Director of Operations
About The Position
Third Space is a virtual outpatient behavioral health practice dedicated to increasing access to mental health care for Medicaid patients. The company has experienced significant growth and is seeking a Director of Operations to scale its operational engine. This role involves managing and improving key functions such as credentialing, payer enrollment, revenue cycle, provider operations, new-state launches, compliance, systems, and vendor management. The Director of Operations will be responsible for both strategic planning and hands-on execution, working closely with the COO and founders to build and automate processes, including leveraging AI agents. The company emphasizes a strong mission-driven culture with values of integrity, ownership, agency, compassion, craft, and a focus on continuous improvement (0-0).
Requirements
- 3+ years of healthcare operations experience
- Meaningful people-management responsibility
- Direct, hands-on experience with credentialing and payer enrollment across multiple states
- Strong familiarity with Medicaid and managed care
- Revenue cycle fluency: ability to read an aging report, diagnose denial patterns, understand collection drivers, and hold a billing partner accountable
- Experience building and improving operational workflows across multiple teams or systems
- Comfortable researching and operationalizing state or payer requirements
- Track record of writing SOPs and building processes people actually use
- Strong spreadsheet and operational-data fluency
- Comfortable becoming a power user of unfamiliar systems quickly
- Experience managing vendors, outsourced teams, or offshore operations
- Experience operating in a startup or similarly ambiguous environment
- Clear, direct written communication
- High attention to detail without losing sight of what matters most
Nice To Haves
- Behavioral health experience
- Experience with multi-state healthcare delivery
- Familiarity with MSO–PC structures and professional entity requirements
- Experience launching healthcare operations in new states
- Experience renegotiating or operationalizing payer agreements
- Experience implementing or migrating an EHR, credentialing system, HRIS, or revenue-cycle workflow
- Evidence of actively using AI and automation to improve effectiveness
Responsibilities
- Own the operational lifecycle for clinician credentialing, enrollment, and readiness to serve patients.
- Continuously improve systems for CAQH, PECOS, state Medicaid enrollment, MCO enrollment, roster management, revalidations, and payer administration.
- Own the operational playbook for launching Third Space into new markets, coordinating payer enrollment, contracting, regulatory requirements, provider readiness, billing configuration, and systems setup.
- Turn learnings from new state launches into a documented, repeatable operating system.
- Own the operational systems supporting the clinical workforce, including onboarding/offboarding, compensation, HRIS administration, issue resolution, provider data integrity, and coordination across departments.
- Help build the capacity model connecting patient demand with provider supply.
- Own the operating relationship between Third Space, billing partners, payers, and internal systems, focusing on revenue cycle management (clean claims, denials, collections, A/R).
- Build the operational infrastructure for compliance and audit readiness, including credential maintenance, exclusion screening, revalidations, attestations, and provider records.
- Build the company's operational knowledge base by creating SOPs, standardizing work, and identifying opportunities for AI agents and automation.
- Manage and develop the team responsible for core back-office operations, setting expectations, metrics, and accountability.
- Own key operational vendors and outsourced partners, including performance, service levels, renewals, and cost.
- Determine which work should be outsourced or offshore, how it should be documented, and how quality should be measured.
- Own a single source of truth for operational health, building a weekly operating cadence and managing the operating budget.
- Continuously improve operational output relative to cost and headcount.
Benefits
- Comprehensive health, dental, and vision insurance
- Unlimited PTO + paid public holidays
- 401(k) with employer match
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
