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Salary: USD 175,000 - 215,000 / annual
Medallion is a leading provider operations platform automating licensing, credentialing, payer enrollment, and compliance monitoring for healthcare organizations. The company is ranked #3 on Inc. Magazine's 2024 Fastest-Growing Private Companies in the Pacific Region and #5 on LinkedIn's 2024 Top US Startups, backed by $130M in funding from Sequoia Capital, Google Ventures, Optum Ventures, and others.
You will lead Medallion's Payer Enrollment operations for a large new enterprise customer. This is a "GM seat" for a book of business: you own the client relationship, an on/offshore team, the metrics, and a mandate to make the operation faster, higher quality, and more automated over time.
In the near term, you'll be the dedicated lead for this new client. You'll stand up the team, launch the account, and run it day-to-day against demanding SLA and quality commitments. Once it's running well, your scope grows to a portfolio of enterprise clients.
Key responsibilities include:
**Launch the account:** Lead the operational side of implementation through go-live, standing up the team, workflows, reporting and client cadence with Implementation, Product and Engineering. Build instrumentation from day one to track every file, blockers, and progress against commitments. Get to working depth on payer-specific requirements, revalidation and follow-up quickly.
**Run it:** Own end-to-end delivery against contractual SLAs and SLOs, including submission turnaround, submission quality, deficiency response and revalidation timeliness. Serve as the operational point of contact for client stakeholders, owning overall client health and satisfaction. Lead a dedicated on/offshore team of team leads, enrollment specialists and quality analysts, including the team in India and potentially a BPO partner. Roll up your sleeves on escalated enrollments and partner with the payer relationships team to resolve systemic issues. Build the operating rhythm: capacity plans, shift coverage, daily and weekly performance reviews, coaching and performance management.
**Build leverage:** Find where handoffs break, where work is manual and where rework piles up, then partner with Product and Engineering to automate or remove it. Own the account's economics, including productivity, automation rate and cost to serve. Turn what you learn into playbooks that make the next enterprise launch faster.
**Grow the portfolio:** Once the account is stable, take on additional enterprise clients.
This role reports to the GM of Payer Enrollment / VP of Business Operations.
**Requirements:**
- 5+ years in strategy & operations, BizOps, management consulting, program management or operations leadership, ideally in a high-growth company
- Track record of owning outcomes end to end, such as something you launched, fixed or scaled, with the numbers to show for it
- Strong bias for action; make good calls on incomplete information, move quickly and course-correct without drama
- Structured problem solving and comfort in the data; can own a KPI dashboard, find root cause and build the case for change (SQL a plus)
- Experience leading teams, ideally including offshore, distributed or vendor teams
- Client presence; can run an executive review, flag bad news early and arrive with a plan
- Clear, concise communication up, down and across the organization
**Nice to have:** Payer enrollment, credentialing, RCM or healthcare operations experience; BPO or offshore operations management; launching a large enterprise customer; startup experience.
