Clinical Operations Manager About Avail Health Avail Health is a Nurse Practitioner–founded organization dedicated to removing barriers to care, access, and meaningful clinical work for Medicare-age individuals. We combine thoughtful technology, strong operational infrastructure, and deep respect for the patient–provider relationship to enable nurse-led virtual and mobile care. By empowering nurses, reducing administrative burden, and supporting consistent, high-integrity clinical practices, we deliver compassionate, high-quality care through scalable, team-based, and data-driven care models that improve access, quality, and patient outcomes in the communities we serve. Program Overview Avail Health partners with Medicare Advantage health plans to support Institutional Special Needs Plan (I-SNP) members through nurse-led programs focused on accurate risk adjustment and proactive risk management. Care is delivered by a hybrid team of Nurse Practitioners and mobile nurses, with nurses supporting NP-led telehealth visits through in-person member engagement, clinical data collection, and coordination. The team conducts structured in-person and virtual assessments to identify and document chronic and complex conditions in alignment with CMS requirements, producing actionable insights for the health plan and care teams. In select programs, NPs also provide limited, plan-directed clinical support to address identified risks and close care gaps, improving member experience and health plan performance without serving as the primary care provider. Role Summary The Manager, Clinical Operations – Risk Performance leads the day-to-day operations and overall performance of Avail Health’s Risk Performance programs. This role is accountable for operational execution, workflow standardization, and team performance, serving as a hands-on leader and first-line operational resource for frontline clinical teams. The position supports an interdisciplinary clinical team and reports directly to the Vice President of Operations, with matrixed accountability to the Vice President of Care Delivery. The Manager, Clinical Operations partners closely with clinical leadership, peer Clinical Operations Managers, and cross-functional teams—including Technology, Product, Quality, Analytics, and Revenue Cycle—to identify operational challenges, implement workflows and tools, and drive continuous improvement. This role supports program scalability by creating structure, standardizing processes, and ensuring consistent execution as the program evolves. This is a primarily remote, work-from-home role requiring a reliable high-speed internet connection and a dedicated, HIPAA-compliant workspace to support confidential patient information and secure communications. Minimal travel may be required for team meetings, occasional site visits within and around the Ohio region, or other operational priorities. Preference given to candidates residing in or near Ohio and in the Eastern Standard Time Zone. While the role primarily supports clients in the Ohio region, there may be periodic travel to other states and time zones periodically to support other operational initiatives. Standard business hours are Monday–Friday, 8 a.m. to 5 p.m. Eastern Time. Flexibility is required to accommodate occasional early or late meetings across multiple time zones. Position Overview This is a hands-on, “player-coach” operations role responsible that drives day-to-day execution building operational structure for Avail Health’s Risk Performance program. The Clinical Operations Manager serves as the internal operations lead, partnering with clinical leadership to define, standardize, and improve workflows. This role is responsible for documenting current-state processes, developing SOPs, and identifying opportunities to improve efficiency, consistency, and performance. This individual also supports frontline clinical teams by addressing day-to-day operational needs, including scheduling coordination, workflow troubleshooting, and field support. In addition, the role leads onboarding and training for new hires and ensures teams have clear processes and expectations. The Clinical Operations Manager tracks and manages key performance metrics and partners with analytics and technology teams to improve reporting and support data-driven decisions. This role requires a highly adaptable, tech-savvy operator who can build structure in a fast-paced, evolving environment. Key Responsibilities 1. Program Operations, Workflow Design & Execution Own day-to-day operational execution across the program, ensuring reliable and efficient care delivery for mobile and virtual clinical teams. Document current-state workflows and translate them into standardized, scalable SOPs across core functions, including scheduling, patient engagement, clinical team support, and care coordination. Identify operational gaps and implement process improvements to enhance efficiency, consistency, and quality across markets. 2. Frontline Operations Support & Clinical Team Enablement Serve as the primary operational resource for frontline clinical teams, providing real-time support to address day-to-day needs, remove barriers, and maintain continuity of care. Coordinate scheduling and field support for mobile teams, and ensure workflows, tools, and processes enable clinicians to operate effectively. Partner closely with clinical leadership to reinforce expectations, improve throughput, and support high-quality, compliant care delivery. 