firsthand Health Inc

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Executive Director (ED) is a high-impact, mission-driven General Manager responsible for driving the P&L, operational, and clinical performance of the firsthand model across their state. The ED fosters a culture of firsthand Values-driven innovation, collaboration, and deep community engagement to achieve the firsthand mission of delivering life-changing outcomes to individuals with serious mental and physical illness. The ED is tasked with the management and strategic execution of the entire business unit, overseeing the integration and success of our care team and clinical practice. This includes both community outreach and clinical care delivery teams – ensuring a consistent, scalable, individual-centered approach to care is embraced by all. The ED will ensure firsthand’s teams are effective in their outreach, trust-building, engagement, benefits navigation, and activation of the entire fH care model, as well as its clinical and financial outcomes long term. Furthermore, the ED will lead the expansion of care model operations across the state and in doing so ensure best practices are adopted and implemented across all teams. Job Specifics As ED, you will: - Serve as the General Manager and own the complete Profit and Loss (P&L) for the entire state. This includes full accountability for medical cost management, revenue optimization, opex management – and broadly driving profitability. - Report directly to the COO and partner meaningfully with the VP Care Model Performance, Senior Director of Central Clinical Programs, and other EDs to lead, motivate, and inspire community and care model teams deeply dedicated to firsthand’s mission. - Consistently exceed a rigorous set of high-value care model process (i.e. fidelity to core model activities)and value outcomes (e.g: utilization, HEDIS metrics), individual engagement and activation goals, and financial targets (e.g: medical cost, revenue, membership growth). - Provide decisive leadership and supervision across all integrated state-level functions, overseeing both Clinical Managers (CMs) and Managers of Community Operations (MCOs). - Lead, mentor, and actively develop all market leadership and care team members, fostering a culture of continuous improvement, high accountability, and mission-driven work to ensure long-term team engagement and operational excellence. - Galvanize and foster a high-performing, inclusive, and supportive employee culture, driven by and visibly embodying the firsthand values - Manage, analyze, and optimize the state key performance indicators (KPIs), effectively coaching market leadership and care teams to exceed financial, clinical, and operational targets. - Ensure the seamless execution of firsthand’s operational and strategic plans, including adapting practices as the business evolves. - Build key state-level relationships with local healthcare providers, community partners, and health plan clients to drive engagement and improve outcomes. - Lead the successful execution and launch of new firsthand clinic locations within the state, including the recruitment of community-based and care model staff in collaboration with the People team. The experience you bring to this role includes: - Significant experience (7-10+ years) in healthcare leadership roles, preferably in a high-growth, high-complexity operational environment leading integrated community-based and clinical teams. - Experience leading in a clinical-operational dyad model - Proven track record of owning and successfully managing a large P&L and delivering results in a value-based care or capitated environment. - Deep understanding of the healthcare landscape, particularly value-based care, Medicaid, and the behavioral health ecosystem (SMI/SUD). - Exceptional leadership presence, executive communication skills, and the ability to inspire and manage large, cross-functional teams including market leaders and clinicians. - Ability to travel regularly across the state to visit communities and meet with partners; proficiency in communicating a “win-win” value proposition to external partners. - A passion for serving and direct community and care team experience working with individuals living with SMI. - Preferred experience in an early-stage or growth company with the ability to be flexible and adaptable to changing strategies. Base salary range: $170,000—$170,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Executive Director (ED) is a high-impact, mission-driven General Manager responsible for driving the P&L, operational, and clinical performance of the firsthand model across their state. The ED fosters a culture of firsthand Values-driven innovation, collaboration, and deep community engagement to achieve the firsthand mission of delivering life-changing outcomes to individuals with serious mental and physical illness. The ED is tasked with the management and strategic execution of the entire business unit, overseeing the integration and success of our care team and clinical practice. This includes both community outreach and clinical care delivery teams – ensuring a consistent, scalable, individual-centered approach to care is embraced by all. The ED will ensure firsthand’s teams are effective in their outreach, trust-building, engagement, benefits navigation, and activation of the entire fH care model, as well as its clinical and financial outcomes long term. Furthermore, the ED will lead the expansion of care model operations across the state and in doing so ensure best practices are adopted and implemented across all teams. Job Specifics As ED, you will: - Serve as the General Manager and own the complete Profit and Loss (P&L) for the entire state. This includes full