousands of families across our markets. Nest’s early success has led to national traction across states and payers, laying the groundwork for future expansion to families across the United States.

What does it mean to be a part of a startup?

Working at a healthcare startup can be a unique experience with a fast-paced, ever-changing environment that can involve varied workloads, quick changes, and high expectations. Taking a position at a Healthcare startup allows for the opportunity to be high impact in disrupting the US healthcare system. You will have the chance to be creative, solution oriented, and have your voice heard! You will need to be flexible, accountable, and self-sufficient, and you might take on multiple roles. Here are some things you can expect:

• Role Breadth- Your role may be less defined than in other settings, with the need to wear multiple hats & juggle various responsibilities

• Learning opportunities- you will have the opportunity, at times, to function outside of your standard position and learn about new roles & areas

• Fast Paced- Startups often must move faster than traditional large companies. This means you may be asked to cope with or advise on quick changes regarding systems or processes

• Autonomy- You will need to be highly autonomous, as there is less structure and learning and development than at large orgs. This requires you to be able to learn asynchronously, as well as raise your hand when help is needed, or gaps are identified

• Collaboration- With so many opportunities to build processes and improve how we deliver care to our patients, we rely heavily on one-another to communicate changes effectively to ensure seamless support across functions. This often requires this individual to give and receive feedback frequently and communicate challenges or opportunities effectively.

What is the purpose of this role?

This is a rare opportunity to step into a mission-critical, scale-defining role at one of the most innovative home- and value-based care organizations in the country. As our business expands across multiple markets, this role becomes the central operator and architect of the systems, workflows, and infrastructure that enable us to deliver high-quality, reliable, repeatable clinical care to families at scale.

The Sr Director, Care Operations, is the bridge between clinical leadership and operational execution—the connective tissue that ensures clinical and corporate goals become operational reality across all markets. You will drive the implementation and continuous improvement of our care model; design and refine operational workflows and measurement systems; and collaborate to ensure processes are operationally feasible, grounded in frontline realities, and aligned with our care model’s efficiency and outcome targets.

You will work hand-in-hand with Clinical Quality & Innovation, Product and Technology, and Nest Markets to identify operational pain points, co-design requirements, test and launch new workflows and tooling, and ensure adoption through training and change management. You will also build and mature centralized clinical operations functions that support our multi-market footprint.

This role is ideal for a strategic operator and builder who thrives at the intersection of clinical, operational, and product strategy—someone who translates vision into execution that is durable, scalable, measurable, and trusted by clinicians and operators alike.

What will you do?

Operational Architecture

• Serve as an organizational expert on care model and operational workflows, understanding how clinical and operational teams work, measure, and succeed

• Refine and architect national workflows, protocols, SOPs, and playbooks that drive standardization and efficient, high-quality care, in collaboration with Clinical Quality & Innovation

• Build systems and reporting that enable repeatable, scalable, high-reliability operations across markets

• Provide close support to market team members including to guide clinical operations and drive efficiency and standardization across markets

Care Delivery & Quality Partnership

• Operationalize clinical pathways, care protocols, and market-specific models under direction of medical leadership

• Collaborate with clinical leadership to implement care model enhancements, quality initiatives, and documentation standards

• Partner with Medical Directors, Health Services Directors, and market leadership to ensure operational success and alignment on performance goals

Strategy → Execution Leadership

• Translate strategic goals and performance objectives into concrete operational plans, implementation roadmaps, and measurable KPIs

• Own the execution of key cross-functional strategic initiatives including new markets, care model enhancements, staffing model evolution, and operational redesign

• Anticipate bottlenecks and proactively propose solutions—ahead of market and clinical pain points

• Use data and time with market teams to identify and understand inefficiency, variation, and outcome shortfalls and design and implement solutions

Centralized Operations Oversight

• Lead and mature national operations functions that support markets, including:

• New Market Implementation

• Market team training and onboarding

• Patient Services & Eligibility

• Build and coach a high-performing team that collaborates effectively across the organization and takes accountability for building critical functions

