TailorCare

Manager

• Lead and develop a team of Clinical Navigators, including senior and lead navigators, to ensure excellence in patient engagement and outcomes.
• Foster a culture of collaboration, compassion, and accountability that aligns with TailorCare’s mission and values.
• Provide mentorship and feedback through regular coaching sessions, performance reviews, and career development plans.
• Promote shared learning, best-practice dissemination, and continuous improvement across teams.
• Oversee the daily operations of the clinical navigation program, ensuring consistent execution of TailorCare’s care model.
• Ensure compliance with clinical and operational policies, maintaining the highest standards of quality, safety, and regulatory adherence.
• Conduct clinical case reviews and support escalation pathways to ensure sound clinical decision-making and timely care coordination.
• Partner with cross-functional leaders (Training, Quality, Data, Technology, etc.) to refine workflows and elevate program efficiency.
• Use clinical and operational data to monitor individual and team performance against defined KPIs (engagement, adherence, outcomes, efficiency).
• Translate insights from data into actionable strategies that improve patient outcomes and team productivity.
• Collaborate with the Data, Analytics, and Clinical Strategy teams to identify trends, gaps, and opportunities for improvement in care delivery and engagement.
• Support development and reporting of performance dashboards, ensuring visibility of metrics at both team and leadership levels.
• Ensure that every interaction between navigators and patients is empathetic, evidence-informed, and outcomes-oriented.
• Drive initiatives to enhance engagement, retention, and patient satisfaction throughout their care journey.
• Collaborate with product and care teams to improve communication channels, digital engagement tools, and personalization of patient support.
• Advocate for the patient voice across operational and strategic discussions to continuously evolve the TailorCare experience.
• Partner with Clinical Operations leadership to align team goals with organizational strategy and growth initiatives.
• Support new market launches, scaling processes, and ensuring operational readiness of the navigation program.
• Represent the navigation team in cross-functional meetings with Product, Strategy, and Operations to influence roadmap priorities and clinical innovation.

Manager, Clinical Navigation

Clinical Operations

• Lead the Clinical Operations Platform product and define product vision and strategy
• Partner closely with Care Team to create and improve tools that deliver exceptional care to TailorCare patients
• Incorporate AI-enabled workflows to drive efficiency and optimize care delivery processes
• Work with clinicians, engineers, designers, and stakeholders to ship products that scale with business
• Set product strategy aligned with business opportunities and growth
• Ideate and own product roadmap creation, refinement, and prioritization
• Identify customer problems, ideate solutions, and collaborate with design and engineering for delivery
• Build nimble prototypes alongside stakeholders
• Be the glue across departments by earning stakeholder trust and delivering on commitments
• Accountable for product portfolio success; define and track key results and communicate progress
• Help the team think big and make good decisions quickly

Senior Product Manager, Clinical Operations

Actuary

• Serve as a senior actuarial expert, providing advanced analyses and recommendations that guide strategic decision-making across value-based care arrangements.
• Interpret and analyze data from multiple sources, including claims, provider, member, and encounters data, to identify and assess the business impact of trends.
• Anticipate and analyze industry trends, regulatory developments, and emerging methodologies, ensuring TailorCare remains competitive and prepared for market shifts.
• Lead the development and refinement of sophisticated forecasting, reserving, and pricing models, ensuring accuracy, scalability, and compliance with best practices.
• Create, enhance, and maintain advanced actuarial models that project MSK utilization, establish cost benchmarks, and quantify TailorCare’s cost savings.
• Integrate predictive analytics and, where appropriate, machine learning into model design to improve forecasting precision and risk assessment.
• Continuously monitor model performance, identifying and implementing enhancements to meet evolving client, regulatory, and internal requirements.
• Evaluate and provide actuarial recommendations on new and existing risk-based contracts, focusing on financial sustainability and performance optimization.
• Design and maintain risk mitigation strategies, including reserving, stop-loss, reinsurance, and contract-based mechanisms.
• Analyze contract performance and utilization trends, delivering actionable insights to improve outcomes and cost efficiency.
• Partner closely with finance, analytics, and operational teams to ensure alignment between actuarial insights and enterprise objectives.
• Mentor and provide technical review for actuarial associates and analysts, enhancing team capability and accuracy.
• Present complex analyses and recommendations to senior leadership with clarity and strategic relevance via monthly MLR reviews, quarterly financial reviews, etc.
• Develop and maintain rigorous standards for actuarial analysis, ensuring consistency, reliability, and transparency across all deliverables.
• Champion data integrity, collaborating with analytics teams to ensure accuracy and completeness of all actuarial data sources.
• Report on national, market, and deal-specific trends, translating findings into actionable recommendations.

Senior Managing Actuary

Project Manager

• TailorCare is transforming the experience of specialty care, improving outcomes for joint, back, and muscle conditions through evidence-based, personalized care.
• Lead and manage end-to-end project lifecycles, ensuring alignment with organizational strategy and enterprise goals
• Support the successful implementation of new partnerships by managing timelines, deliverables, and cross-functional coordination
• Partner closely with internal stakeholders and external partners to ensure clear communication, expectations management, and timely issue resolution
• Collaborate with internal stakeholders to define project scope, goals, timelines, and deliverables
• Track and manage project milestones, scope, performance metrics, and budgets across enterprise-level initiatives
• Identify and mitigate risks and roadblocks to ensure timely execution
• Contribute to the continuous improvement of project planning tools, templates, dashboards, and reporting mechanisms
• Collaborate with senior leadership to align project execution with strategic business objectives
• Facilitate project planning sessions, retrospectives, and status meetings with internal and external stakeholders
• Support change management initiatives and process improvement efforts by identifying inefficiencies and implementing data-driven, scalable solutions

Project Manager, Performance Excellence

• TailorCare is transforming the experience of specialty care by improving patient outcomes for joint, back, and muscle conditions.
• Lead and grow product organization, hiring, guiding, coaching, and developing product talent.
• Establish and amplify product culture focused on customer problems, incremental delivery, and continuous iteration.
• Define product lines and areas of ownership for product managers and empower strategic vision.
• Communicate progress, resolve dependencies, celebrate wins, and collaborate closely with engineering.
• Guide product and technical teams to move quickly and deliver high quality solutions including patient data management, patient engagement channels, and ML-aided clinical decision support.
• Serve as thought partner with VP of Product to set product vision and make long-term bets.
• High growth potential for personal development and building a strong organization from the ground up.

Manager, Clinical Navigation

Senior Product Manager, Clinical Operations

Senior Managing Actuary

Project Manager, Performance Excellence

Director of Product, Clinical Operations Platform