Director of Healthcare Operations & Revenue Cycle

Nitra is the AI-native operating platform for independent healthcare practices — combining financial automation, medical procurement, and patient management into a single system. Having grown 740%+ in 2025 to $33M ARR across 700+ clinics and $1B+ in annualized processing volume, we are now scaling aggressively toward 3,000 clinics and $150M ARR in 2026. The Role: Nitra's growth has surfaced a clear gap: we need someone who has lived inside healthcare back offices and can translate that operational depth into product insight, customer success, and go-to-market strategy. This is not a clinical role — it is a role for someone who understands the business of running a practice: where the money flows, where it gets stuck, and what it actually takes to change the way a practice operates financially. You will be the internal subject matter authority on healthcare operations, sitting at the intersection of product, sales, and customer success. You will be the person our AEs call before a complex demo, our product team
calls when designing a new billing workflow, and our customers trust to actually understand their world.

What You Will Own

Revenue Cycle & Billing Intelligence:
• Serve as the internal expert on how independent practices bill, code, and collect — across multiple specialties including primary care, dermatology, orthopaedics, ophthalmology, urology, and medspas
• Define and document which practice segments accept credit cards for vendor payments and why — including working capital cycles, payment terms with distributors, and cash flow constraints by specialty
• Build Nitra's internal knowledge base on prior authorization workflows, eligibility verification processes, and where administrative bottlenecks create the most friction and cost
• Partner with product to ensure our financial automation and bill pay features map precisely to how practices actually process payables — not how software vendors assume they do

Procurement & Vendor Ecosystem:
• Own Nitra's understanding of medical and biopharma purchasing behavior — GPO relationships, distributor dynamics (McKesson, Medline, Henry Schein), and how practices make buy vs. contract decisions
• Identify the highest-value procurement categories by specialty and build the internal logic for how NitraMart should price, bundle, and sequence its product catalogue to maximize adoption
• Advise on vendor onboarding strategy — which suppliers matter most by practice type, where incumbents are vulnerable, and how to position Nitra's procurement agents against existing purchasing workflows
• Surface the nuances around controlled substance purchasing, specialty pharmaceutical procurement, and compliance considerations that generic fintech competitors will miss

Sales & GTM Enablement:
• Build the specialty-specific sales playbooks that allow AEs to have credible, operational conversations — not product demos — with practice managers and physicians
• Create the objection library and competitive positioning for the scenarios where prospects push back: 'we already use a GPO,' 'our billing company handles that,' 'we can't put pharma spend on a card'
• Join strategic sales calls and serve as the operational credibility anchor in deals where the buyer needs to know Nitra understands their world, not just their spend
• Define the ICP more precisely by specialty, size, and operational maturity — helping the sales team qualify faster and close more confidently

Customer Success & Expansion:
• Partner with CS to develop specialty-specific onboarding frameworks that accelerate time-to-activation and increase card adoption as primary payment method
• Identify the leading indicators of practice health on the platform — which behaviors in the first 60 days predict high LTV versus early churn
• Design the expansion motion: once a practice is on the card, what is the sequenced path to procurement, bill pay, and patient payments adoption by specialty type

What We Are Looking For

Non-Negotiable Experience:
• 5+ years inside healthcare practice operations, revenue cycle, or practice management
• Direct experience with prior authorization workflows across at least 3 specialties
• Deep familiarity with medical and biopharma purchasing — GPOs, distributors, formulary management
• Understands working capital dynamics: how practices manage cash, float, and vendor payment timing
• Has navigated the question of credit card acceptance for B2B medical spend — knows why practices do and don't
• Eligibility verification and insurance workflow experience — not conceptually, but operationally
Strongly Preferred:
• Experience spanning multiple specialties — the person who has only worked in one setting will have blind spots
• Background at a practice management software company, RCM vendor, GPO, or medical distributor is a strong signal
• Has sat in the room with physicians, practice managers, and office staff — not just sold to them from the outside
• Comfortable with fintech and payments concepts — you don't need to be an engineer, but you need to understand interchange, working capital facilities, and charge card economics at a conceptual level
• Startup experience or demonstrated comfort operating without playbooks

What This Role Is Not

This is not a clinical role, a billing coder position, or a customer support function. We are not looking for someone to process claims or manage a revenue cycle team. We are looking for someone who has enough operational depth across the healthcare back office to reshape how Nitra builds, sells, and retains — and who can translate that depth into leverage across a fast-moving Series B company.

Why This Role, Why Now

740%+
Revenue growth in 2025

700+
Active clinics on platform

$1B+
Annualized processing volume

3,000+
Target clinics by end of 2026

We are at the inflection point where operational expertise becomes the primary growth driver. The product is proven. The sales motion is established. What scales us from 700 to 3,000 clinics — and from $33M to $150M ARR — is the depth of healthcare understanding embedded in every customer conversation, every product decision, and every expansion motion. That is what this role builds.

Nitra values diversity. We are committed to equal opportunities and creating an inclusive environment for all our employees. We welcome applicants regardless of ethnicity, national origin or ancestry, gender, race, religious beliefs, disability, sex, sexual orientation, age, veteran status, genetic information, citizenship, or any other characteristic protected by law.