Director of Service Delivery
Givers, New York, NY, United States
Location:
New York, NY (hybrid, 4 days/week in office)
Reports to:
VP, Operations
Compensation : Starting at $140K+, + meaningful equity
About Givers At Givers, we believe in a future where family members can sustainably care for one another.
Across the United States, millions of people provide care for loved ones, often without training, support, or financial stability. Through Medicaid programs, Givers enrolls, supports, and pays family caregivers while building the tools, coaching, and systems that make care sustainable.
Our work focuses on strengthening caregiver capability and reducing burden over time through proactive support, consistent coaching, and thoughtfully designed care systems.
Position Overview Givers operates from a simple principle:
the quality & excellence of our care delivery must scale alongside our growth.
Today our service organization includes a growing team of care coaches and nurses supporting caregivers across multiple states. Each state has different regulatory environments, staffing constraints, and operational requirements.
The
Director of Service Delivery
owns how the Givers care model is executed across markets, ensuring caregivers receive consistent, high-quality support while our frontline teams operate with clarity, stability, and sustainable workloads.
You will lead the day-to-day service operation while helping shape how the Givers care model evolves as we scale across new markets. This role is ideal for a leader who believes that
great care delivery is both a people discipline and a systems discipline.
You will partner closely with the VP of Operations as well as peers in Strategic Operations, Product, and Administration to ensure that growth strengthens, rather than erodes, the quality of our care model.
This is a
player-coach leadership role . You will set standards, develop leaders, and build systems while staying close enough to the work to understand what caregivers and frontline teams are actually experiencing.
Responsibilities Lead day-to-day service operations
Ensure stable and predictable service delivery across all markets; managing both
centralized coaching operations and market-specific field nursing operations
Define & maintain clear guardrails for caseload size, service cadence, and documentation standards
Monitor escalations, service gaps, and operational signals
Anticipate operational risks, capacity constraints, and quality drift before they surface, and intervene early with clear plans for resolution.
Reinforce coaching and clinical quality
Define what strong coaching and clinical interactions look like
Maintain documentation standards and quality review processes
Implement regular quality scorecards and feedback loops
Ensure caregivers receive consistent, high-quality support
Manage compliance and audit readiness
Ensure documentation and required touchpoints are completed accurately and on time
Maintain operational readiness for audits and regulatory reviews
Translate regulatory requirements into clear frontline expectations
Lead and develop the service team
Manage and scale a high-performing team of coaches and nurses
Establish strong performance management and coaching frameworks
Ensure healthy utilization and sustainable workloads
Identify and develop future leaders within the team
Improve the care model over time
Monitor caregiver outcomes including burden, satisfaction, and engagement
Identify patterns that suggest improvements to the care model
Partner with Strategic Operations and Product to refine workflows and systems
Ensure new processes and capabilities are adopted effectively
Partner cross-functionally
Collaborate with Strategic Operations on operational design and instrumentation
Provide frontline insight to Product and Engineering teams
Partner with Compliance and Billing on regulatory workflows
Represent service delivery in company-wide operational decisions
Translate care model principles and company priorities into clear operational expectations, workflows, and performance standards across markets.
Requirements We’re looking for a leader who can combine
clinical credibility, operational rigor, and strong people leadership.
Credentials
Licensed RN, LCSW, or equivalent clinical background strongly preferred
Experience
8+ years leading
tech-enabled
service delivery or clinical operations
Experience working with family caregivers, aging populations, or home-based care programs (i.e., dementia care, PACE, caregiver support organizations) strongly preferred
Background in Medicaid, home-based care, value-based care, or caregiver support programs
Experience managing teams in
regulated healthcare environments
Experience scaling teams or services across
multiple markets or regions
Leadership
Experience managing and developing teams of
20+ frontline staff
Ability to balance
accountability with strong team culture
Experience installing operational rhythms such as quality reviews, utilization management, and performance coaching
Operational capabilities
Strong understanding of
documentation standards, compliance workflows, and audit risk
Experience managing
caseload models and staffing ratios
Ability to distinguish between
performance issues, capacity issues, and system design issues
Mindset
Deep commitment to caregiver outcomes and staff experience
Comfortable operating in
growing, evolving organizations
Able to build structure while maintaining speed and flexibility
Willing to challenge assumptions and advocate for what caregivers and frontline teams actually need
Givers Values
Impact Over Flash:
We chase outcomes, not shiny objects. We focus on what truly moves the needle for caregivers and families, not what looks impressive from the outside. Substance beats spectacle, every time.
Family-Grade Pride:
We take pride in our work as if our own loved ones were the ones counting on it. We operate with care, integrity, and accountability.
Play the Long Game:
We build and operate for the future. We invest in strong fundamentals, solve problems to their core, make decisions that compound, and think in decades, not quarters. Sustainability beats shortcuts.
Entrepreneurship, Every Day:
We are owners. We embrace ambiguity by working from first principles and focus on speed to learnings through small bets, tight loops, quick iteration, and consistent calibration.
Win Together:
We always look for win-wins. We put mission above ego, collaborate intensely, and find common ground. We celebrate each other and never let the joy of this journey get lost behind the pursuit of a destination.
Equal Opportunity Statement Givers is an equal opportunity employer. We believe that diverse perspectives make us stronger and help us better serve caregivers and families across the country. We are committed to building an inclusive workplace and welcome applicants of all backgrounds, experiences, and identities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.
