Director of Operations

Theranica is a neuromodulation therapeutics company advancing migraine and complex pain care through its Remote Electrical Neuromodulation (REN) technology. The Director of Operations will architect and lead the U.S. operational engine, owning the full lifecycle from prescription to fulfillment and through billing to ensure frictionless patient access to therapy. This role bridges Sales, Finance, and Market Access to scale high-growth MedTech and DME operations with a data-driven, patient-centered approach.

• Own and optimize the end-to-end prescription-to-fulfillment workflow, including intake entities and specialty pharmacy relationships.
• Manage and improve VA and DME distribution channels, including clinic-based stock-and-bill operating structures.
• Lead Revenue Cycle Management (RCM) strategy across medical benefit billing, prior authorizations, clinical documentation, claim submissions, appeals, and reconciliations.
• Oversee U.S. logistics and supply chain operations, including inventory controls and distributor/specialty pharmacy partner management to maintain optimal stock during demand shifts.
• Lead the U.S. customer care center to deliver timely support and technical troubleshooting for user inquiries.
• Define, monitor, and improve operational KPIs such as prescription conversion rates and fulfillment timelines.
• Coordinate cross-functionally with Market Access, Finance, and Sales to resolve operational ownership overlaps and remove process friction.

• 10+ years of leadership experience in DME distribution, distributor contracting, and claims submission functionality.
• Deep expertise in intake and fulfillment operations under medical benefit structures and DME distribution models, including stock-and-bill.
• Experience with Salesforce (CRM) and ERP systems; familiarity with DME platforms such as Parachute is a plus.
• Strong analytical and data-driven mindset with demonstrated ability to define and track KPIs for continuous improvement.
• Proven cross-functional leadership and influencing skills across Sales, Finance, and Market Access.
• Knowledge of Medicare/Medicaid billing, HIPAA compliance, and industry-standard quality assurance is an advantage.
• Bachelor’s degree in Business, Operations, Supply Chain, or a related technical field (required).
• MBA or Master’s degree (highly preferred).

• Location: Remote (EST/CST preferred).
• Leadership role with ownership of U.S. operational lifecycle from prescription through billing.