Manager, Clinical Stewardship Operations (RN)

Twin Health · Remote, USA · Operations

Posted 2026-10-27

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Opportunity

We are looking for a Registered Nurse and Manager, Clinical Stewardship Operations who is a self-starter energized by working with clients and building strong relationships both externally and internally to drive exceptional outcomes for our clients and members. In this role, you will own the implementation and deployment of Twin's stewardship programs end-to-end, bringing the clinical expertise needed to translate client goals into well-run, clinically sound programs. The ability to problem solve, analyze and troubleshoot, with strong verbal and written communication skills tailored to the situation and audience, will be key.

Working within a complex clinical delivery model in a high-growth environment, our Manager, Clinical Stewardship Operations has to expertly navigate ambiguity while managing internal and external teams in a detail-oriented, organized and structured manner, all while ensuring we deliver on time and exceed client expectations. As part of our small and growing team, you will be the clinical voice within Client Operations & Partnerships, and your input will be critical to helping Twin continuously improve, optimize and scale our stewardship implementations.

You should be a highly organized, client-focused and resourceful clinician. This role will be a great fit if you are a doer who is passionate about making a difference, comfortable with ambiguity, and naturally collaborative.

Responsibilities

Drive Client Value

Establish and maintain highly effective relationships with key stakeholders, executives and clinical leaders across large enterprise clients, including health plans, health systems and PBMs

Serve as the clinical subject matter expert for stewardship within Client Operations & Partnerships, providing clinical context to teammates, clients and internal partners

Develop a fluent understanding of Twin Health programs, stewardship program mechanics, onboarding processes, ongoing program management and clinical operations

Successfully implement stewardship programs end-to-end across a portfolio of Twin clients

Lead discovery sessions to understand each client's clinical priorities, formulary and prescriber landscape, and goals in order to design tailored solutions that work for their populations

Provide consultative recommendations to improve program results, strengthen member and provider engagement, and optimize overall client satisfaction

Oversee the configuration, testing and validation of client-specific program logic to ensure clinical accuracy and proper functionality

Coordinate internal resources and third parties/vendors for flawless execution of projects

Analyze client data pre- and post-launch to provide clinical and operational insights that internal teams and clients can act on

Deliver Project Management Excellence

Manage multiple complex stewardship implementations simultaneously, setting expectations, owning the overall project plan, and managing cross-functional teams to ensure timeliness and launch readiness

Effectively manage client stakeholders throughout implementation, including leading client meetings, building alignment, and managing risks and escalations

Work with client technical leads and third parties to operationalize data access and file management, including finalizing requirements, setting up file transfer and validation, and ongoing issue resolution

Prepare presentations and reports in a consumable client format that delivers clear, usable insights post-launch

Manage project expectations through regular meetings, status reports and strong relationships

Build out standard implementation work plans, templates, playbooks and cross-functional SOPs to drive continuous improvement and best practices for stewardship

Prepare, execute and participate in special events held for or hosted by clients

Lead Cross-functionally

Manage client issues and escalations and mobilize internal teams such as Client Growth, Clinical Delivery, Product, Member Operations and Business Development to drive resolution

Partner with Business Development and Client Growth on stewardship scoping, solutioning and new client opportunities, providing clinical input during the sales process

Work cross-functionally with teams such as Clinical Delivery, Product, Marketing, Engineering, Billing Operations and Executive teams to ensure client and market feedback drives ongoing improvement

Provide input and recommendations for internal process improvements that increase efficiency and effectiveness

Serve as the internal SME and point person to ensure efficiency and consistency across the stewardship implementation lifecycle

Drive internal alignment and manage cross-functional teams to ensure successful launches

Other duties as assigned

Qualifications

Registered Nurse (RN) required; BSN preferred

5+ years of combined clinical and non-clinical experience, including onboarding, program management and client-facing work

Experience in a health plan, PBM, health system, digital health or care management setting

Experience with health benefits, health and wellness, health plans or health systems

Ability to communicate and work across client organizations, engaging on both tactical and strategic issues, with senior executives as well as execution teams

Exceptionally strong project management skills, with demonstrated organization, attention to detail, and the ability to balance thoughtful planning with timely execution

Ability to manage conflicting priorities and thrive in a fast-paced environment under time constraints

Proficiency with Google applications and PM tools such as Monday.com and MS Project

Experience working with technical and data teams (internal and external) on data exchange, file specifications, encryption, transmission and testing

Preferred

Background in medication management, such as pharmacy-related programs, formulary or utilization management, or prescriber engagement

Experience with GLP-1 therapies, including clinical management, access, or program design

Experience with chronic disease or metabolic care

PMP or similar certification

Prior people management experience

This remote opportunity based out of the U.S. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Compensation and Benefits

The compensation range for this position is $150,000 - $165,000 annually.

Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin

A competitive compensation package in line with leading technology companies

A remote and accomplished global team

Opportunity for equity participation

Unlimited vacation with manager approval

16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents

100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options

401k retirement savings plan

Salary range for US jobs

US Salary Range

$150,000—$165,000 USD

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