Remote COO Jobs
Remote COO jobs are open across the U.S. in sectors like technology, healthcare, and fintech, at remote-first startups and distributed scale-ups that need operational leadership without a physical headquarters. Employers hiring remotely right now include Evolve Therapy Services, World Business Lenders, and Otsuka. Scan the live roles below and apply to whichever ones fit.
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Director of Clinical Operations - Population Health RN
Vigilance Health
Remote | Full-Time
You've Done This Work Before. Now Do It At Scale.
You know what it takes to build, mobilize, and lead a remote care management team to excellence. You know what it takes to reach important industry metrics and compliance measures. You understand how to successfully engage and activate patients and how to coach your team of care managers to move the needle on patient health outcomes. You model and create a culture of mutual respect and collaboration. You've sat in rooms with FQHCs, IPAs, and payers and have spoken their language fluently.
Now imagine doing that with the full backing of an organization whose entire mission is built around the delivery of quality population care management — and where your work directly shapes the clinical programs that serve thousands of patients across diverse communities. That's what we're offering and you are who we’re looking for.
Who We Are
Vigilance Health partners with FQHCs, ACOs, IPAs, and payers to deliver Population Health and Care Management services that effect real change in people’s lives. We provide Chronic Care Management (CCM), Advanced Primary Care Management (APCM), Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI) programs — and we measure success the way our partners do: quality metrics, patient engagement, and improved health outcomes that show up in data.
Our purpose is simple, and we mean it: Change People's Lives — no matter their circumstances.
The Role
As our Clinical Operations Leader, you'll be the clinical engine behind our care management programs. This is a leadership role with real ownership — you'll build and coach the care management team, design and refine the clinical workflows they follow, and hold the clinical bar high across every service line we run.
You'll be working closely with our partners, most of whom are laser-focused on ACO quality measures and patient engagement. When they ask why HEDIS rates are moving or why patients aren't scheduling follow-ups, you'll be the one with answers — and a plan.
This role is remote, and you'll be leading a remote team, so your ability to build culture, accountability, and clinical consistency across distance is critical.
What You'll Own
Team Leadership
You'll recruit, onboard, coach, and develop a team of care managers. You set the standard for what great care management looks like and hold the team to it — with support, not just expectations.
Clinical Workflow Design
You'll build and continuously improve the clinical workflows that drive better outcomes. That means protocols that are practical, documented, and actually followed — not binders that collect dust.
ACO Quality & Patient Engagement Performance
Our partners live and die by their quality metrics. You'll monitor performance across ACO quality measures, identify where the gaps are, and lead the interventions that close them. Patient engagement is core to everything — including call answer rates, appointment scheduling rates, and no-show reduction. You'll understand why those numbers look the way they do and know what levers to pull.
Partner Collaboration
You'll be a trusted clinical voice for our partner sites — joining meetings, co-managing escalations, and making sure the clinical work we do is tightly aligned with what partners need to succeed with their payers and regulatory bodies.
Clinical Oversight Across Programs
Chronic Care Management, APCM, BHI, RPM — you'll ensure clinical standards, regulatory alignment, and documentation quality.
What Good Looks Like in 12 Months
-
Your care managers are hitting productivity targets and delivering high-quality, personalized care.
- ACO quality measure performance is trending up across partner panels.
Patient engagement rates — calls answered, appointments kept, reduction in no-
shows — are measurably improving.
- Clinical workflows are standardized, followed, and audit-ready.
- Partners view you as an extension of their clinical leadership team.
Leadership has clear, real-time visibility into performance, risk analysis, population analysis, and opportunity.
What You Bring
Experience That Matters Most
- Active RN license (BSN required; MSN a plus)
Experience working in or directly with FQHCs, ACOs, IPAs, or payers- Extensive familiarity with ACO quality measures (HEDIS, UDS, or equivalent)
Prior leadership of a remote care management program — you've managed remote
clinical staff and know how to build teamwork and accountability at a distance
5+ years of clinical experience, with meaningful time in population health or care
management
Nice to Have
- CCM, CPHQ, or population health certification
- Behavioral Health Integration (BHI) experience
- Experience launching or scaling new care management service lines
The Kind of Person Who Thrives Here
You're a self-starter and solution-focused. You can zoom out and think large-scale strategy and zoom in to, for example, coach a care manager on a specific patient interaction. You communicate clearly with clinical teams, operations leads, and external partners without losing anything in translation. When the data doesn't look right, you dig in.
