Note: The job is a remote job and is open to candidates in USA. Theoria Medical is a healthcare organization seeking an SVP of Operations and Transformation to design, build, and scale a unified Central Operations hub. The role oversees ancillary services, facility partner implementation, provider productivity, value-based care workflows, telemedicine operations, and performance management across the organization.
Responsibilities
- Build Centralized Hubs: Design, staff, and scale a world-class Central Operations function to standardize multi-state provider support, credentialing, and scheduling
- Medical Records Management: Centralize and automate the retrieval, auditing, and processing of medical records to ensure compliance, rapid billing velocity, and continuity of care
- Lab Workflows & Integrations: Build and manage high-throughput pipelines for laboratory ordering and results routing, ensuring critical diagnostic data reaches clinicians instantly
- Referral Management Infrastructure: Architect a centralized, friction-free inbound and outbound referral management engine to maximize patient volume and streamline transitions of care
- Dual-Model Optimization: Design operational frameworks that maximize Fee-For-Service (FFS) volume and capture, while simultaneously building workflows for Value-Based Care risk models
- Vendor & Tool Selection: Evaluate, procure, and implement enterprise-grade workflow automation tools to reduce manual overhead across all centralized departments
- Onboarding Blueprint Strategy: Standardize and execute the operational playbook for launch and integration within new partner facilities (SNFs, ALFs, and senior communities)
- B2B Workflow Integration: Bridge Central Operations with facility-specific workflows and systems (e.g., PointClickCare, MatrixCare) to ensure frictionless clinical coordination
- Joint Governance & Relationship Management: Establish implementation timelines and joint operational steering committees with executive leadership at partner facilities to ensure accountability and deep alignment
- Change Management: Lead on-the-ground training, adoption, and cultural change management initiatives for facility staff to accelerate utilization of Theoria's services
- Maximize Clinical Throughput: Build the tooling and systems required to optimize daily clinician schedules, reduce travel times, and increase active patient-facing hours
- EHR Optimization: Partner with product teams to streamline the proprietary EHR platform (ChartEasy), minimizing charting friction and preventing provider burnout
- Administrative Automation: Build and implement automated routing for administrative tasks, including documentation, lab tracking, and prior authorizations
- Risk Model Tooling: Develop operational tools that embed VBC requirements directly into daily clinical workflows, focusing on preventive intervention and chronic care management
- Hospitalization Prevention: Design real-time tracking systems within Central Operations to quickly flag at-risk patients and lower hospital readmission rates
- Data Integration: Ensure seamless data exchange between Central Operations, remote patient monitoring (RPM) platforms, and facility partners
- Daytime Telemed Management: Manage and optimize the daytime telemedicine team, focusing on maximizing clinician utilization and balancing cross-footprint coverage needs
- LEAD Launch Alignment: Coordinate telemedicine resources to support and stabilize new LEAD facility launches as a secondary operational layer
- Own the Dashboard: Create executive-level productivity scorecards to monitor provider utilization, billing velocity, lab turnaround times, referral conversion rates, and value-based outcomes
- Enforce Accountability: Leverage analytics to identify low-performing workflows and drive swift process interventions across the regional teams
Skills
- 10+ years of operational leadership, explicitly building or scaling a Centralized Operations/MSO hub within a fast-growing healthcare organization
- Proven track record directly managing and scaling high-volume Medical Records (HIM), Lab routing systems, and Referral coordination departments
- Deep, hands-on experience balancing Fee-For-Service operational metrics (billing velocity, coding accuracy) with Value-Based Care workflows (quality tracking, utilization management)
- Proven success leading complex, multi-site operational rollouts with external healthcare enterprise/facility partners
- Proven track record of deploying technologies and tools that measurably increase clinical team capacity and decrease administrative burden
- Deep familiarity with the post-acute care ecosystem, including skilled nursing facilities (SNFs), assisted living, and senior care networks
- Bachelor's degree required
- Advanced financial modeling, risk-assessment frameworks, contract negotiation expertise, and proficiency with healthcare analytics platforms
- Advanced Excel/PowerPoint skills required
- Experience overseeing telemedicine operations or clinical coverage logistics (highly valued but secondary to central MSO operations)
- MBA, MHA, or equivalent advanced degree highly preferred
- Claude co-work experience preferred
Benefits
- Eligible for a performance-based bonus
Company Overview