accountability for medical cost management, revenue optimization, opex management – and broadly driving profitability. - Report directly to the COO and partner meaningfully with the VP Care Model Performance, Senior Director of Central Clinical Programs, and other EDs to lead, motivate, and inspire community and care model teams deeply dedicated to firsthand’s mission. - Consistently exceed a rigorous set of high-value care model process (i.e. fidelity to core model activities)and value outcomes (e.g: utilization, HEDIS metrics), individual engagement and activation goals, and financial targets (e.g: medical cost, revenue, membership growth). - Provide decisive leadership and supervision across all integrated state-level functions, overseeing both Clinical Managers (CMs) and Managers of Community Operations (MCOs). - Lead, mentor, and actively develop all market leadership and care team members, fostering a culture of continuous improvement, high accountability, and mission-driven work to ensure long-term team engagement and operational excellence. - Galvanize and foster a high-performing, inclusive, and supportive employee culture, driven by and visibly embodying the firsthand values - Manage, analyze, and optimize the state key performance indicators (KPIs), effectively coaching market leadership and care teams to exceed financial, clinical, and operational targets. - Ensure the seamless execution of firsthand’s operational and strategic plans, including adapting practices as the business evolves. - Build key state-level relationships with local healthcare providers, community partners, and health plan clients to drive engagement and improve outcomes. - Lead the successful execution and launch of new firsthand clinic locations within the state, including the recruitment of community-based and care model staff in collaboration with the People team. The experience you bring to this role includes: - Significant experience (7-10+ years) in healthcare leadership roles, preferably in a high-growth, high-complexity operational environment leading integrated community-based and clinical teams. - Experience leading in a clinical-operational dyad model - Proven track record of owning and successfully managing a large P&L and delivering results in a value-based care or capitated environment. - Deep understanding of the healthcare landscape, particularly value-based care, Medicaid, and the behavioral health ecosystem (SMI/SUD). - Exceptional leadership presence, executive communication skills, and the ability to inspire and manage large, cross-functional teams including market leaders and clinicians. - Ability to travel regularly across the state to visit communities and meet with partners; proficiency in communicating a “win-win” value proposition to external partners. - A passion for serving and direct community and care team experience working with individuals living with SMI. - Preferred experience in an early-stage or growth company with the ability to be flexible and adaptable to changing strategies. Base salary range: $170,000—$170,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Executive Director (ED) is a high-impact, mission-driven General Manager responsible for driving the P&L, operational, and clinical performance of the firsthand model across their state. The ED fosters a culture of firsthand Values-driven innovation, collaboration, and deep community engagement to achieve the firsthand mission of delivering life-changing outcomes to individuals with serious mental and physical illness. The ED is tasked with the management and strategic execution of the entire business unit, overseeing the integration and success of our care team and clinical practice. This includes both community outreach and clinical care delivery teams – ensuring a consistent, scalable, individual-centered approach to care is embraced by all. The ED will ensure firsthand’s teams are effective in their outreach, trust-building, engagement, benefits navigation, and activation of the entire fH care model, as well as its clinical and financial outcomes long term. Furthermore, the ED will lead the expansion of care model operations across the state and in doing so ensure best practices are adopted and implemented across all teams. Job Specifics As ED, you will: - Serve as the General Manager and own the complete Profit and Loss (P&L) for the entire state. This includes full accountability for medical cost management, revenue optimization, opex management – and broadly driving profitability. - Report directly to the COO and partner meaningfully with the VP Care Model Performance, Senior Director of Central Clinical Programs, and other EDs to lead, motivate, and inspire community and care model teams deeply dedicated to firsthand’s mission. - Consistently exceed a rigorous set of high-value care model process (i.e. fidelity to core model activities)and value outcomes (e.g: utilization, HEDIS metrics), individual engagement and activation goals, and financial targets (e.g: medical cost, revenue, membership growth). - Provide decisive leadership and supervision across all integrated state-level functions, overseeing both Clinical Managers (CMs) and Managers of Community Operations (MCOs). - Lead, mentor, and actively develop all market leadership and care team members, fostering a culture of continuous improvement, high accountability, and mission-driven work to ensure long-term team engagement and operational excellence. - Galvanize and foster a high-performing, inclusive, and supportive employee culture, driven by and visibly embodying the firsthand values - Manage, analyze, and optimize the state key performance indicators (KPIs), effectively coaching market leadership and care teams to exceed financial, clinical, and