Operations Manager, Revenue Cycle

Avico Health; New York (NY); Presencial; USD 90 000 - 120 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

Dental insurance

Equity

Resumo da oferta

Avico Health in New York City is seeking an Operations Lead to own the PA team quality and execution. You will hire, train, audit, and coach a distributed team to meet SLAs, accuracy, and timelines, while building scalable SOPs and an audit program.

You'll lead performance reporting for clients and Avico leadership, drive process improvements, and partner with product/engineering to enhance automation, keeping a strong focus on AI-enabled workflows.

Qualificações

• Early-stage startup experience required.
• 2–4 years of people management across hourly and salaried direct reports, with full performance cycle experience.
• Track record of quality audits and meeting SLAs/KPIs.
• Analytical, systems-oriented with measurable improvements in turnaround times and accuracy.
• Experience writing SOPs, protocols, and training materials that are followed.
• Exceptional attention to detail and operational rigor.
• Clear, direct communicator with frontline staff and leadership.
• Experience managing remote or offshore teams across time zones.

Responsabilidades

• Lead the PA specialist team: hire, onboard, schedule, coach, and manage performance.
• Own PA submission quality and set quality bar for all submissions.
• Design and run a recurring quality audit program with root-cause analysis.
• Uphold SLAs by monitoring turnaround times and queue health.
• Report performance and KPIs to clients and Avico leadership.
• Write and maintain the operational playbook to scale workflows.
• Develop PA training curricula and competency checks.
• Identify automation opportunities and collaborate with product/engineering.

Conhecimentos

People management

Quality audits

SLA & KPI tracking

Data reporting

SOPs & training

Attention to detail

Clear communication

Remote/offshore team management

Startup experience

Descrição da oferta de emprego

Avico Health is a New York-based healthcare AI company building an intelligence platform for specialty drugs, connecting providers, pharma, and payors. Our mission is to accelerate patient access to life-changing specialty therapies, a $260 billion market crippled by tedious, disjointed workflows. Our AI automates the journey from diagnosis to treatment, including benefits verification, prior authorization, and patient affordability.

We've touched more than 2 million patient encounters, deliver best-in-class outcomes, and are growing fast. Avico was founded by an MD/MBA and serial founder, together with an AI/ML engineering leader, and is backed by Bling Capital, Perplexity Fund, Correlation Ventures, and others.

About the Role

To ensure speed and accuracy, we pair AI with a trained team of prior authorization specialists, and we're looking for an Operations Lead to own the quality of that human layer. This is first and foremost a people management role: you will lead, train, and audit the team, hold the line on SLAs, report performance, and write the operational playbook. When a submission goes out under Avico's name, you made sure it was complete, accurate, and on time.

You're a builder who loves bringing order to messy, high-volume work and is happiest with your sleeves rolled up alongside the team. You move quickly, lead by example, and know how to get the best out of a large team while building a culture people want to be part of. Ambiguity doesn't slow you down; it's where you do your best work. As an AI-native company, we expect everyone to use AI tools thoughtfully, apply human judgment to their outputs, and keep building their AI fluency.

Location: New York City, in office 5 days a week. This is a firm requirement.

What You'll Do

• Lead the prior authorization (PA) specialist team. Hire, onboard, schedule, coach, and performance-manage a distributed team of PA specialists.
• Own PA submission quality. Set the quality bar for every submission and be accountable when it is missed.
• Run quality audits. Design and run a recurring audit program (sampling, scoring rubrics, error categorization, root cause analysis) and close the loop with targeted coaching.
• Uphold SLAs. Monitor turnaround times, queue health, and escalations against client SLAs, and fix problems before clients notice them.
• Report on performance and KPIs. Build and deliver regular reporting to clients and Avico leadership on volume, turnaround, first-pass approval, denial reasons, and error rates.
• Write the operational playbook. Build the documentation, playbooks, and SOPs that let us scale, covering payor-specific and specialty-specific workflows so work is repeatable and auditable, and keep them current as payor rules change.
• Develop PA specialist training. Build onboarding curricula, refresher modules, and competency checks, and turn audit findings into training updates.
• Improve the product. Use customer feedback and your own observations of the team's workflows to identify automation opportunities and bring them to Avico's product and engineering team.

Required Qualifications

• Early-stage startup experience is a must
• 2 to 4 years of people management experience leading both hourly and salaried direct reports, with hands‑on experience across the full performance management cycle: setting clear expectations, giving regular feedback, and guiding employees through formal improvement plans and hard conversations
• Track record of running quality audits and holding a team to measurable SLAs and KPIs
• Analytical, systems‑oriented thinker who builds clear reports and has measurably improved turnaround times and accuracy
• Experience writing SOPs, protocols, and training materials that others actually follow
• Exceptional attention to detail and operational rigor; you notice the missing field before the payor does
• Clear, direct communicator with both frontline staff and practice leadership
• Experience managing remote or offshore teams across time zones

Bonus Qualifications

• Healthcare revenue cycle experience

How We'll Measure Success

• PA submission accuracy and first-pass approval rates
• SLA attainment on turnaround time across every client
• Quality of SOPs, training, and performance management systems you build
• Client satisfaction and retention

Compensation

$90,000 to $120,000 base salary, plus a performance-based bonus and equity. Benefits including health and dental insurance.