Director of Care Operations

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.

• Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
• TechCrunch: Building for Medicaid’s regulatory moment with Neil Batlivala from Pair Team
• Axios: Pair Team collects $9M for Medicaid-based care

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