Director, Clinical Operations
Twentyeight Health
1. Twentyeight Health
Twentyeight Health (www.twentyeighthealth.com) is a mission-driven women's health platform that provides telemedicine, medication delivery, and care coordination in Spanish and English. Our vision is to address health equity by providing high-quality, convenient, and affordable women’s health services designed to be inclusive of underserved communities.
Today, we are active in 46 states and have exciting growth plans. We are rapidly expanding our offerings, and we are backed by some of the best healthcare & consumer investors pioneering digital health, including Third Prime, Town Hall Ventures, SteelSky Ventures, Foreground Capital, Seae Ventures, Impact America Fund, and more.
You’ll be joining a dynamic, supportive, and mission-driven environment. We are a team of doctors, public health experts, designers, engineers, and builders across the US committed to changing the face of healthcare, particularly for underserved communities.
At Twentyeight Health, we value a diverse workplace and strongly encourage women, BIPOC, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply. We are committed to fostering a culture of mutual respect, diversity, and inclusion for our employees and customers alike, and we can’t wait for you to be a part of it.
2. Role
Are you a strategic problem-solver who thrives in fast-paced healthcare environments? We're hiring a Director, Clinical Operations to lead and scale our clinical operations infrastructure as we expand access to women's healthcare nationwide. Reporting to the COO and partnering closely with our Medical Director and Clinical Lead (NP), you'll own the operational engine that enables our 20+ provider network to deliver exceptional care across 46+ states.
This is a hands-on leadership role where you'll drive clinical strategy, optimize provider operations, and build the systems and team that support our growth. You'll lead a team including an Associate Manager and Associate who handle day-to-day execution across revenue cycle management (RCM), provider licensing and credentialing, and provider operations. You'll focus on strategic initiatives, complex problem-solving, team development, and ensuring our clinical operations scale efficiently while maintaining compliance and quality.
The ideal candidate brings healthcare operations expertise, strong analytical and project management skills, and the ability to balance strategic thinking with tactical execution. This is a high-impact opportunity for an emerging leader to build operational systems from the ground up, develop a team, and directly shape how millions of women access reproductive healthcare.
3. Manager
You will report to Mara Castro, Chief Operating Officer.
4. Responsibilities
- Clinical Strategy & Performance Management
- Own clinical and operational KPI tracking, identifying performance gaps and implementing data-driven improvements to drive toward profitability goals
- Partner with Medical Director to establish clinical protocols and guidelines that ensure safe, scalable care delivery across 46+ states
- Support state and payer contracting expansion initiatives by ensuring provider hiring, licensing, and credentialing meet requirements for new market launches
- Lead strategic projects that enable clinical team growth, operational efficiency, and revenue optimization
- Provider Network & Operations Management
- Own provider coverage matrix, optimizing for capacity and forecasting staffing needs in partnership with Medical Director
- Oversee provider licensing, credentialing, and regulatory compliance lifecycle across all states, ensuring compliance with state-specific requirements and payer enrollment
- Manage complex provider escalations and operational issues, partnering with Clinical Lead on retention, satisfaction, and performance initiatives
- Oversee medical professional corporations administration and regulatory filings
- Revenue Cycle Management & Payer Relations
- Direct end-to-end RCM operations including claims processing, denial management, appeals, and payment collection to minimize revenue leakage
- Manage payer relationships, contracting, and credentialing strategy to maximize reimbursement and network coverage, including Medicaid programs
- Analyze RCM metrics and implement process improvements to optimize financial performance and billing accuracy
- Ensure compliance with payer requirements and federal/state billing regulations
- Team Leadership & Operational Excellence
- Manage and develop Associate Manager and Associate, establishing clear accountability for RCM, licensing/credentialing, and provider operations workstreams
- Design and implement scalable operational processes, systems, and documentation (SOPs, workflows) to support provider network growth
- Partner with Clinical Lead (NP) and Medical Director to ensure seamless collaboration between clinical leadership and operations teams
- Lead cross-functional projects with Product, Engineering, Marketing, and Customer Operations to drive operational efficiency
5. Requirements
We are looking for exceptional candidates who have:
- 5+ years of healthcare operations experience in a startup or high-growth environment, with at least 1+ year leading the strategy and development of a lean team
- Deep hands-on experience owning or managing provider network operations, including licensing, credentialing, and multi-state regulatory compliance
- Proven track record in revenue cycle management (RCM) including claims processing, denial management, payer appeals, and revenue optimization
- Experience partnering with payers on contracting, credentialing, and enrollment, including Medicaid and commercial insurance programs
- Experience supporting state expansion or payer network expansion initiatives, ensuring provider readiness and regulatory compliance for new market launches
- Strong analytical skills with ability to use data to drive decisions, track KPIs, and measure operational impact
- Experience managing and developing direct reports, building operational teams, and establishing scalable processes
- Excellent communication and cross-functional stakeholder management skills
- Passion for women's health equity and expanding access to reproductive healthcare
- Preferred:
- Experience in telehealth or multi-state virtual care delivery models
- Background in women's health, reproductive health, or primary care settings
- Familiarity with state-specific scope-of-practice regulations and collaborative practice agreements
- Experience building operational functions or teams from the ground up in early-stage companies
- Knowledge of medical professional corporation (PC) administration and regulatory filings
6. Attributes we look for
- Track record of consistently delivering excellent results in a fast-paced environment
- You can operate independently and have enough experience to set and prioritize your own task load to achieve goals
- You anticipate potential challenges and get ahead of them, assessing risk to understand when and how issues should be escalated to gain a quick resolution
- Resourceful, hard-working, and eager to roll up your sleeves to execute every detail
- Excellent multi-tasking and time-management skills
- Executive-level communication skills that inspire trust and confidence in leadership
- Embrace learning and feedback
- Passion for our mission to advance health equity and support women
7. Our cultural values
- Our mission is our north star, providing high-quality healthcare to underserved women
- We treat people with care, including team members, our users, clinician partners, and pharmacy partners
- We hold ourselves to high standards
- We create an environment where people can show up as their authentic and best selves
- We have a growth mindset fueled by curiosity, openness to feedback, and focus on constant improvement
8. Compensation & Benefits
- Attractive compensation package
- Total cash compensation $165k
- Base compensation between $130-150k
- Performance-based cash bonus of up 10%
- Stock options
- Medical, dental, and vision insurance
- Paid 12-week parental leave
- Fertility & family-forming financial assistance
- Generous PTO, paid holidays, sick time, and mental health days
- Access to 401k with matching
- Additional work-from-home support & perks
9. How to apply
Please complete the application form and upload your resume here. Thank you for your interest, and we look forward to reviewing your application!