operational targets. - Ensure the seamless execution of firsthand’s operational and strategic plans, including adapting practices as the business evolves. - Build key state-level relationships with local healthcare providers, community partners, and health plan clients to drive engagement and improve outcomes. - Lead the successful execution and launch of new firsthand clinic locations within the state, including the recruitment of community-based and care model staff in collaboration with the People team. The experience you bring to this role includes: - Significant experience (7-10+ years) in healthcare leadership roles, preferably in a high-growth, high-complexity operational environment leading integrated community-based and clinical teams. - Experience leading in a clinical-operational dyad model - Proven track record of owning and successfully managing a large P&L and delivering results in a value-based care or capitated environment. - Deep understanding of the healthcare landscape, particularly value-based care, Medicaid, and the behavioral health ecosystem (SMI/SUD). - Exceptional leadership presence, executive communication skills, and the ability to inspire and manage large, cross-functional teams including market leaders and clinicians. - Ability to travel regularly across the state to visit communities and meet with partners; proficiency in communicating a “win-win” value proposition to external partners. - A passion for serving and direct community and care team experience working with individuals living with SMI. - Preferred experience in an early-stage or growth company with the ability to be flexible and adaptable to changing strategies. Base salary range: $170,000—$170,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. Provider Services supports all aspects of provider and organizational compliance across enrollment, credentialing, and licensure. This contract role is primarily responsible for organizational licensure management for peers and non-clinical staff, ensuring all required licenses, registrations, and compliance items remain active, current, and audit-ready. This role will also provide backup support to provider enrollment and credentialing functions, including follow-ups, status tracking, and system updates when required. This role is critical to ensuring that all organizational licensure and provider-related compliance functions remain current, accurate, and audit-ready, while also supporting broader Provider Services operations as needed. - Target Hours: 30 per week - Schedule: Monday–Friday (Flexible / Hybrid) Key ResponsibilitiesOrganizational Licensure & Compliance (Primary Focus) - Track, monitor, and maintain all organizational licenses and registrations across applicable states - Manage renewals, expirations, and supporting documentation to ensure continuous compliance - Maintain accurate and up-to-date records in internal systems, trackers, and shared drives - Coordinate with internal teams and external agencies to obtain required documentation - Research state-specific requirements, regulations, and compliance standards - Prepare documentation for audits, reviews, and internal reporting - Identify risks or gaps in licensure and escalate as needed Provider Enrollment & Credentialing Support (Secondary) - Assist with payer enrollment submissions and follow-ups - Update credentialing systems with application statuses and documentation - Maintain provider records including licensure, board certifications, and supporting documents - Track timelines and ensure submissions are progressing within expected turnaround times - Support CAQH updates and general provider data maintenance - Communicate with payers and internal stakeholders regarding status updates Systems, Tracking & Reporting - Maintain and update spreadsheets, credentialing software, and internal tracking tools - Ensure all documentation is organized, complete, and easily accessible - Generate basic reports on licensure and enrollment status as needed - Document all actions taken for compliance and audit purposes QualificationsRequired: - 3+ years experience in healthcare administration, credentialing, enrollment, and general compliance - Strong organizational and tracking skills with high attention to detail - Experience working with spreadsheets and document management systems - Ability to manage multiple deadlines and priorities Preferred: - Experience with provider enrollment, credentialing, or licensing processes - Knowledge of Medicare, Medicaid, and commercial payer processes - Familiarity with CAQH and credentialing platforms - Understanding of healthcare regulatory requirements Core Competencies - Detail-oriented and deadline-driven - Strong research and problem-solving skills - Clear written and verbal communication - Ability to work independently and as part of a team - Adaptability in a fast-paced, evolving environment Hourly Pay Rate: $25—$25 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. Who We Are firsthand is changing the way individuals living with Serious Mental Illness (SMI) get care. We deliver real outcomes for individuals who have historically been underserved, stigmatized, and deprioritized. By building a service focused on whole-person care, firsthand finds, establishes a trusting relationship with, and supports quality care for individuals living with SMI. firsthand’s high-touch model dramatically improves the health and outcomes of engaged individuals, driving down the utilization of high-cost care while also helping individuals enroll in eligible federal, state, and municipal benefits. As a trusted guide, partner, and first call for individuals we serve, our goal is to guide them to a life of stability and independence. In doing so, we will not only improve