3. Training, Onboarding & Team Readiness Lead onboarding for new clinical hires by developing and delivering structured training programs, materials, and workflows. Ensure all team members are equipped with clear guidance on operational processes, documentation requirements, and tools. Continuously refine training content and onboarding approaches based on field feedback, performance trends, and program evolution. 4. Performance Management, Metrics & Continuous Improvement Track and manage key operational and clinical performance metrics, including access, productivity, documentation quality, patient engagement, and program outcomes. Partner with analytics and technology teams to define reporting needs, improve data visibility, and close gaps in performance tracking. Use data-driven insights to identify trends, inform workflow improvements, and drive ongoing program optimization. 5. Cross-Functional Collaboration and Standardization Partner cross-functionally with Product, Technology, Analytics, Quality/Compliance, and Revenue Cycle teams to support program evolution and scaling across markets. Translate new initiatives and enhancements into clear, actionable workflows and standardized SOPs that align with the care model and regulatory requirements. Establish operational structure by documenting best practices, driving consistency across teams, and supporting change management in a rapidly evolving environment. Provide feedback to inform product and technology development, particularly to improve workflow efficiency, reporting capabilities, and overall program performance. Required Qualifications - Bachelor’s degree in healthcare administration, business administration, public administration, nursing, or a related field; or equivalent combination of education and experience - 5+ years of progressive experience in healthcare operations or clinical practice management, ideally in virtual, mobile, or hybrid care settings - Demonstrated experience developing and implementing SOPs, workflows, training materials, and process improvement initiatives - Experience supporting clinical or care delivery teams, with the ability to troubleshoot operational and workflow challenges in real time - Familiarity with value-based care, managed care, or integrated delivery models - Proven ability to influence, coach, and support distributed or remote teams, driving accountability and performance across cross-functional environments - Strong technology aptitude, including experience with EHRs, telehealth platforms, and data/reporting tools - Experience defining, tracking, and improving key operational performance metrics (KPIs) - Authorization to work in the United States - Ability to work on an Eastern Time Zone schedule Preferred Qualifications - Experience in Medicare Advantage, including familiarity with risk adjustment and quality (e.g., HEDIS/STARS) - Familiarity with revenue cycle workflows and billing processes - Experience building dashboards, reports, or operational performance tracking tools - Experience in a startup or high-growth environment, building structure and processes from the ground up - Residence in Ohio, Indiana, or West Virginia preferred What Success Looks Like - Operational workflows are clearly documented, standardized, and consistently executed across teams - Frontline clinical teams are well-supported, with minimal operational friction and clear, reliable processes - Scheduling, coordination, and communication run smoothly, with low error rates and strong continuity across care teams and patient support networks - Key performance metrics (e.g., access, productivity, documentation quality, patient engagement) are consistently tracked, understood, and improving over time - Operational gaps are proactively identified and addressed, with continuous refinement of workflows and SOPs - Strong cross-functional coordination enables efficient execution and ongoing program improvement - Effective use of technology and reporting tools supports visibility, decision-making, and scalability - Ability to operate independently in a fast-paced, evolving environment with a high degree of ownership and accountability - A collaborative, accountable team culture that supports performance, engagement, and alignment with organizational goals Compensation & Benefits - Benefits Package: Medical, dental, and vision insurance, in accordance with company benefit plans and eligibility requirements. - Paid time off: 3 weeks annually (accrued per pay period) - Holidays: 8 paid holidays plus 1 floating holiday - Retirement: 401(k) plan with 2% employer match - Base salary: $90,000 – $105,000, commensurate with experience - Performance bonus: Quarterly bonus of up to 2.5% of annual salary. Performance bonuses are tied to operational KPIs, including access, documentation quality, productivity, and program execution milestones. - Annual salary increase: Up to 5% of base salary, subject to performance review Additional Information - Our company is growing! We welcome candidates with leadership and management experience as the role may evolve quickly.

• The Director, Clinical Operations and Coding is responsible for ensuring clinical and coding accuracy, payer alignment, and operational rigor across CPT and ICD 10 coding review, proactive audits, medical necessity reviews, prior authorizations, and appeals for Baylor Genetics testing services. • Improve reimbursement outcomes by strengthening clinical defensibility and coding integrity across PA and appeals. • Lead CPT/ICD-10 coding review for molecular diagnostic testing to ensure accuracy, compliance, and payer alignment. • Oversee medical necessity reviews for prior authorizations and appeals, ensuring submissions are clinically supported and payer-policy compliant. • Develop, maintain, and continuously improve standardized PA and appeal templates (including clinical narratives, letter structures, and documentation checklists). • Partner with Market Access to interpret payer clinical policies and translate requirements into operational playbooks and submission standards. • Establish and monitor KPIs such as PA approval rate, appeal overturn rate, clinical denial rate, and cycle times for authorization/appeals.

• Provides operational leadership and oversight for the execution multiple on-site IT operations teams across several Air Force bases in the Continental U.S. • Remotely oversee the day-to-day IT operations at these bases and coordinate and provide reach back support from the Network Operations Center team. • Responsible for the managerial and technical oversight of IT operations activities including workforce direction, processes, and reporting. • Manages on-site services and budget to support optimized performance to meet or exceed contractual SLAs. • Oversees a multiple IT operations teams consisting of system admins, cyber security analysts, network engineers, network admins, cable and fiber technicians. • Supervises each site lead. • Oversees and report operational network statistics including KPIs, SLAs, QoS, and EOL configuration management items. • Manage risks and resolve issues that affect change scope, schedule, and quality. • Ensures coordination of Tier 2 and Tier 3 support with co-located Network Integration team and engineers. • Participates in operational briefings and meetings to provide situational awareness and status for network monitoring, compliance, and liaison capability.

Company Summary Avalyn is reimagining the future of pulmonary fibrosis treatment with a pipeline of new inhaled formulations of approved medicines designed to reduce systemic exposure and deliver medication directly to the site of disease. Pulmonary fibrosis is characterized by scarring of lung tissue, decline in lung function, and reduced exercise capacity and quality of life, and is associated with increased mortality. Currently approved therapeutic options slow pulmonary fibrosis progression but are associated with significant toxicities that restrict their use and dosing. Avalyn’s inhaled approach tackles the underlying pathophysiology of pulmonary fibrosis at its source and is designed to reduce systemic exposure and deliver medication directly to the site of disease. Avalyn’s AP01 is an optimized inhaled formulation of pirfenidone, currently being studied in the ongoing MIST Phase 2b study in progressive pulmonary fibrosis (PPF). AP01 has been assessed in over 150 individuals with different forms of pulmonary fibrosis and demonstrated clinical proof-of-concept with improved efficacy and safety compared to historical data with existing therapies. The company completed two Phase 1 studies for AP02, inhaled nintedanib, for the treatment of idiopathic pulmonary fibrosis (IPF) and is planning a Phase 2 clinical trial. For more information, please visit avalynpharma.com and follow us on LinkedIn.Position Summary The Director of Clinical Operations is a senior-level position responsible for overseeing and managing the clinical operations of assigned clinical trials or program of trials. This role plays a critical role in ensuring the successful planning, execution, and monitoring of Avalyn’s global clinical trials and studies. This position will report to the VP of Clinical Operations and can be remote-based anywhere in the United States. Key Responsibilities (at the study or program level): - Strategic Leadership: Develop and implement the operations plans and logistics for their assigned study or program of studies aligning with the organization's goals and objectives. Provide leadership and guidance to the clinical operations team, ensuring the successful execution of clinical programs. - Clinical Trial Management: Oversee the planning, initiation, execution, and completion of clinical trials in accordance with applicable regulations, guidelines, and standard operating procedures (SOPs). Coordinate with cross-functional teams, including outside vendors, medical affairs, regulatory affairs, data management, and biostatistics, to ensure seamless trial execution. - Resource Management: Indirectly manage external providers’ study or program level resources to support clinical operations. Directly manage internal resources who support the Director’s assigned studies or program level of studies. Monitor resource utilization and implement strategies to optimize efficiency and productivity. - Quality Assurance: Ensure compliance with relevant regulatory requirements, Good Clinical Practice (GCP) guidelines, and internal Standard Operating Procedures (SOPs), and other related quality standards. Work directly with the Avalyn Quality Management function to develop and maintain quality management systems to monitor and improve the quality of clinical operations processes. - Strategic Partner/Vendor Management: Oversee the selection, evaluation, and management of external partners/vendors, such as contract research organizations (CROs), central laboratories, and other service providers. Establish strong relationships with partners/vendors and negotiate contracts to ensure cost-effectiveness and high-quality deliverables. - Risk Management: Identify and mitigate risks associated with clinical trials, including protocol deviations, adverse events, and data integrity issues. Implement risk management strategies and develop contingency plans to address potential challenges and ensure patient safety. - Sponsor Oversight and Clinical Trial Management: Develop and implement clinical trial monitoring standards and best practices for effective monitoring of investigational sites and the overall quality and integrity of each assigned clinical trial or program of trials, in accordance with industry standards and practices. - Team Development: Operate as “one team” through clear and transparent communications and appropriate team building strategies. Provide mentoring, coaching, and performance feedback to enhance individual and team capabilities. Foster a culture of collaboration, innovation, and continuous improvement. - Stakeholder Engagement: Collaborate with internal stakeholders, such as senior management, clinical development teams, Key External Experts, and regulatory affairs, to align clinical operations strategies with broader organizational objectives. Establish strong relationships with external stakeholders, including investigators, study sites, and regulatory authorities. - Data Management and Analysis: Working internally/externally with data operations experts to understand the data collection, analysis, and interpretation of clinical trial data. - Business Process Improvement: Contribute to the identification of business process improvement needs or opportunities, and lead or participate in strategic and continuous business improvement initiatives in study planning & set up, study conduct & close out, vendor and CRO selection and management, budget development & management, and other initiatives to support Avalyn clinical development needs. - Personnel Management: Provide direct or indirect line management of clinical operations staff contract or consultant staff on an as-needed basis. Mentor and coach CO and other functional department team members on clinical trial operations. If in a formal line management role, conduct appropriately timed performance reviews, calibration sessions, and feedback discussions. Perform competency assessments and suggest approaches to address identified developmental opportunities. - Collaborate with the VP, Clinical Operations and colleagues from other functional groups with responsibilities in the therapeutic program (Clinical Development, Medical Affairs, Regulatory Affairs, Data Management, Finance, and Program Management) to ensure alignment of resources and tasks management to meet Avalyn business needs and to achieve Avalyn corporate goals. Qualifications and Requirements: - Degree required with a degree in life sciences, medicine, pharmacy, or a related field preferred. A Ph.D., M.D., or equivalent is appreciated but not required. - Extensive experience (typically 10+ years) in clinical operations within the healthcare or pharmaceutical industry, including significant experience in clinical trial management. - Experience in rare diseases and respiratory diseases/research highly preferred. - Strong working knowledge of applicable regulatory guidelines and requirements (e.g., FDA, EMA), as well as ICH-GCP and other relevant industry standards. - Proven leadership and management skills, with the ability to lead and motivate cross-functional teams. - Excellent organizational, planning, and project management abilities, with the capacity to handle multiple priorities and meet tight deadlines or successfully negotiate modifications. - Strong problem-solving and decision-making skills, with a focus on driving inspection readiness, continuous improvement, and operational excellence. - Demonstrated successful experience managing/overseeing Contract Research Organizations (CROs), vendors and other 3rd party suppliers - Experience working across all phases of clinical development (Phases I – III; phase IV experience helpful) - Working medical and scientific knowledge; experience in the Respiratory Therapeutic Area strongly desirable - Prior experience as Clinical Research Associate (CRA/monitor), Lead CRA, or Project Manager at either Sponsor, CRO helpful but not required - Excellent communication and interpersonal skills, with the ability to effectively collaborate with internal and external stakeholders at all levels. - Experience in vendor management and contract negotiation is desirable. - Familiarity with clinical trial technology and data management systems is an advantage. Business Requirements: - Limited business travel domestically and internationally may be required. - Fully remote position. - Ability to communicate in English (written and verbal). Fluency to read or speak other languages is beneficial. Proposed pay range $215,000—$230,000 USD