Head of DME Business Unit

FloodGate Medical•Tampa, FL

11d•Hybrid

About The Position

A profitable, bootstrapped medical technology company is launching an in-house Durable Medical Equipment (DME) supplier operation that will become the company's largest revenue line over the next several years. This is a build-from-near-zero role with a clear revenue target and a real runway. The role involves taking a fragmented operation, turning it into a business unit, and owning the P&L. This is a senior director, GM-style role where you'll own the full business unit, including P&L, payer strategy, revenue cycle, multi-state licensing, compliance, patient intake, and team buildout. You will inherit a Revenue Cycle Management Director on day one and grow the team from there. You will report to the COO and work cross-functionally with growth, operations, clinical, finance, and legal.

Requirements

Has built or helped build a channel, business unit, or company function from scratch or near-zero. Experience setting up first processes, hiring first team members, and building the first SOPs from nothing.
7+ years in strategy consulting, DME or healthcare services operations, or a comparable build-and-scale role.
Direct experience in at least three of the following: revenue cycle management, payer or Medicaid contracting, state DME licensing, P&L ownership, and team leadership.
Strong project management discipline. Ability to scope, sequence, and drive parallel, interdependent workstreams (licensing, payer go-lives, hiring, in-housing) without losing the thread.
Managed 3+ direct reports for 2+ years. Comfortable with structured 1:1s, performance management, and hiring into operations roles.
Comfort with regulatory and compliance detail. Ability to read the rules, implement them, and proactively flag risk.
Resourceful and creative under ambiguity.
Based in Denver or willing to relocate.
In-person collaboration with the leadership team is a meaningful part of this role.

Nice To Haves

Top-tier consulting background is a plus, not a requirement.
Owned a P&L of $3M+ and scaled a business unit from <$1M to $5M+.
Direct DME, HME, or home-based healthcare operating experience.
Familiarity with state DME licensing requirements.
Experience running an EOS-style operating system (L10s, quarterly goals, scorecards) or a comparable system of your own.
Bachelor's degree; MBA a plus, not required.

Responsibilities

Build the operating plan: Diagnose the current state across RCM, state licensing, Medicaid enrollments, payer contracting, and in-flight initiatives. Deliver a written 90-day execution plan with prioritized milestones, KPIs, and resource requirements.
Own the business unit: Take full operational ownership of RCM/billing, state licensing and Medicaid enrollments, payer contracting and credentialing, and growth strategy. Ensure a clean handoff from existing owners with no dropped balls.
Build the operating cadence: Establish a weekly leadership meeting, a department scorecard with leading and lagging indicators (claims submitted, approval rate, AR aging, revenue per state), and the supporting rhythms.
Scale the state footprint: Drive licensing, Medicaid enrollment, and payer go-lives in priority states. Quarterly revenue run-rate should demonstrate a credible path to direct billing across 33% of the U.S. by end of 2028.
Bring fulfillment in-house: Develop and begin executing a transition plan to bring DME fulfillment and direct billing in-house, reducing dependency on outsourced partners. Maintain continuity of service throughout.
Build and lead the team: Own the zero-to-one team build: define the capacity plan, hire and onboard the first 1-2 roles (billing specialist, patient intake coordinator), and develop them into a high-performing unit. Set operating rhythm, performance expectations, and team culture from scratch.
Own compliance: Maintain full compliance with state DME supplier licensing requirements, FDA device classification standards, and payer-specific billing rules across all active states, in accordance with guidance from our Compliance Director.