lives, but also improve the economics for managed care plans and states responsible for providing care to this community. This enables us to build solutions that scale and, as a result, change the way our society supports those most impacted by serious mental illness. We are building a team of passionate problem-solvers with the courage to take on one of the country’s most challenging healthcare problems. Those who are up for the task will be rewarded with deeply mission-oriented workdays, mentorship from a similarly motivated team, and a voice at the table in the earliest stages of business building. Medical Director - Georgia This is a part-time role, working between eight to ten hours each week. The Medical Director will be responsible for providing clinical supervision to up to 6-8 APRNs across multiple sites in Atlanta area of GA, reviewing quality of care, and representing firsthand in referral and care coordination with healthcare providers, including health systems, FQHCs, CMHCs, and primary care providers. In each of firsthand’s Georgia teams in the greater Atlanta area - a Health Guide (licensed Nurse Practitioner (APRN) leads the medical aspects of team-based care for individuals that firsthand serves. The Health Guide (APRN) is responsible for whole person assessment and management of our vulnerable population, collaborating closely with external primary care and behavioral health providers, as well as an internal team of firsthand Guides (peers). The Medical Director is in collaborative practice and provides clinical supervision with up to 6 HGs (APRNs) greater Atlanta area. The Health Guides (APRNs) will also be in collaborative practice and receive clinical supervision with the CMO of first-hand, a board-certified psychiatrist. The HG is responsible for whole person assessment and management of our vulnerable population, collaborating closely with external primary care and behavioral health providers, as well as an internal team of firsthand Guides (peers) and Community Resources Guides (social workers). The Medical Director will work closely with the CMO and VP Care Model Performance to monitor and improve the quality of care provided by health guides. The Medical Director will also reach out to healthcare providers in hospital and community practices to build partnerships to sustain referral and care coordination of patients cared for by the health guides. The Medical Director collaborates closely with the CCO, who is responsible for developing and maintaining work processes and data analytics to support health guide care delivery and quality Job Specifics As Medical Director of Georgia you will: - Be based in greater Atlanta area, and visit each of the supervised clinical sites at least twice a year each. - Review at least 10% charts per Health Guide (APRN) annually to determine that their care is within the accepted standard of community practice and 100% of charts with adverse events. - Additional chart review for the purposes of quality improvement - Provide supervision for prescriptive authority for up to the 6-8 Health Guides (APRNs) assigned. - Meeting virtual or in person 1 to 1 with individual Health Guides (APRNs) approximately every 2 to 4 weeks - Consultation as needed, same day if needed. - Communicating and coordinating with the community team directors and team leads regarding health guide services and teamwork - Develop and maintain partnerships with hospitals and outpatient care providers to support outreach to find unengaged patients, referral, coordination of care and disease management and collaboration with firsthand Health Guides (APRNs) and community teams. - Work closely with firsthand's corporate clinical team to develop and improve care delivery and clinical quality improvement processes and outcomes You will be a good fit if you have: - Excellent clinical acumen in outpatient chronic disease and mental health care - Empathy, compassion, and approachability - Excellent listening, communication, and interpersonal skills - Desire to help people in need and support their path to wellness - Comfort working as part of a multidisciplinary team, and enjoy mixed roles and duties - Comfort working in collaborative practice both formally with nurse practitioners and informally with a broad range of medical colleagues - Cultural humility, knowledge of trauma informed care, and social determinants of health - Desire to perform data driven care - Desire to implement and deliver care that is integrated across chronic medical conditions, behavioral health conditions, inpatient settings, and outpatient settings - Intermediate computer skills, familiarity with MS Office or Google Workspace - Ability to adapt rapidly to variations in team culture and process - Ability to rapidly develop new professional working relationships with colleagues and patients - Flexibility, and the willingness/ability to travel on a regular basis The experience you bring to this role includes: - Board certified MD or DO in Internal Medicine or Family Practice or Psychiatry5+ years clinical care in a primary care setting - Working with and managing a population with challenges such as behavioral health and/or SUD conditions - Developing and delivering educational programs to nurses and affiliated medical staff - Care management and coordination firsthand Benefits firsthand is building a workplace and culture that cares deeply for our team and our communities. Our benefit design is in line with our values of compassion and empathy: - A range of healthcare benefits offerings for yourself and/or your family - 401(k) with employer matching program - Competitive and flexible paid time off policies - Choice of Mac or PC for laptop or tablet as needed - Additional benefits and perks as detailed in