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Job description
Director of Operations — Independent Medical Review Platform
Our client is a fast-growing, founder-led company on a mission to make independent clinical reviews faster, more accurate, and truly evidence-based. Their platform and network of 1,000+ physician experts help managed-care clients contain costs without compromising patient care.
As Director of Operations, you'll own the engine that turns that mission into daily reality — scaling volume, tightening quality, and protecting every SLA so evidence-based care reaches more patients and payers.
What You'll Own
Deliver 99% on-time completion of utilization, peer, disability, and IRO reviews while growing monthly volume 20% year-over-year
Cut average turnaround from receipt to final determination by 15% within 12 months through workflow redesign and platform optimization
Reduce clinical and administrative error rates below 1% via real-time quality dashboards and targeted physician-panel coaching
Build a scalable staffing model (internal + contractor) that maintains Achieve 95%+ client-satisfaction scores by owning SLA performance, exception handling, and root-cause resolution
Implement two major process or technology improvements per quarter that lower cost per review while preserving evidence-based standards
What You'll Have
Direct reporting line to the founding leadership team
A 15–25 person operations group to lead (review coordinators, quality analysts, vendor managers)
Full access to a proprietary review platform and a 1,000-physician advisory panel
Dedicated budget for process automation and training
Cross-functional partners in Clinical, Client Success, and Product
What You Bring
7+ years directing high-volume healthcare operations — utilization management, IRO, or disability review strongly preferred
Proven track record hitting 99%+ SLA compliance while scaling 20%+ annually
Hands-on experience implementing quality systems that dropped error rates below 1% in a regulated environment
Experience managing mixed internal/contractor workforces and physician-expert panels
A data-driven operator's mindset — comfortable with dashboards, root-cause analysis, and continuous improvement
Why This Role
Direct line to founders and the chance to shape operations at an early-stage, high-growth company
Work alongside 1,000+ board-certified physicians whose expertise is the core of the product
Measurable impact — every hour shaved from review time improves patient access and payer economics
Lean, founder-led culture that values speed, evidence, and quality over bureaucracy
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Worksite address
san antonio, TX, 78208, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.