Director of Central Operations
MEDvidi
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Lead
About the role
- As an individual contributor, take direct ownership of early RCM processes while preparing the foundation for scale.
- Hire, onboard, and eventually lead the RCM Manager as the function grows—transitioning this responsibility as the team expands.
- Build the initial components of a comprehensive revenue cycle function from the ground up, including claims submission workflows, payment posting, denial management, and payer follow-up.
- Establish scalable SOPs, accountability structures, and performance standards to support future team growth.
- Partner with Finance and Product to improve RCM tooling, workflow automation, and visibility into reimbursement outcomes—ensuring the team is set up for long-term success.
- Fully own and manage the end-to-end provider credentialing lifecycle, including multi-state licensure, payer enrollment, application submission, verification, and ongoing status tracking.
- Build and maintain a centralized credentialing infrastructure with clear timelines, progress tracking, dashboards, and documentation standards.
- Partner with Medical Operations, Recruiting, and HR to support a streamlined onboarding experience—ensuring providers receive systems access, orientation materials, and readiness checkpoints aligned with operational timelines.
- Continuously optimize credentialing and onboarding workflows to reduce cycle time, improve provider readiness, and support rapid expansion into new states and service lines.
- Identify bottlenecks and implement process improvements that enhance visibility, predictability, and overall throughput across both credentialing and onboarding functions.
- Lead the offshore operations team responsible for administrative support, provider support tasks, and patient coordination.
- Develop clear productivity metrics, QA procedures, and training pathways to ensure consistent service delivery.
- Integrate offshore workflows with RCM, scheduling, credentialing, and provider operations.
- Identify and resolve operational bottlenecks to improve throughput and service quality.
- Collaborate with Medical Operations on KPI reporting, workforce analytics, provider performance visibility, and provider-support efficiency.
- Partner with BizOps on dashboarding, analytics, internal documentation, and cross-functional process standardization.
- Work with HR and Recruiting to support provider hiring, staffing forecasts, onboarding needs, and compliance requirements.
- Ensure accurate and updated documentation within the internal wiki, aligning Central Ops processes with company-wide standards.
- Drive continuous process improvement across credentialing, onboarding, RCM, and offshore support to increase efficiency, accuracy, and throughput.
- Build, document, and optimize SOPs, workflows, and escalation paths to create repeatable, scalable systems across all central operations functions.
- Implement quality checks, performance metrics, and workflow automation to elevate operational reliability and reduce friction between teams.
- Lead initiatives that improve operational readiness for new-state launches, new service lines, and expanding clinical programs—ensuring processes scale smoothly as volume grows.
- Partner cross-functionally to identify bottlenecks, streamline handoffs, and enhance provider-support workflows that enable faster, more predictable execution.
Requirements
- Bachelor’s degree in Business Administration, Healthcare Operations, Management, or related field (Master’s preferred).
- 10+ years of professional operations experience , ideally in multi-state, high-growth, or highly regulated environments; healthcare operations experience strongly preferred.
- Proven experience building and scaling administrative or operational functions in a fast-paced organization.
- Experience with RCM, credentialing, compliance workflows, or clinical operations.
- Demonstrated leadership managing large teams, distributed/offshore teams, or multi-functional operational units.
- Strong analytical background with comfort using dashboards, KPIs, and data-driven decision-making.
- Excellent communication, project management, and cross-functional collaboration skills.
- Experience in telehealth, digital health, or multi-state clinical operations.
- Familiarity with healthcare billing rules, provider licensure frameworks, credentialing workflows, or payer requirements.
- Experience partnering with product/engineering teams to automate workflows.
- Knowledge of Lean/Six Sigma or similar process-improvement methodologies.
- BA in management and or healthcare administration, MBA Preferred.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
RCMcredentialingcompliance workflowshealthcare operationsdata-driven decision-makingLeanSix Sigmaworkflow automationKPI reportingdashboarding
Soft skills
leadershipcommunicationproject managementcross-functional collaborationanalytical skillsproblem-solvingteam managementprocess improvementorganizational skillstraining development
Certifications
Bachelor’s degree in Business AdministrationBachelor’s degree in Healthcare OperationsBachelor’s degree in ManagementMaster’s degree (preferred)MBA (preferred)