JustWorks Hourly Pay Rate: $150—$150 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists, and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand’s team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it’s a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The RoleThe Central Operations Manager is responsible for the performance and operations of firsthand’s centralized outreach and engagement teams, guiding and leading our virtual peer support infrastructure. This leader oversees two separate teams: our Outreach team and our STRIVE team – ensuring consistent, scalable, and person-centric support for individuals across all markets. This role is a critical driver of the individual journey across the company. You will manage our centralized peer team that supports both with engaging new individuals, as well as supporting our lowest risk individuals longitudinally via our STRIVE team. To do this, you will have outreach targets across the company, as well as enrollment and management goals for our individuals currently engaged (while also overseeing regression protocols for those requiring increased support). Working in a dyad partnership with a clinical leader, you will ensure every individual receives the right level of care based on their unique clinical and social needs. This is a supervisory role with direct responsibility for hiring, coaching, and the oversight of a multidisciplinary centralized team of Outreach Specialists and Strive Specialists – all which will be certified peers. Job SpecificsAs Central Operations Manager, you will: - Manage the strive & regression pathways: Guide teammates in initiating Strive protocols when eligible for STRIVE, as well as regression protocols for those needing intensified community support throughout their journey with firsthand. - Achieve national outreach targets: Drive the success of the Outreach team’s goals, including outreach volume, enrollment, and successful member outcomes, adapting practices as the business evolves. - Ensure seamless transitions: Work closely with local community leaders and community care teams to ensure a smooth transition for individuals moving between central virtual support and in-person community care. - Drive clinical & ops rhythm: Lead and participate in daily huddles and biweekly Individual Progress Reviews (IPRs), collaborating across departments to drive integrated care and service delivery. - Lead in dyad partnership: Work side-by-side with a clinical leader to balance operational efficiency with clinical integrity, ensuring individuals are matched to the appropriate level of care based on their stability and social challenges. - Lead and inspire: Motivate centralized teams of peers and specialists dedicated to building trust virtually with individuals living with SMI and other complex conditions. - Performance coaching: Support the management of individual and team performance, effectively coaching staff with lived experience on engagement techniques, protocol execution, and crisis de-escalation. - Talent leadership: Lead recruitment for both Outreach and Strive teams, fostering a culture of professional growth, peer support, and continuous learning. You will be a good fit if you have: - Collaborative spirit: You thrive in a dyad leadership model, valuing the intersection of clinical insight and operational execution. - Exceptional communication: Strong interpersonal skills with the ability to lead a team that builds deep trust via virtual channels. - Operational mindset: Excellent organizational and problem-solving skills, with a focus on continuous improvement in a centralized/call center setting. - Peer-first leadership: Strong management skills with a passion for supervising staff with lived experience and a commitment to the peer-support model. - Adaptability: Ability to stay flexible and lead a team through changing protocols, strategies, and rapid growth. - Technical savviness: Proficiency with Google Office suite, Slack, and CRM programs The experience you bring includes:Required: - Minimum five years experience in a healthcare-focused business, as well as leadership for a remote only, front-line team (such as a call center) - Minimum of three years of direct supervisory experience (specifically managing certified peer recovery specialists or similar staff with lived experience), including hiring and performance management. - Experience in multidisciplinary settings: Proven ability to lead in a setting that leverages clinical, peer, and operations expertise to provide holistic care. - Startup Experience: Experience in an early-stage startup is strongly preferred. Base salary range: $90,000—$90,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Executive Director (ED) is a high-impact, mission-driven General Manager responsible for driving the P&L, operational, and clinical performance of the firsthand model across their state. The ED fosters a culture of firsthand Values-driven innovation, collaboration, and deep community engagement to achieve the firsthand mission of delivering life-changing outcomes to individuals with serious mental and physical illness. The ED is tasked with the management and strategic execution of the entire business unit, overseeing the integration and success of our care team and clinical practice. This includes both community outreach and clinical care delivery teams – ensuring a consistent, scalable, individual-centered approach to care is embraced by all. The ED will ensure firsthand’s teams are effective in their outreach, trust-building, engagement, benefits navigation, and activation of the entire fH care model, as well as its clinical and financial outcomes long term. Furthermore, the ED will lead the expansion of care model operations across the state and