Head of Clinical Transformation & Operations

About IntusCare

IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. We empower teams to take control of their operations and improve outcomes for dual-eligible seniors- some of the most socially vulnerable and clinically complex individuals in the US healthcare system.

Overview

The Head of Clinical Transformation & Operations is responsible for operational leadership and strategic execution across IntusCare’s clinical service lines including population health, utilization management, and corporate compliance. Reporting to the Chief Population Health Officer (CPHO), this person will drive scalable service delivery operations, oversee day-to-day operational performance and team execution, and serve as a key cross-functional partner to Product and Engineering to translate service line needs into clear technical requirements.

This is a highly collaborative role for a strong operator who thrives in fast-paced environments, builds systems that scale, and can represent population health leadership in internal and external settings. The ideal candidate brings deep population health / value-based care experience and strong operational rigor, but is not necessarily a licensed clinician.

In This Role You Will...

1) Operational Leadership & Execution

• Own operational oversight of IntusCare’s population health, utilization management, and compliance clinical service delivery workflows, ensuring consistent, high-quality execution across customers.

• Develop and continuously improve scalable processes, playbooks and performance expectations for service delivery

• Monitor team productivity, workload allocation and operational effectiveness, identifying bottlenecks and driving improvements

• Partner closely with the CPHO to ensure day-to-day execution aligns with strategic priorities

2) Team Leadership

• Set clear goals and operational KPIs for individual and team performance

• Create operating cadence (weekly/monthly) to keep execution on-track and visible

3) Cross-Functional Partnership

• Act as a key liaison between Population Health / Clinical Operations and Product + Engineering

• Translate operational utilization management, compliance and population health needs into clear requirements (workflows, user stories, specs, business rules)

• Support requirements gathering, prioritization discussions, and functional review sessions

• Ensure clinical workflows and operational needs are understood and reflected in product roadmap execution

4) External Representation

• Represent the CPHO and service functions in internal meetings and select external stakeholder conversations as needed

• Communicate clearly and credibly with clinical and operational stakeholders at customer organizations (especially PACE leaders)

• Support relationship-building and ongoing partnership across customers and industry stakeholders

5) Continuous Improvement & Transformation

• Translate strategic initiatives into a practical transformation roadmap (people, process, and tools)

• Drive operational change management: testing, implementation, adoption, and reinforcement

• Bring a systems mindset to scaling: identifying what must be standardized vs. tailored by customer

What Success Looks Like (6-12 months)

• Clinical service delivery is more scalable, repeatable, and measurable, with stronger consistency across customers

• The CPHO is freed up from day-to-day operational management and can focus more on strategy and growth

• Product and Engineering have clearer requirements and faster alignment from the clinical services team

• Team workflows, ownership, and performance expectations are well-defined and operating smoothly

Qualifications

Required

• 5+ years of experience in population health, value-based care, managed care, or care delivery operations, ideally supporting complex and frail populations

• Proven track record as a strong operator: building workflows, improving systems, and driving execution across teams

• Abilit