Director of Operations

About Third Space28 million Americans with Medicaid need mental health care. Only a fraction can reliably access it.Third Space is a virtual outpatient behavioral health practice built specifically to expand access for Medicaid patients. We provide high-quality therapy and psychiatry, often within days rather than months, and are building the infrastructure required to serve patients across states, payers, providers, and clinical services at scale.We’ve already reached meaningful scale:17 million lives covered across Medicaid and commercial plans8x revenue growth in 20255-day median time to first appointment81% of Medicaid patients return for a second appointmentNow we’re building the operational capability to support the next phase of growth without sacrificing quality, access, provider experience, or operating efficiency. About the RoleWe’re hiring a Director of Operations to own the operational engine behind Third Space.You’ll work across credentialing and payer enrollment, revenue cycle, provider operations, state launches, compliance, systems, vendors, workforce planning, and the teams that keep these functions moving.This is a highly hands-on role. You’ll manage people, but you’ll also get into the details yourself: diagnosing why an enrollment is stuck, reviewing denial trends, fixing a broken workflow, writing an SOP, or redesigning a process so the same problem doesn’t happen twice.You’ll move fluidly between:Operating: solving the problem in front of youManaging: creating accountability across teams and external partnersBuilding: turning repeated work into scalable systemsPlanning: identifying operational constraints before they become company constraintsYou won’t be handed a finished playbook. You’ll help write it.This is a hybrid role reporting directly to our COO. Some travel may be required (~10%). What You’ll Own Credentialing & Payer OperationsOwn the systems that get clinicians credentialed, enrolled, and ready to serve patients. Build reliable processes across CAQH, PECOS, state Medicaid enrollment, MCO enrollment, roster management, revalidations, and payer administration.The goal is not simply to process applications. It’s to make credentialing predictable enough that the rest of the company can plan around it. Revenue CycleOwn the operating relationship between Third Space, billing partners, payers, and internal systems.You should be comfortable reviewing aging reports and denial trends, identifying where revenue is getting stuck, holding partners accountable to service levels, and improving clean claims, denials, collections, and A/R. Provider Operations & Workforce PlanningOwn the operational infrastructure supporting our clinical workforce, including onboarding and offboarding, compensation operations, provider data, HRIS administration, issue resolution, and coordination across recruiting, credentialing, billing, and clinical leadership.You’ll also help forecast clinical capacity and ensure provider supply keeps pace with patient demand. New-State LaunchesOwn the operational playbook for launching Third Space into new markets.Coordinate payer readiness, provider readiness, billing configuration, systems, compliance, and other launch dependencies. Every state we launch should make the next one faster. Compliance & Operational ReadinessTurn regulatory and payer requirements into repeatable workflows, controls, deadlines, and documentation that keep a multi-state healthcare company audit-ready. Systems, SOPs & AutomationRepeated work should become documented work. Documented work should become standardized work. Standardized work should become automated wherever it makes sense.You’ll build SOPs, operating dashboards, workflows, service levels, and automation—and help determine where AI agents can improve the way Third Space operates. Team, Vendors & Operating LeverageManage and develop the people behind core back-office operations. Set expectations, establish metrics, review work quality, and create accountability.You’ll also own key vendors and outsourced partners and continuously make decisions about what should be handled by employees, offshore teams, software, vendors, or automation. What We’re Looking For Required:3+ years of healthcare operations experience with meaningful people-management responsibilityHands-on experience with credentialing and payer enrollment across multiple statesStrong familiarity with Medicaid and managed careRevenue cycle fluency, including aging, denials, collections, and billing-partner managementExperience building and improving operational workflows across multiple teams or systemsAbility to research and operationalize state and payer requirementsStrong spreadsheet and operational-data fluencyTrack record of building SOPs and processes people actually useExperience managing vendors, outsourced teams, or offshore operationsStartup or similarly ambiguous operating experienceClear, direct communicationHigh attention to detail without losing sight of what matters most Strongly preferred:Behavioral health experienceMulti-state care delivery experienceExperience launching healthcare operations in new statesFamiliarity with MSO-PC structures and professional entity requirementsExperience operationalizing payer agreementsExperience implementing or migrating an EHR, credentialing system, HRIS, or RCM workflowEvidence that you actively use AI and automation to make yourself and your team more effective You do not need to have encountered every problem we will face. You do need to be the kind of person who figures things out, develops a point of view, takes ownership of the outcome, and leaves the system better than they found it. How We WorkOur values shape how we operate:Integrity. Optimize for what’s true, not what looks good.Ownership. Own outcomes, not just tasks.Agency. Investigate before escalating and bring recommendations, not just problems.Compassion. Every operational decision ultimately affects a patient or clinician.Craft. Details matter. Clean handoffs, accurate data, thoughtful SOPs, and well-designed systems are part of excellent work.0–0. Success doesn’t make us complacent and setbacks don’t make us spiral. We stay focused on the problem in front of us. What Success Looks LikeYou’ll be measured on outcomes including:Credentialing turnaround time and backlogPayer enrollment readiness ahead of market launchesClean claim rate, denial rate, collections, and days in A/RAccuracy and timeliness of provider compensationCompliance deadlines and audit readinessNew-state launch readinessSOP coverage and process adherenceVendor performance and cost efficiencyOperating leverage: growing clinical volume and complexity without proportional growth in operations headcount or spend Compensation & BenefitsBase salary: $160,000–$180,000, based on experiencePerformance incentive: 10% of base tied to defined operational outcomesEquity: Meaningful equity with standard vesting Benefits include:Comprehensive health, dental, and vision insuranceUnlimited PTO + paid public holidays401(k) with employer match If you want to help define what an AI-native, multi-state care delivery company looks like, and build infrastructure that helps millions of Medicaid patients access behavioral healthcare, we want to hear from you.