Associate Director, Payer and Clinical Operations
Core
Build the operational and compliance foundation for scaling payer operations and clinical services (DME, insurance, lactation consulting) to ensure safe business growth.
Role type
Senior IC Associate Director, Payer and Clinical Operations
Builds
Operational compliance frameworks, payer onboarding processes, and clinical service licensing/credentialing systems
Domain
Healthcare operations, Payer contracting, Clinical services
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Payer operations management, Healthcare licensing and credentialing, Multi-state regulatory compliance, Commercial and Medicaid payer management, Cross-functional partnership, Team leadership
Preferred skills
AI adoption, Process building in ambiguous environments, Matrixed organization navigation
Technologies
AI tools (Claude, ChatGPT)
Responsibilities
Own new payer onboarding and go-live processes, Manage existing payer operations and performance, Oversee clinical service licensing and credentialing, Lead audit and site inspection responses, Implement compliance best practices, Manage and develop two direct reports
Seniority
Senior, hands-on IC with direct line to GM