in doing so ensure best practices are adopted and implemented across all teams. Job Specifics As ED, you will: - Serve as the General Manager and own the complete Profit and Loss (P&L) for the entire state. This includes full accountability for medical cost management, revenue optimization, opex management – and broadly driving profitability. - Report directly to the COO and partner meaningfully with the VP Care Model Performance, Senior Director of Central Clinical Programs, and other EDs to lead, motivate, and inspire community and care model teams deeply dedicated to firsthand’s mission. - Consistently exceed a rigorous set of high-value care model process (i.e. fidelity to core model activities)and value outcomes (e.g: utilization, HEDIS metrics), individual engagement and activation goals, and financial targets (e.g: medical cost, revenue, membership growth). - Provide decisive leadership and supervision across all integrated state-level functions, overseeing both Clinical Managers (CMs) and Managers of Community Operations (MCOs). - Lead, mentor, and actively develop all market leadership and care team members, fostering a culture of continuous improvement, high accountability, and mission-driven work to ensure long-term team engagement and operational excellence. - Galvanize and foster a high-performing, inclusive, and supportive employee culture, driven by and visibly embodying the firsthand values - Manage, analyze, and optimize the state key performance indicators (KPIs), effectively coaching market leadership and care teams to exceed financial, clinical, and operational targets. - Ensure the seamless execution of firsthand’s operational and strategic plans, including adapting practices as the business evolves. - Build key state-level relationships with local healthcare providers, community partners, and health plan clients to drive engagement and improve outcomes. - Lead the successful execution and launch of new firsthand clinic locations within the state, including the recruitment of community-based and care model staff in collaboration with the People team. The experience you bring to this role includes: - Significant experience (7-10+ years) in healthcare leadership roles, preferably in a high-growth, high-complexity operational environment leading integrated community-based and clinical teams. - Experience leading in a clinical-operational dyad model - Proven track record of owning and successfully managing a large P&L and delivering results in a value-based care or capitated environment. - Deep understanding of the healthcare landscape, particularly value-based care, Medicaid, and the behavioral health ecosystem (SMI/SUD). - Exceptional leadership presence, executive communication skills, and the ability to inspire and manage large, cross-functional teams including market leaders and clinicians. - Ability to travel regularly across the state to visit communities and meet with partners; proficiency in communicating a “win-win” value proposition to external partners. - A passion for serving and direct community and care team experience working with individuals living with SMI. - Preferred experience in an early-stage or growth company with the ability to be flexible and adaptable to changing strategies. Base salary range: $170,000—$170,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. firsthand is seeking a hands-on People Operations Generalist to support our growing team. In this role, you’ll be the local HR partner, working closely with regional leaders and our centralized HR team to create an exceptional experience for our team members. This role must reside in Washington state and be able to travel to our markets across the state. You’ll lead local hiring efforts for our firsthand Guides, partner with our Learning & Development team to deliver trainings, and be the first point of contact for employee relations issues. Reporting to the Senior Director, People, this is a highly collaborative and team-focused role. As People Operations Generalist you will: - Recruit & Hire: Lead end-to-end hiring for firsthand Guides and other regional roles, ensuring we bring in great talent aligned with our mission - Onboard & Support: Welcome new hires, help guide them through onboarding, and serve as a trusted HR resource for day-to-day questions - Deliver Training: Partner with the Learning & Development team to deliver orientations and targeted trainings that build skills and connection, and collaborate with managers to ensure teams are well trained - Be a Trusted Partner: Support managers and employees with HR policies, employee relations, and workplace best practices, escalating complex matters when needed - Ensure Compliance: Help maintain a fair and legally sound workplace by supporting compliance with federal, state, and local employment laws - Collaborate & Improve: Share feedback and insights from the community to help shape and strengthen company-wide People programs. You will be a good fit if you have: - 3+ years of HR experience, ideally in a Generalist or HR Business Partner role - Experience with recruiting practices and tools, including Greenhouse - Strong understanding of employment laws and HR fundamentals - Excellent communication and relationship-building skills - A proactive, flexible approach and comfort working locally while partnering with centralized teams - Experience delivering or facilitating trainings Base salary range: $100,000—$110,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. firsthand is seeking a hands-on People Operations Generalist to support our growing team. In this role, you’ll be the local HR partner, working closely with regional leaders and our centralized HR team to create an exceptional experience for our team members. This role