Director of Healthcare Operations – Revenue Cycle

Nitra

Director of Healthcare Operations managing financial automation and patient management at Nitra. Focus on improving healthcare practice operations and driving revenue growth.

Posted 5/3/2026full-timeNew York City • New York • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

Serve as the internal expert on how independent practices bill, code, and collect — across multiple specialties including primary care, dermatology, orthopaedics, ophthalmology, urology, and medspas
Define and document which practice segments accept credit cards for vendor payments and why — including working capital cycles, payment terms with distributors, and cash flow constraints by specialty
Build Nitra's internal knowledge base on prior authorization workflows, eligibility verification processes, and where administrative bottlenecks create the most friction and cost
Partner with product to ensure our financial automation and bill pay features map precisely to how practices actually process payables — not how software vendors assume they do
Own Nitra's understanding of medical and biopharma purchasing behavior — GPO relationships, distributor dynamics (McKesson, Medline, Henry Schein), and how practices make buy vs. contract decisions
Identify the highest-value procurement categories by specialty and build the internal logic for how NitraMart should price, bundle, and sequence its product catalogue to maximize adoption
Advise on vendor onboarding strategy — which suppliers matter most by practice type, where incumbents are vulnerable, and how to position Nitra's procurement agents against existing purchasing workflows
Surface the nuances around controlled substance purchasing, specialty pharmaceutical procurement, and compliance considerations that generic fintech competitors will miss
Build the specialty-specific sales playbooks that allow AEs to have credible, operational conversations — not product demos — with practice managers and physicians
Create the objection library and competitive positioning for the scenarios where prospects push back: 'we already use a GPO,' 'our billing company handles that,' 'we can't put pharma spend on a card'
Join strategic sales calls and serve as the operational credibility anchor in deals where the buyer needs to know Nitra understands their world, not just their spend
Define the ICP more precisely by specialty, size, and operational maturity — helping the sales team qualify faster and close more confidently
Partner with CS to develop specialty-specific onboarding frameworks that accelerate time-to-activation and increase card adoption as primary payment method
Identify the leading indicators of practice health on the platform — which behaviors in the first 60 days predict high LTV versus early churn
Design the expansion motion: once a practice is on the card, what is the sequenced path to procurement, bill pay, and patient payments adoption by specialty type

Requirements

What you’ll need

5+ years inside healthcare practice operations, revenue cycle, or practice management
Direct experience with prior authorization workflows across at least 3 specialties
Deep familiarity with medical and biopharma purchasing — GPOs, distributors, formulary management
Understands working capital dynamics: how practices manage cash, float, and vendor payment timing
Has navigated the question of credit card acceptance for B2B medical spend — knows why practices do and don't
Eligibility verification and insurance workflow experience — not conceptually, but operationally
Experience spanning multiple specialties — the person who has only worked in one setting will have blind spots
Background at a practice management software company, RCM vendor, GPO, or medical distributor is a strong signal
Has sat in the room with physicians, practice managers, and office staff — not just sold to them from the outside
Comfortable with fintech and payments concepts — you don't need to be an engineer, but you need to understand interchange, working capital facilities, and charge card economics at a conceptual level
Startup experience or demonstrated comfort operating without playbooks.

Benefits

Comp & perks

Nitra values diversity. We are committed to equal opportunities and creating an inclusive environment for all our employees.

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Hard Skills & Tools

prior authorization workflowseligibility verificationrevenue cycle managementvendor payment timingcredit card acceptanceformulary managementcash flow managementprocurement strategiesbilling processesmedical purchasing behavior

Soft Skills

operational credibilitystrategic partnershipcommunication with stakeholdersproblem-solvingadaptabilitycollaborationanalytical thinkingcustomer service orientationsales enablementonboarding facilitation