Director of Central Operations

Medvidi•San Jose, CA

About The Position

The Manager, Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims.

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.

Nice To Haves

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

Responsibilities

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