must reside in Michigan or Ohio and be able to travel to our markets across the states. You’ll lead local hiring efforts for our firsthand Guides, partner with our Learning & Development team to deliver trainings, and be the first point of contact for employee relations issues. Reporting to the Senior Director, People, this is a highly collaborative and team-focused role. As People Operations Generalist you will: - Recruit & Hire: Lead end-to-end hiring for firsthand Guides and other regional roles, ensuring we bring in great talent aligned with our mission - Onboard & Support: Welcome new hires, help guide them through onboarding, and serve as a trusted HR resource for day-to-day questions - Deliver Training: Partner with the Learning & Development team to deliver orientations and targeted trainings that build skills and connection, and collaborate with managers to ensure teams are well trained - Be a Trusted Partner: Support managers and employees with HR policies, employee relations, and workplace best practices, escalating complex matters when needed - Ensure Compliance: Help maintain a fair and legally sound workplace by supporting compliance with federal, state, and local employment laws - Collaborate & Improve: Share feedback and insights from the community to help shape and strengthen company-wide People programs. You will be a good fit if you have: - 3+ years of HR experience, ideally in a Generalist or HR Business Partner role - Experience with recruiting practices and tools, including Greenhouse - Strong understanding of employment laws and HR fundamentals - Excellent communication and relationship-building skills - A proactive, flexible approach and comfort working locally while partnering with centralized teams - Experience delivering or facilitating trainings Base salary range: $90,000—$100,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. The Rise Director is a senior clinical and operational leader responsible for managing total cost of care for the highest acuity of members in the state—individuals with the greatest medical, behavioral health, and social complexity and highest overall healthcare expenditures. This leader functions as the strategic and operational case manager for the most complex members, ensuring rapid coordination, prioritized access, and delivery of high-value, high-quality care across the full continuum. The role is accountable for measurable reductions in hospitalizations, emergency department utilization, avoidable acute care spend, and inappropriate high-cost site-of-care utilization. This role reports to the Executive Director for the state. Core Responsibilities As RISE director your responsibilities will include: Total Cost of Care Accountability - Own financial and clinical outcomes for the highest-cost, highest-acuity members statewide. - Develop and execute strategies to reduce avoidable hospital admissions, readmissions, emergency department visits, and unnecessary specialty and facility utilization. High-Intensity Care Team Leadership - Directly manage a team of Peer Specialists dedicated to providing high-intensity, daily member engagement and support including, but not limited to, ensuring: - Comprehensive care planning and prioritization so each Peer Specialist has a clear understanding of their priorities and work with their highest-acuity members - Immediate response to clinical and social destabilization - Clear task assignment across team roles - Closed-loop communication - Removal of barriers to care access including appointment delays, transportation challenges, medication access issues, and social determinants of health. - Rapid transitions of care post-hospitalization with 24 hour follow-up protocols - Make critical decisions on where the practice should invest resources (people, dollars) for the appropriate care to keep a high acuity member out of the hospital - Ensure structured escalation pathways and rapid response protocols for social, medical and BH crises. - Serve as operational lead and break down barriers in process and communication across firsthand’s internal care teams, including central health guides, psych NPs, SOAR specialists, and other care team members. Provider Network Optimization - Identify, evaluate, and prioritize partnerships with the highest value, highest quality providers across all markets in the state, including but not limited to emergency rooms and hospitals, community primary care and specialists, behavioral health services and community and social services - Use cost, quality, and outcomes data to stratify provider performance and guide member referrals - Coordinate expedited and prioritized access for highest acuity members to top-performing PCPs, BH specialists, specialty providers, outpatient detox and rehab providers You will be a good fit if you have: - 7+ years of experience in value-based care, population health, managed care, or complex care management. - Clinical licensure (LCSW or RN, preferred) - Deep experience and relationships across community providers and resources (i.e. housing, hospital case management / discharge planning, outpatient detox/rehab centers) - Experience in Medicaid, dual-eligible, and/or serious mental illness populations - Demonstrated experience managing high-cost, medically and behaviorally complex populations. - Experience leading interdisciplinary healthcare teams. - Strong understanding of total cost of care models, risk stratification, and utilization management. - Proven success in reducing avoidable acute care utilization. - Experience working across multiple provider markets within a state. - Exceptional operational leadership and cross-functional collaboration skills, both virtually and in person. We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.