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New York, NY (hybrid, 4 days/week in office)
Reports to:
VP, Operations
Compensation : Starting at $140K+, + meaningful equity
About Givers At Givers, we believe in a future where family members can sustainably care for one another.
Across the United States, millions of people provide care for loved ones, often without training, support, or financial stability. Through Medicaid programs, Givers enrolls, supports, and pays family caregivers while building the tools, coaching, and systems that make care sustainable.
Our work focuses on strengthening caregiver capability and reducing burden over time through proactive support, consistent coaching, and thoughtfully designed care systems.
Position Overview Givers operates from a simple principle:
the quality & excellence of our care delivery must scale alongside our growth.
Today our service organization includes a growing team of care coaches and nurses supporting caregivers across multiple states. Each state has different regulatory environments, staffing constraints, and operational requirements.
The
Director of Service Delivery
owns how the Givers care model is executed across markets, ensuring caregivers receive consistent, high-quality support while our frontline teams operate with clarity, stability, and sustainable workloads.
You will lead the day-to-day service operation while helping shape how the Givers care model evolves as we scale across new markets. This role is ideal for a leader who believes that
great care delivery is both a people discipline and a systems discipline.
You will partner closely with the VP of Operations as well as peers in Strategic Operations, Product, and Administration to ensure that growth strengthens, rather than erodes, the quality of our care model.
This is a
player-coach leadership role . You will set standards, develop leaders, and build systems while staying close enough to the work to understand what caregivers and frontline teams are actually experiencing.
Responsibilities Lead day-to-day service operations
Ensure stable and predictable service delivery across all markets; managing both
centralized coaching operations and market-specific field nursing operations
Define & maintain clear guardrails for caseload size, service cadence, and documentation standards
Monitor escalations, service gaps, and operational signals
Anticipate operational risks, capacity constraints, and quality drift before they surface, and intervene early with clear plans for resolution.
Reinforce coaching and clinical quality
Define what strong coaching and clinical interactions look like
Maintain documentation standards and quality review processes
Implement regular quality scorecards and feedback loops
Ensure caregivers receive consistent, high-quality support
Manage compliance and audit readiness
Ensure documentation and required touchpoints are completed accurately and on time
Maintain operational readiness for audits and regulatory reviews
Translate regulatory requirements into clear frontline expectations
Lead and develop the service team
Manage and scale a high-performing team of coaches and nurses
Establish strong performance management and coaching frameworks
Ensure healthy utilization and sustainable workloads
Identify and develop future leaders within the team
Improve the care model over time
Monitor caregiver outcomes including burden, satisfaction, and engagement
Identify patterns that suggest improvements to the care model
Partner with Strategic Operations and Product to refine workflows and systems
Ensure new processes and capabilities are adopted effectively
Partner cross-functionally
Collaborate with Strategic Operations on operational design and instrumentation
Provide frontline insight to Product and Engineering teams
Partner with Compliance and Billing on regulatory workflows
Represent service delivery in company-wide operational decisions
Translate care model principles and company priorities into clear operational expectations, workflows, and performance standards across markets.
Requirements We’re looking for a leader who can combine
clinical credibility, operational rigor, and strong people leadership.
Credentials
Licensed RN, LCSW, or equivalent clinical background strongly preferred
Experience
8+ years leading
tech-enabled
service delivery or clinical operations
Experience working with family caregivers, aging populations, or home-based care programs (i.e., dementia care, PACE, caregiver support organizations) strongly preferred
Background in Medicaid, home-based care, value-based care, or caregiver support programs
Experience managing teams in
regulated healthcare environments
Experience scaling teams or services across
multiple markets or regions
Leadership
Experience managing and developing teams of
20+ frontline staff
Ability to balance
accountability with strong team culture
Experience installing operational rhythms such as quality reviews, utilization management, and performance coaching
Operational capabilities
Strong understanding of
documentation standards, compliance workflows, and audit risk
Experience managing
caseload models and staffing ratios
Ability to distinguish between
performance issues, capacity issues, and system design issues
Mindset
Deep commitment to caregiver outcomes and staff experience
Comfortable operating in
growing, evolving organizations
Able to build structure while maintaining speed and flexibility
Willing to challenge assumptions and advocate for what caregivers and frontline teams actually need
Givers Values
Impact Over Flash:
We chase outcomes, not shiny objects. We focus on what truly moves the needle for caregivers and families, not what looks impressive from the outside. Substance beats spectacle, every time.
Family-Grade Pride:
We take pride in our work as if our own loved ones were the ones counting on it. We operate with care, integrity, and accountability.
Play the Long Game:
We build and operate for the future. We invest in strong fundamentals, solve problems to their core, make decisions that compound, and think in decades, not quarters. Sustainability beats shortcuts.
Entrepreneurship, Every Day:
We are owners. We embrace ambiguity by working from first principles and focus on speed to learnings through small bets, tight loops, quick iteration, and consistent calibration.
Win Together:
We always look for win-wins. We put mission above ego, collaborate intensely, and find common ground. We celebrate each other and never let the joy of this journey get lost behind the pursuit of a destination.
Equal Opportunity Statement Givers is an equal opportunity employer. We believe that diverse perspectives make us stronger and help us better serve caregivers and families across the country. We are committed to building an inclusive workplace and welcome applicants of all backgrounds, experiences, and identities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.
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