Why Vigilance Health
-
Direct impact — your work shapes outcomes for real patients in real communities
- Leadership with latitude — we give you room to build programs the right way
- Mission-aligned partners — we work with organizations that care as much as we do
- Growth-oriented— we are scaling and adding partners who are driven by progress and excellence
- A team that has your back — we are collaborative and invested in each other's success
If you've been looking for a role where your population health expertise drives the clinical direction of a clinical team and an organization — this is it. We look forward to hearing from you.
Apply today. Let's change lives together.
Vigilance Health is an equal opportunity employer committed to building a diverse, inclusive team.
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Who's Hiring



Top Industries Hiring
- Technology & Software
- Education
- Sports & Recreation
- Healthcare & Medical Services
- Investment & Asset Management
What Employers Look For
The qualifications that appear most often in remote COO jobs.
- 10 or more years of progressive operational leadership experience
- Demonstrated P&L ownership across a full business unit or company
- Experience scaling teams and building cross-functional processes
- Strong financial acumen including budgeting, forecasting, and reporting
- Proven ability to translate strategy into executable operational plans
- Bachelor's degree required, MBA or equivalent advanced degree preferred
Tips for Your Remote COO Job Search
Apply early to remote roles that fit
Migrate Mate lists remote coo openings from across the U.S. in one place, so you can find roles that match your background and apply directly. Remote roles at distributed companies often close fast once word spreads internally, so applying early matters.
Show async leadership in your materials
Remote coo candidates win interviews by demonstrating how they have led distributed teams through written communication, documented processes, and structured check-ins. Highlight specific examples in your resume where async leadership drove a measurable operational outcome.
Build a portfolio of remote operational wins
Remote employers want proof you can run operations without physical presence. Document the systems, workflows, and cross-functional processes you have built, including how they performed after you handed them off. Concrete artifacts like frameworks, playbooks, or org design work are more persuasive than job titles.
Target remote-first companies specifically
Companies that were built as remote-first organizations hire coos with a different mindset than companies that converted to remote after the fact. Prioritize firms whose entire operating model assumes distributed teams, because those roles are designed for remote leadership from the start.
Remote COO Jobs: Frequently Asked Questions
How do I get a remote coo job?
Remote coo roles go to candidates who can demonstrate strong async communication, documented operational results, and the ability to lead distributed teams without in-person oversight. Remote-first companies and VC-backed startups do most of the hiring here. What sets candidates apart is a clear record of building systems and processes that kept organizations running without constant hands-on management, along with comfort using async tools to align cross-functional teams.
Which companies hire remote coos?
Companies hiring remote coos right now include Evolve Therapy Services, World Business Lenders, and Otsuka, based on current remote listings on Migrate Mate as of November 2026. Remote coo roles are most common at remote-first technology firms, distributed SaaS companies, and growth-stage startups where operational leadership needs to function across multiple time zones and locations.
Can you get a remote coo job with no experience?
Yes, but remote entry-level coo roles are rare because remote work demands strong self-direction from day one, with no manager nearby to course-correct. Early paths include director-level or VP of Operations roles at small remote-first startups that promote quickly, or fractional coo work where you prove operational impact on a project basis. Showing documented results from leading distributed teams or building processes remotely opens doors faster than titles alone.
Do you need a degree for remote coo jobs?
Not always. Remote employers hiring coos weigh demonstrated operational leadership, the ability to build and run distributed teams, and measurable business outcomes far more heavily than a specific degree. A strong track of scaling operations, managing cross-functional remote teams, and driving efficiency across an organization will carry more weight with most remote-first companies than educational credentials alone.
Which industries hire the most remote coos?
Remote coo roles concentrate in Technology & Software, Education, and Sports & Recreation, based on current remote listings on Migrate Mate as of November 2026. These sectors hire coos remotely because their teams are built across multiple locations from the start, making distributed operational leadership a core business need rather than an exception.
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