Director of Integration & Operational Excellence

Scan.com•Atlanta, GA

8d•$150,000 - $175,000

About The Position

Scan.com is hiring a Director of Integration & Operational Excellence to make acquisitions work in practice and build the operating capability to integrate businesses repeatedly as the company grows. Reporting to the Chief Operating Officer and Co-Founder, the role works closely with the CEO, Corporate Development, the CFO, and leaders across Operations, Commercial, Product, Technology, People, and Clinical. The director owns the integrated plan, budget, dependencies, and delivery cadence from operational diligence through Day 1, the first 100 days, and handover to business-as-usual owners. Functional leaders retain decision-making accountability for their areas; the director coordinates overall execution and escalates unresolved trade-offs to the COO. The role begins before upcoming acquisitions close, with time spent learning Scan.com's operations and preparing the company and acquired teams for integration. Success includes retaining customers and referral relationships, maintaining uninterrupted patient service, ensuring reliable billing and collections, and delivering measurable operating improvements. The director leads pre-close integration planning; develops an adaptable integration playbook; prepares Scan.com teams and capacity to receive acquired businesses; coordinates work across functional workstreams; protects customer, employee, and referral relationships during change; and partners with technical and operational owners on systems and process changes. The role also tracks financial results and synergies with Finance, leads targeted operating-performance projects, establishes a practical reporting cadence using automation and AI, and ensures completed improvements are documented, trained, and handed over with clear ownership. The first 90 days focus on learning the business and establishing service and financial baselines; assessing acquisition readiness, constraints, risks, and dependencies; preparing costed Day 1 and 100-day plans with named owners; improving an existing workflow; rehearsing critical processes; and launching an integration reporting cadence and initial implementation workstreams as transactions permit. The role involves travel to Scan.com operations and acquired businesses. Scan.com expects the successful candidate to be AI-native: able to build, ship, automate, or prototype practical work using LLMs, agents, or other AI tools, and to exercise sound judgment about human oversight, particularly in work involving sensitive or patient-related data. The role is assessed through a practical exercise using AI tools.

Requirements

Personally led multiple post-acquisition integrations or substantial integration workstreams with direct accountability for outcomes, and can explain challenges, responses, and financial and operational results.
Experience in a multisite healthcare, diagnostic imaging, healthcare-services, or similarly complex operating business.
Owned a P&L, an operating function, or an integration program with measurable financial responsibility, and can connect staffing, capacity, pricing, service quality, and collections to profitability and cash flow.
Understanding of the revenue cycle, including provider contracts, credentialing, billing workflows, denials, and receivables.
Experience implementing change with technical and operational teams, including systems migrations, process standardization, or service transitions involving testing and reconciliation.
Ability to earn the trust of acquired founders and frontline teams, retain what makes a business successful, and communicate difficult changes clearly and respectfully.
Strong financial and analytical judgment, including the ability to build and challenge unit economics, integration budgets, and business cases; distinguish recurring benefits from one-time effects; and investigate misleading headline metrics.
Ability to lead across functions, establish accountability, resolve competing priorities, escalate decisions early, and hold senior stakeholders to commitments.
Hands-on approach, including willingness to work in centers and alongside operating teams, investigate individual cases, and improve processes that may not be fully documented.
Willingness to travel to Scan.com operations and acquired businesses.
Practical AI capability: has shipped, automated, or prototyped real work using LLMs, agents, or AI tools; can explain a workflow redesigned to automate routine work; and understands where human review is necessary, especially in regulated or patient-data-adjacent work.

Nice To Haves

Experience in a PE-backed platform, founder-owned acquisition, or carve-out.
Imaging-specific experience.
Experience in consulting, transaction services, or strategic finance when combined with direct responsibility for implementation and post-close results.

Responsibilities

Lead operational integration planning before acquisitions close, working with Corporate Development and Finance to test operating assumptions, identify integration costs and working-capital needs, and convert diligence findings into delivery plans.
Develop and maintain an integration playbook covering Day 1 readiness, 100-day plans, workstream ownership, decision rights, budgets, and escalation routes, adapting it to different acquisition types.
Prepare Scan.com to receive acquired businesses by identifying and resolving capacity constraints in scheduling, billing, customer support, technology, and management.
Lead the integration cadence across Finance, Operations, Commercial, People, Product, Technology, and Clinical, coordinating with Legal and Compliance on approvals and sequencing concurrent integrations around available capacity.
Build relationships with acquired founders and teams, identify key employees and customer relationships to retain, and coordinate clear communications and responsibilities.
Partner with technical and operational owners on referral routing, scheduling, imaging systems, reporting, and billing migrations; define testing, reconciliation, cutover criteria, and contingency plans.
Establish financial baselines with Finance and track revenue retention, collections, operating costs, realized synergies, and integration costs.
Lead operating-performance projects involving center and mobile-unit economics, staffing, vendor costs, workflows, and capacity; build business cases, implement changes, and demonstrate results in operating metrics and the P&L.
Maintain a reliable operating cadence and view of owners, milestones, budgets, risks, and decisions; use automation and AI to reduce reporting work and provide concise leadership updates.
Document repeatable processes, train the teams responsible for them, and hand over completed workstreams with clear ownership and success measures.
During the first 90 days, learn Scan.com's operations, review prior integrations and core systems, establish baseline metrics, assess acquisition readiness and risks, create costed integration plans, improve an existing workflow, rehearse critical processes, and begin leading implementation workstreams as transactions permit.