Head of Business Operations

Head Of Business Operations

Reklame Health is seeking a Head of Business Operations to drive continuous improvement and enhance efficiency across the company. This individual will be responsible for creating a scalable framework to support and sustain rapid growth. This role oversees the company's operating system.

Key responsibilities include integrating various business functions like growth, provider onboarding, technology, workflows, and reporting into a cohesive and efficient machine. We are looking for a candidate prepared to take ownership of operations with the potential to grow into a senior leadership role. The ideal candidate is an operator who can define business goals, identify bottlenecks, create actionable operating plans, and manage performance.

You will lead a small, expanding team and will be expected to scale the operations organization as the company grows. You will work in close partnership with company leadership, e.g., the Head of Clinical Operations and Finance, to translate strategic direction into robust execution systems and accountability frameworks.

Our culture is mission-driven, fast-moving, and collaborative. What that looks like day to day:

• Mission first. Everything we build serves our purpose of expanding access to high-quality, culturally competent care for people who have historically been left out.

• Builders, operators, not maintainers. We see the gap, build the thing, and own the outcome. People energized by ambiguity thrive here; those who need a fully-defined lane from day one do not.

• Move fast, bring order. We scale fast, but we convert speed into systems. We value people who can move quickly and bring order, not one or the other.

• Collaborate without ego. We figure it out together across Clinical Ops, Finance, and the Chief of Staff. We prize partnership over turf and empire-building.

• Accountable to outcomes. We care about follow-through and visible results, scorecards, owners, and deadlines over activity or polish.

What you'll own:

1. Build operating discipline and cadence around growth. Rapid growth has introduced several operational challenges. You will be responsible for translating our growth goals into a scalable execution system, removing key-man risk, and making our expansion efforts more systematic. You will own key questions, such as:

   • How many providers do we need by month, and how many must be credentialed?

   • Which payers are bottlenecking growth, and which markets are ready versus messy

   • What operational capacity do we need as revenue grows

   • What is the weekly operating rhythm that makes sure nothing drifts?

   • Do we have the right systems to support the next stage of growth?

2. Own credentialing, contracting, and payer operations as a business function. At Reklame, we see credentialing and payer setup as core revenue infrastructure. When a provider isn't credentialed, or a payer issue goes unresolved, it directly impacts our bottom line. In this role, you will be instrumental in building and managing the systems that drive velocity and efficiency in our payer and credentialing operations. You will develop a command center to oversee

   • Provider credentialing status, group IDs, and payer-specific requirements.

   • Enrollment timelines, contracting gaps, and state-by-state market readiness

   • Payer mix, reimbursement rates, and margin implications.

   • Denial patterns and root causes related to setup issues.

   You will have the autonomy to work cross-functionally with Finance, RCM, legal, vendors, payer representatives, and clinical operations to build and manage these critical systems, ensuring seamless and rapid revenue cycle management.

3. Create the KPI dashboard and management cadence. You will build and maintain dashboards that track key metrics, including providers hired, credentialed, and in the pipeline. Your dashboards will also monitor the number of revenue cycle claims submitted and the speed of our operational cadence. The goal is to make it easy to know whether we are on track, identify any operational leaks, and determine what needs cross-collaboration or escalation.

4. Drive talent operations across clinical and non-clinical roles. Talent is our most important growth lever, and you will own the operating system behind it, working through your People Operations Associate, Clinical Recruitment, and in close partnership with Clinical Operations and hiring managers. You make hiring predictable, measurable, and fast across both clinical and non-clinical roles:

5. Turn special projects into scalable programs. Reklame has numerous growth opportunities. You will be responsible for transforming these ideas into operational models. This involves defining the business case, workflow, staffing needs, and financial models. We need a leader who can assess each initiative's readiness and determine the necessary steps for a successful launch. Your judgment in making these critical "go/no-go" decisions is essential.

Your first 90 days:

• Days 1–30: Diagnose and stabilize Map the current operating rhythm; the credentialing/contracting and provider onboarding workflows; KPI gaps; tech stack pain points; vendor ownership; payer/RCM bottlenecks; cross-functional meeting structure; and the biggest revenue-leakage points.

• Deliverable: Business Operations Diagnostic + 90-Day Operating Plan.

• Days 31–60: Build the operating system Stand up the weekly business ops meeting; the credentialing/payer tracker; the provider ramp dashboard; the cross-functional KPI dashboard; the strategic project tracker; an escalation system; and a clear owner/deadline/accountability cadence.

• Deliverable: Weekly Business Operations Scorecard.

• Days 61–90: Drive measurable improvements By day 90, we expect clear, measurable movement on the wins that matter most:

  • A live weekly operating scorecard is adopted as the company's single source of truth.

  • A measurable drop in the number of operational items requiring CEO escalation to move forward.

  • Faster provider onboarding and credentialing-to-billing readiness, tracked by payer.

  • A healthier provider funnel means more psychiatric NPs are being sourced, in process, and progressing to ready-to-bill.

  • Cleaner payer visibility and fewer unresolved cross-functional blockers across BD, Finance, Clinical Ops, and RCM.

• Deliverable: 90-Day Results Review + Next-Quarter Operating Plan.

Who you are:

• You've likely been an operator at a scaling healthcare company. Ideally, behavioral health, digital health, value-based care, or tech-enabled provider services. You have 10–12 years of experience and have repeatedly solved problems at earlier-stage startups: building functions, systems, and operating rhythms from scratch and/or inheriting them.

• Strong fits may come from scaling specialty or behavioral health companies, post-series A tech-enabled provider services, or similar digital health startups. A consulting background can help, but only when paired with real operating experience afterward. We don't want someone who can only make decks; we want someone who can make the deck, build the tracker, run the meeting, lead a team, fix the workflow, and report back with what changed.

Required:

• Bachelor's degree required.

• Has 10–12 years of operational experience, with a proven track record of building functions and systems from the ground up in early-stage, post-Series A startups.

• Direct experience in digital / tech-enabled healthcare, specifically in care delivery, not adjacent SaaS

• Exposure to credentialing, RCM, and payer operations fluency: enrollment, contracting, group IDs, payer requirements, and how setup issues lead to revenue and margin loss.

• Proven ownership of KPI dashboards and an operating cadence; you have built the single source of truth and run the meetings off it.

• Track record leading and developing small cross