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About the Role

Third Space is a virtual outpatient behavioral health practice dedicated to increasing access to care for underserved Medicaid patients. We are seeking a Director of Operations to own and scale the operational engine, including credentialing, payer enrollment, revenue cycle, provider operations, new-state launches, compliance, systems, and vendor management. This role requires a hands-on approach, managing people while also diving into operational details to solve problems and build scalable systems.

Responsibilities

Own the operational lifecycle for clinician credentialing, enrollment, and readiness.
Establish clear turnaround targets and maintain visibility of all applications and payers.
Unblock difficult credentialing cases and improve systems for CAQH, PECOS, state Medicaid enrollment, MCO enrollment, roster management, revalidations, and payer administration.
Own the operational playbook for launching Third Space into new markets, coordinating payer enrollment, contracting, regulatory requirements, provider readiness, billing configuration, and systems setup.
Develop documented and repeatable operating systems for new state launches.
Own operational systems supporting the clinical workforce, including onboarding, offboarding, compensation, HRIS administration, issue resolution, data integrity, and coordination across departments.
Build the capacity model connecting patient demand with provider supply.
Own the operating relationship between Third Space, billing partners, payers, and internal systems.
Monitor aging reports and denial trends to identify revenue cycle issues.
Hold partners to service levels, ensure billing configuration accuracy, and drive improvements in claims, denials, collections, and A/R.
Build operational infrastructure for multi-state healthcare company audit readiness.
Own recurring compliance workflows including credential maintenance, exclusion screening, revalidations, attestations, and provider records.
Create SOPs, establish clear owners and service levels, and identify opportunities for AI agents and automation.
Manage and develop the team responsible for core back-office operations, setting expectations, metrics, and accountability.
Own key operational vendors and outsourced partners, including performance, service levels, renewals, and cost.
Determine work distribution for offshore or outsourced capacity, including documentation, quality measurement, and access controls.
Own a single source of truth for operational health, building a weekly operating cadence.
Manage the operating budget for the function and improve operational output per dollar and team member.

Requirements

3+ years of healthcare operations experience with people-management responsibility.
Direct, hands-on experience with credentialing and payer enrollment across multiple states.
Strong familiarity with Medicaid and managed care.
Revenue cycle fluency, including reading aging reports, diagnosing denial patterns, and understanding collection drivers.
Experience building and improving operational workflows across multiple teams or systems.
Comfortable researching and operationalizing state or payer requirements.
Proven track record of writing SOPs and building usable 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 ambiguous environment.
Clear, direct written communication skills.
High attention to detail without losing sight of priorities.
Behavioral health experience is strongly preferred.
Experience with multi-state healthcare delivery is strongly preferred.
Familiarity with MSO–PC structures and professional entity requirements is strongly preferred.
Experience launching healthcare operations in new states is strongly preferred.
Experience renegotiating or operationalizing payer agreements is strongly preferred.
Experience implementing or migrating an EHR, credentialing system, HRIS, or revenue-cycle workflow is strongly preferred.
Evidence of actively using AI and automation to improve effectiveness is strongly preferred.
Ability to figure things out, build a point of view, take ownership, and improve systems.

Skills

Credentialing
Payer Enrollment
Revenue Cycle Management
Workflow Improvement
SOP Development
Vendor Management
Data Analysis
Systems Thinking
AI and Automation
People Management
Cross-functional Collaboration
Operational Planning
Compliance Management

Location

Remote
Hybrid

Work Type

Hybrid

Experience Level

Director

Salary/Compensations

$160,000–$180,000 annually
10% Performance Incentives

Benefits

Comprehensive health, dental, and vision insurance
Unlimited PTO + paid public holidays
401(k) with employer match
Meaningful equity

About the Company

Third Space is a virtual outpatient behavioral health practice built specifically for Medicaid patients, aiming to bridge the gap in mental health care access.
We have proven demand, serving 17 million lives covered across Medicaid and commercial plans, with 8x revenue growth in 2025.
Our median time to first appointment is 5 days, significantly faster than the industry standard.
We are building what mental health care access in America should have always looked like.
We are backed by investors including the former Chief Medical Officer of the US Medicaid program and founders of successful health tech companies.
Investors include Zeal Capital Partners, Actions Capital, RiverPark Ventures, Evio VC, and Pareto Holdings.