Back to search
Questpro Linkedin · Posted 2d ago

Director of Operations | IRO |

San Antonio, Texas, United States

Linkedin
Continue to application Add your email once, then Caio opens the original posting.

Indexed description

Director of Operations — Independent Medical Review Platform

Our client is a fast-growing, founder-led company on a mission to make independent clinical reviews faster, more accurate, and truly evidence-based. Their platform and network of 1,000+ physician experts help managed-care clients contain costs without compromising patient care.

As Director of Operations, you'll own the engine that turns that mission into daily reality — scaling volume, tightening quality, and protecting every SLA so evidence-based care reaches more patients and payers.

What You'll Own

  • Deliver 99% on-time completion of utilization, peer, disability, and IRO reviews while growing monthly volume 20% year-over-year
  • Cut average turnaround from receipt to final determination by 15% within 12 months through workflow redesign and platform optimization
  • Reduce clinical and administrative error rates below 1% via real-time quality dashboards and targeted physician-panel coaching
  • Build a scalable staffing model (internal + contractor) that maintains <24-hour peak capacity without overtime spikes exceeding 5%
  • Achieve 95%+ client-satisfaction scores by owning SLA performance, exception handling, and root-cause resolution
  • Implement two major process or technology improvements per quarter that lower cost per review while preserving evidence-based standards

  • What You'll Have

    • Direct reporting line to the founding leadership team
    • A 15–25 person operations group to lead (review coordinators, quality analysts, vendor managers)
    • Full access to a proprietary review platform and a 1,000-physician advisory panel
    • Dedicated budget for process automation and training
    • Cross-functional partners in Clinical, Client Success, and Product

    What You Bring

    • 7+ years directing high-volume healthcare operations — utilization management, IRO, or disability review strongly preferred
    • Proven track record hitting 99%+ SLA compliance while scaling 20%+ annually
    • Hands-on experience implementing quality systems that dropped error rates below 1% in a regulated environment
    • Experience managing mixed internal/contractor workforces and physician-expert panels
    • A data-driven operator's mindset — comfortable with dashboards, root-cause analysis, and continuous improvement

    Why This Role

    • Direct line to founders and the chance to shape operations at an early-stage, high-growth company
    • Work alongside 1,000+ board-certified physicians whose expertise is the core of the product
    • Measurable impact — every hour shaved from review time improves patient access and payer economics
    • Lean, founder-led culture that values speed, evidence, and quality over bureaucracy

    If you're ready to run the operations that make evidence-based care possible at scale, apply now.
    Free. 20 seconds. No password. See every match in this search.

    Create a free Caio profile to unlock more results and save your role and location preferences.

    Unlock free search
    Want help applying to roles like this? Search Caio for free. If repetitive applications get heavy, Managed Job Search adds supervised execution for $99/month.
    View Managed Job Search