Director of Operations

Director of Operations 

Location: Nashville, TN 

Reports To: Market President 

Role Summary 

The Director of Operations (DO) is the dedicated operational leader for Peregrine Health's market-based provider team. This role owns provider performance, training and ramp-to-productivity timelines, team development, and retention across a multi-state behavioral health footprint. The DO ensures every provider has the support, tools, and operational infrastructure to deliver excellent care and reach full productivity. Working alongside Market Operations and clinical leadership, the DO drives the operational side of provider success - from first-day onboarding through sustained, full-caseload performance. 

Strategic Importance 

As Peregrine scales, provider success becomes the engine of everything we do. The DO ensures that growth in headcount translates into growth in productive capacity. The DO creates the structure and support system that allows 30+ providers across multiple states to operate as a cohesive, high-performing team. 

Reporting Structure 

This role reports to the Market President and works closely with Market Operations and clinical leadership. The DO partners with recruiting on provider pipeline and onboarding, and coordinates with credentialing and IT to ensure providers have what they need to succeed and start in a timely manner. 

Key Responsibilities 

• Provider Ramp and Onboarding: Own the provider onboarding experience from offer acceptance through full productivity. Define ramp milestones with clear week-by-week expectations. Ensure new providers are onboarded, trained, and schedule-ready by target go-live dates - and that they hit productivity milestones as they ramp. 
• Performance Management: Track provider-level productivity, utilization, show rates, and visits per day. Identify performance gaps early through regular analysis of key metrics. Build and execute improvement plans with specific, measurable targets.
• Provider Utilization and Schedule Density: Own the clinical side of provider utilization: driving patient return rates, panel health, and follow-up scheduling at checkout. Partner with Market Operations, who owns the front door of referral conversion and initial scheduling. 
• Team Development: Build strong team culture and working relationships across a distributed workforce. Facilitate regular check-ins, team meetings, and professional development. Create pod-level peer support structures.
• Retention and Engagement: Proactively identify retention risks and address provider concerns before they escalate. Track engagement signals and create an environment where clinicians want to stay and grow.
• Clinical Pod Leadership: Serve as the operational leader for clinical Pods; ensure providers have peer support, clear escalation paths, and consistent standards.
• Operational Support: Coordinate with Market Operations to resolve provider-facing issues - scheduling, technology, workflow, and patient-access barriers. 
• Standards and Compliance: Ensure all providers operate to Peregrine standards for documentation timeliness, patient engagement, and clinical workflows.
• Cross-Functional Collaboration: Partner with clinical leadership on quality oversight. Work with recruiting on pipeline and hiring needs. Coordinate with credentialing on licensure and compliance. Align with partner organizations on operational expectations.
• Reporting and Visibility: Maintain clear visibility into provider performance and team health through weekly reporting. Surface issues and opportunities to leadership with data-backed recommendations - not just status updates.

Qualifications 

• Healthcare Experience: 5+ years in healthcare operations, practice management, or clinical team leadership. 
• People Leadership: Proven ability to manage, develop, and retain clinical or professional staff across distributed teams. Comfortable with direct performance conversations.
• Provider Relations: Track record of building trust with clinicians. Understands the provider perspective and what drives engagement and performance.
• Operational Rigor: Strong organizational skills with the ability to track performance across a large team of providers and take action on data. Comfortable building and interpreting dashboards and reports.
• Problem-Solving: Proactive and adaptable. Navigates ambiguity and addresses issues before they escalate. Bias toward action over analysis paralysis.
• Communication: Excellent interpersonal skills. Delivers constructive feedback directly and with clarity. Effective at translating operational data into leadership-ready recommendations.
• Technology: Comfortable with EHR systems, productivity dashboards, scheduling platforms, and collaboration tools.
• Education: Bachelor's degree required. Healthcare administration or related field preferred.
• Mission Fit: Passion for expanding access to quality behavioral health care in underserved communities.

Benefits

• Competitive salary 
• Full medical, dental, and vision coverage
• 20 PTO days + 9 paid holidays
• 401(k) with employer match
• $1,800 per year toward mental health care
• $5,000 fertility care stipend