Associate, Clinical Operations (Licensing & Capacity)

Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime? Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it. Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost six years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America. The Role We're building a telehealth practice that operates across dozens of states — and this role keeps that engine running smoothly. You'll work across three interconnected areas: making sure clinicians are licensed where they need to be, keeping our clinical systems running, and helping us stay ahead of patient demand. It's a bit like playing Tetris with licenses, schedules, and systems — and genuinely enjoying it. On any given day you might be updating a cross-state licensing matrix, troubleshooting an e-prescribing issue , or flagging a capacity gap before it becomes a problem. If you like variety, improving processes, care about the details, and efficiently document how things work — you'll fit right in! Key Responsibilities 1. State Expansion & Regulatory Continuity Knowledge Mastery : Partner with Clinical Leadership and Licensing/Credentialing team to absorb, document, and execute against state-by-state licensing, DEA, and collaborative agreement rules. Cross-Licensing Matrix: Maintain our state-by-state licensing strategy so clinicians hold the licenses they need to see patients across our full footprint — and flag gaps before they become blockers. Collaborating Physician (CP) Matching: Source and match CPs for NPs/PAs, keeping supervisory ratios and state-specific structures compliant as we scale. Payer Enrollment: Support the handoff from credentialing to payer enrollment so clinicians move from licensed to billable without unnecessary lag. 2. Systems & Technical Troubleshooting First-Line Troubleshooting: Serve as a primary responder for clinical technical issues (e.g., pharmacy integrations, e-prescribing platforms, internal EHR workflows). Work with the Senior Manager to implement permanent workflow improvements. Efficiency Analysis: Spot friction in the "patient-to-prescriber" journey and help test and rollout system fixes that increase daily throughput. Tech Liaison: Troubleshoot errors and translate technical "glitches" into clear instructions for our engineering team to fix. 3. Capacity & Panel Management Clinician Transfers: Coordinate the manual "puzzle pieces" of clinician transfers during routine patient reassignments and clinician transitions. Hiring Support: Maintain visibility across hiring cohorts and license readiness to support smooth onboarding. Capacity Bottleneck Modeling: Help us identify "bottleneck states" where licensing is lagging behind patient demand so we can get ahead of capacity gaps. Qualifications Experience: 1–3 years in Clinical Operations, Healthcare Ops, or a highly regulated coordination role; multi-state or telehealth experience is a plus. Licensing & Compliance: Familiarity with the credentialing lifecycle ; collaborative agreement or payer enrollment experience is a bonus, not a requirement. Technical Proficiency: Comfortable with clinical platforms (Acuity, AthenaOne, or similar EHRs); e-prescribing experience helpful (DoseSpot a plus). Market Launches: Experience tracking project timelines or handling coordination tasks for multi-state expansions is a huge plus. Analytical Mindset: Strong Excel/Sheets skills; an interest in learning data-driven decision-making (SQL is a plus, not a requirement). Documentation Instinct: You naturally write things down, build SOPs, and leave a process cleaner than you found it. Growth Mindset: You're genuinely curious and eager to learn — whether that's a new state's licensing rules, a clinical workflow you've never seen, or a better way to structure a spreadsheet. You like being taught, you ask good questions, and you naturally capture what you learn so the whole team benefits. Our Benefits Include: Competitive medical, vision, and health insurance (many plans are fully covered for the employee!) Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure 10 company holidays Work From Home Stipend 401k Contribution Platform Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others! #LI-Remote Ophelia Compensation Overview We set compensation based on the level and skills required for the role. We value pay transparency and equity, and are committed to fair pay. In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we’re not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone’s negotiation skills. Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually. We’re happy to discuss this approach and our bands if you have questions during the interview process. Compensation Range $60,000 — $65,000 USD Interested in learning more about Ophelia and this role? Apply to work with us!