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Health-Related Industry (e.g., supplier, pharmaceutical or equipment manufacturer)
Other
Salary Range:
$120,001 - 150,000
Work Experience:
General Management / Executive / Administration
Medical Staff Relations / Recruitment
Preferred Education:
4 Year Degree
Additional Information:
Hybrid/Remote is allowed.
1. Twentyeight Health
Twentyeight Health (www.twentyeighthealth.com) is a mission-driven women's health platform that provides telemedicine, medication delivery and care coordination in Spanish and English. Our vision is to address health equity by providing high quality, convenient and affordable women’s health services designed to be inclusive of underserved communities.
Today, we are active in 43 states, and have exciting growth plans. We are rapidly expanding our offerings, and we are backed by some of the best healthcare & consumer investors pioneering digital health including Third Prime, Town Hall Ventures, SteelSky Ventures, RH Capital, Seae Ventures and GingerBread Capital, and more.
You’ll be joining a dynamic, supportive and mission-driven environment. We are a team of doctors, public health experts, designers, engineers and builders across the US committed to changing the face of healthcare, particularly for underserved communities.
At Twentyeight Health, we value a diverse workplace and strongly encourage women, BIPOC, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply. We are committed to fostering a culture of mutual respect, diversity and inclusion for our employees and customers alike and we can’t wait for you to be a part of it.
2. Role
Are you passionate about building scalable systems that empower healthcare providers to deliver exceptional care? We’re looking for a Director of Clinical Operations to join our growing team and lead the charge in operational excellence, licensing compliance, and billing accuracy across a multi-state, virtual care model.
As the Director of Clinical Operations, you'll lead critical functions that ensure our provider network runs smoothly—from day-to-day operational support to licensing, credentialing, and end-to-end revenue cycle management. This role requires a sharp operator who thrives in a fast-paced, high-growth environment and is eager to drive real impact across clinical teams and business performance.
You’ll oversee four core pillars:
Clinical Strategy and Execution: Drive the evolution of our clinical model by owning key performance metrics, identifying growth opportunities, and ensuring our care delivery remains scalable, innovative, and competitive.
Provider Operations: Support a team of 20+ providers with optimal workflows, communication, and performance tracking.
Licensing & Credentialing: Manage state and payer credentialing activities
Billing & Claims: Lead all revenue cycle activities to ensure accurate, timely reimbursement.
The ideal candidate has a proven track record in telehealth clinical operations, team management, and as a health care provider. If you’re excited to build foundational operations that support better care outcomes and drive business performance, we’d love to hear from you.
3. Manager
You will report to the VP of Operations, Rob Scott.
4. Responsibilities
Clinical Strategy and Execution
Own and optimize clinical KPIs across quality, efficiency, and patient experience.
Identify and implement new processes, systems, and best practices to scale care delivery.
Stay ahead of market trends, partnerships, and clinical innovations to inform strategy and maintain a competitive edge.
Provider Operations
Support day-to-day operations for 20+ healthcare providers across multiple states.
Lead monthly provider check-ins and performance reviews to drive best-in-class clinical service and provider satisfaction.
Own provider scheduling, PTO tracking, and operational communications.
Monitor and increase provider staffing with tailored support strategies.
Licensing & Credentialing
Oversee the entire licensing lifecycle: initial applications, renewals, payer enrollments as needed across the business.
Supervise and develop a Licensing Coordinator through weekly 1:1s and daily guidance.
Serve as a point of escalation for complex enrollment or compliance issues.
Ensure timely payer roster submissions and maintain state PC/business registrations..
Billing & Revenue Cycle
Manage all revenue cycle processes from coding and claims to reimbursement.
Maintain accurate chargemasters by payer and state.
Conduct weekly claims audits and address coding discrepancies or denials.
Manage payer communications for disputes and appeals.
Maintain and optimize the billing platform (e.g., Candid).
Support HEDIS coding integration and new service billing models.
Track eligibility and financial documentation for compliance and reconciliation.
5. Requirements
We are looking for exceptional candidates who have:
5+ years in clinical operations, revenue cycle, and/or credentialing
2+ years experience as a healthcare provider
1+ years managing clinical/provider teams, and/or managing operational teams
Strong working knowledge of CPT/ICD-10 coding and payer requirements.
Detail-oriented with strong communication and project management skills.
Comfortable navigating platforms like Slack, Google Workspace, and credentialing tools (CAQH, Candid, etc.).
Proven ability to manage multiple workflows and stakeholders in a fast-moving environment.
Bonus points for…
Experience in virtual care or startup healthcare environments.
Familiarity with value-based care models, HEDIS reporting, and queue-based clinical systems.
6. Attributes we look for
Track record of consistently delivering excellent results in a fast-paced environment
You can operate independently and have enough experience to set and prioritize your own task load to achieve department-level goals
You anticipate potential challenges and get ahead of them, assessing risk to understand when and how issues should be escalated to gain quick resolution
Resourceful, hard working, and eager to roll your sleeves up to execute every detail
Excellent multi-tasking and time-management skills, with the ability to prioritize tasks
Executive-level communication skills that inspire trust and confidence
Embrace learning and feedback
Passion for our mission to advance health equity and supporting women
7. Our cultural values
Our mission is our north star, providing high quality healthcare to underserved women
We treat people with care, including team members, our users, clinician partners, and pharmacy partners
We hold ourselves to high standards
We create an environment where people can show up as their authentic and best selves
We have a growth mindset fueled by curiosity, openness to feedback, and focus on constant improvement
Twentyeight Health (www.twentyeighthealth.com) is a mission-driven women's health platform that provides telemedicine, medication delivery and care coordination in Spanish and English. Our vision is to address health equity by providing high quality, convenient and affordable women’s health services designed to be inclusive of underserved communities.
Today, we are active in 43 states, and have exciting growth plans. We are rapidly expanding our offerings, and we are backed by some of the best healthcare & consumer investors pioneering digital health including Third Prime, Town Hall Ventures, SteelSky Ventures, RH Capital, Seae Ventures and GingerBread Capital, and more.
You’ll be joining a dynamic, supportive and mission-driven environment. We are a team of doctors, public health experts, designers, engineers and builders across the US committed to changing the face of healthcare, particularly for underserved communities.
At Twentyeight Health, we value a diverse workplace and strongly encourage women, BIPOC, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply. We are committed to fostering a culture o...f mutual respect, diversity and inclusion for our employees and customers alike and we can’t wait for you to be a part of it.