Product & Technology Partnership

• Act as the voice of market operations in product development

• Build product requirements grounded in workflow realities and data

• Partner closely with Product, Tech, and Data teams to test and implement tools that drive efficiency, care quality, and scalability

• Lead demos, UAT, rollout planning, and training for operational tools and products

• Monitor, measure and troubleshoot implementations until stable

Cross-Functional Leadership, Communication & Influence

• Provide clear, compelling communication to internal audiences including the Executive Leadership Team, market leadership and other departments

• Drive strategy communication, ensuring teams understand the “why,” the priorities, and the progress

• Effectively communicate organizational goals and progress towards them in a way which is motivating and encourages accountability

What do you bring to the Nest Health?

Experience

• 7+ years of progressive leadership in healthcare operations, preferably in home-based care, value-based care, population health, or clinical operations

• Experience in a startup, high-growth, or transformation environment; adept at both building from scratch and maturing systems

• Demonstrated success leading cross-functional initiatives at the intersection of clinical operations, provider workflow, and product/technology

• Experience with frontline clinical workflow implementation strongly preferred

Capabilities

• Systems thinker who can design for today while building toward a multi-market, multi-state future

• Strong analytic, strategic, and problem-solving skills

• Clear, confident communicator with the ability to tell compelling operational narratives

• Proven ability to build, lead, and motivate teams—especially in ambiguous or rapidly changing environments

• High integrity, operational rigor, and a commitment to outcomes

• Advanced project management, Excel and analytic skills

Mindset

• Builder energy: thrives in ambiguity, loves solving puzzles, creates structure where none exists

• Mission-driven: passionate about serving underserved populations and improving the healthcare system

• High ownership with low ego; collaborative, curious, and accountable

Nest understands that job requirements sometimes exclude people who identify with historically marginalized groups from applying to jobs for which they are qualified. Even if you don’t meet 100% of the requirements listed, or if you achieved these requirements through unconventional channels, we encourage you to apply.

What is required (travel & physical requirements)?

• This is a remote role which will require travel as needed for leadership onsite meetings, conferences, and other events as needed

• Prolonged periods sitting at a desk and working on a computer.

What does Nest Health bring to the table?

We are reimagining what a supportive workplace looks like, from the inside out. To ensure every team member feels valued, we provide competitive compensation packages that reflect your skills and contributions, along with equity opportunities that allow you to share in the Nest’s success. On top of this, we offer a comprehensive suite of benefits such as employer-sponsored health, dental, and life options, and generous PTO, we offer an all-of-you, inclusive approach to benefits:

• Family- centric health support with access to Lyric’s comprehensive services for urgent care, behavioral health, psychology, and psychiatry for you and your entire family, including virtual veterinary care for your pets

• Company-supported Parental Leave for both primary/non-primary care givers with options for a tiered return to work, and eligibility to receive additional hours PTO for Prenatal Care and Backup Childcare

• Receive reimbursement for work- related vehicle expenses, including commuting and travel costs, for staff who drive as part of their job responsibilities

• Opportunity to receive up to $3,000/year Tuition Reimbursement to support your educational and professional development by covering a portion of costs relating to fees, course materials, or other related expenses.

• Receive employer sponsored short-term and long-term disability benefits to provide financial support in the event of illness or injury that prevents you from working

• Enrollment in 401 (k) Retirement Plan through Human Interest to help save for your future with flexible contribution options

Why choose Nest Health?

Nest and its leaders have won multiple awards including Rock Health's Next-Gen Pediatric innovations, New York Times Top Five Who Spread Hope, New Orleans City Business Power 50, and CB Insights Digital 150. Additionally, Nest has become a prominent thought and brand leader garnering national attention from outlets such as 60 Minutes, Business Insider, NYTimes, Fierce Healthcare, Axios , and others. More recently, they were recognized on Inc.'s Female Founder 500 List for 2025.

Learn more about us at https://www.nesthealth.com/. 

To learn more about the Nest care model, watch this video, by the award- winning HBO Katrina Babies filmmaker Edward Buckles, JR.

Nest Health celebrates the diversity of our patient population and seeks diversity on our team. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristics.