Clinical Operations Manager - ADA FMLA Req - CCM - Remote

Sparrow is standing up a dedicated clinical operations function within our Customer Experience team to bring consistency, defensibility, and clinical rigor to how we evaluate medical certifications supporting leave requests, ADA accommodations, and to build the operational backbone — team, workflows, systems, and compliance standards — that supports it. This role owns the function as a strategic remit from day one: building and leading the medical certification review (clinical) team, standardizing how the team operates, and setting the roadmap for the function's expansion.

This is a builder role. The Clinical Operations Manager will define how clinical operations run day to day, create the systems and SOPs that make outcomes consistent and audit-ready, and represent the function as a peer to Compliance, Legal, and CX leadership.

Here’s What You’ll Do:

Clinical Operations Leadership

• Own end-to-end clinical review of medical certifications submitted in support of leave requests, applying sound clinical judgment to sufficiency and consistency questions.

• Oversee day-to-day clinical operations, including intermittent leave analysis and extension evaluations.

• Manage the medical certification team, including hiring, coaching, and performance management.

• Serve as the clinical escalation point for disputed certifications, working cases through to a defensible resolution.

• Support cross-functional execution across Product, Legal, Compliance, and CX.

• Resolve operational issues and remove bottlenecks that slow clinical review throughput.

Process & Systems Development/Improvement

• Build and improve operational workflows so outcomes are consistent regardless of reviewer.

• Create and update SOPs and documentation-sufficiency standards.

• Manage operational systems and reporting, and maintain documentation trails that keep the function audit-ready.

• Identify trends across certification reviews and translate them into continuous operational improvements across the clinical review workflow.

Compliance & Administration

• Own clinical consistency and compliance oversight for the function.

• Manage licensing and credentialing for the clinical team.

• Support broader compliance initiatives and coordinate insurance and regulatory requirements.

• Partner with Compliance leadership on escalated and legally sensitive cases.

Leadership & Planning

• Meet regularly with department leaders to align on operational priorities and performance.

• Review operational performance and quality-assurance results; run quality calibration for clinical reviewers.

• Set performance standards and design training curricula, including onboarding, for clinical reviewers.

• Plan future operational improvements and own the roadmap for expanding the function.

• Develop and facilitate ongoing education for Leave Specialist team.