Director of Operations

The role

The Director of Operations will take ownership of the operational engine including credentialing, revenue cycle, provider operations, and new-state launches. You will manage people and build systems to scale the company's geographic footprint. The role involves both ongoing functional ownership and scoped research projects.

What you will do

• Lead the offshore scheduling team
• Track request volume, response time, and booking KPIs
• Align intake demand and provider capacity forecasts with recruiting plans
• Own the path from signed agreement to first session including accounts and EHR setup
• Build out the onboarding team as volume grows
• Design a scalable provider support model
• Build relationships with MCOs and manage escalation paths
• Engage in rate negotiations and manage payer relationships
• Manage the P&L to reduce bloat and improve margins
• Research target state licensing, Medicaid enrollment, and regulatory requirements

Required qualifications

• 3+ years of healthcare operations experience, including meaningful people-management responsibility
• Strong familiarity with Medicaid and managed care
• Revenue cycle fluency
• Experience building and improving operational workflows at a fast-growing venture-backed startup
• Comfortable researching and operationalizing state or payer requirements
• Track record of writing SOPs and building processes
• 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

Nice to have

• 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 that you actively use AI and automation to make yourself and your team more effective

Benefits

• Comprehensive health, dental, and vision insurance
• Unlimited PTO
• Paid public holidays
• 401(k) with employer match

About the company

Third Space is a virtual outpatient behavioral health practice built specifically for Medicaid patients. The company is on a mission to bridge the gap in mental health care access for underserved populations.