Strategy & Operations Manager, RCM

Duet is proving that nurse-practitioner-led care isn't just more accessible, it's better. We help NPs build and scale independent practices in communities too often overlooked by the health system: rural towns, immigrant populations, LGBTQ+ patients, and more. Backed by AI-driven tools that give independent NPs the backing of a much bigger system, our network of 100+ practices covering 400,000 annual visits has driven a 30% increase in preventative visits and a 35% drop in hospitalizations, the clearest sign yet that localized NP-led care means better outcomes.

We're a well-funded, early-stage company led by seasoned entrepreneurs and nurse practitioners, and backed by investors including Lerer Hippeau and Kairos.

Independent primary care is disappearing, swallowed by hospital systems and private equity roll-ups, often pulling out of the communities that need it most. But 31 states now support autonomous NP practice, and the results back up what we've long believed. We built the first value-based care contracts for NPs with major payors, taking on real financial risk for outcomes. In our anchor market in New Hampshire, our network outperformed the state on total cost of care by 19%, proof that a solo NP in an underserved area can outperform a system ten times their size and get rewarded for it.

We’re looking for a Strategy & Operations Manager to help build and scale the operational backbone of Duet, starting with our revenue cycle management (RCM) organization. You’ll report to the Head of RCM and work across both strategy and execution, designing the systems, processes, and org structure we need to support a growing portfolio of NP-owned practices.

This is primarily a generalist operations role. You’ll stand up scalable workflows, run cross-functional projects, shape our operating model, and help build the enterprise RCM function and MSO-PC structure underneath it. You’ll also work directly with practices, turning insights into action so the systems you build change how a practice actually runs. RCM knowledge helps, but the heart of the job is business and operations judgment. If you like a fast-paced environment, enjoy building from the ground up, and care about helping independent practices succeed, this is a good fit.

• Build and scale operations: Set up the workflows, playbooks, tools, and team structure that let RCM and the rest of our operations grow as we add practices. Turn one-off fixes into systems we can reuse.

• Strategy and planning: Partner with leadership on the operating model, capacity and headcount planning, vendor strategy, build-vs-buy decisions, and the roadmap for the enterprise RCM organization.

• MSO-PC operations: Help build and run the MSO-PC structure that supports NP-owned practices. That means standardizing the services we provide, setting clear SLAs and handoffs, and keeping the management services organization and the practices well coordinated.

• Process improvement and systems: Find recurring bottlenecks, design processes that scale, add tooling and automation where it helps, and set up the metrics and reporting that keep the org accountable.

• Customer-facing insight to action: Work directly with practices and their owners to turn operational and RCM insights into clear next steps. Translate data and analysis into decisions, and make sure what you build changes how a practice runs day to day.

• Cross-functional coordination: Run projects that span product, finance, clinical operations, and outside vendors. Keep things moving, escalate when you need to, and close the loop.

• RCM partnership: Keep enough working knowledge of the revenue cycle (denials, A/R, collections, and the claim lifecycle) to be a real partner to the RCM team, read performance data well, and help directly on operational issues when it matters.

• 4 to 6 years in strategy and operations, business operations, management consulting, or program and operations management. Ideally at a high-growth startup or in healthcare or healthtech, supporting several stakeholders at once.

• A track record of building and scaling operational functions or processes from scratch, both in the early days and as things grow.

• Strong analytical and problem-solving skills. You can take a messy, ambiguous problem and turn it into a clear plan.

• Solid program and project management skills. You can run cross-functional work end to end without losing track of the details.

• Familiarity with healthcare RCM and/or MSO-PC structures, or the ability to pick them up quickly. Deep RCM expertise is a plus but not required.

• Comfort with ambiguity and a fast-paced, changing environment. You don’t need a checklist handed to you every morning.

• Strong written and verbal communication and comfort working with customers. You can make complex topics clear and give a practice owner next steps they can act on.

• A systems and process mindset. You tend to think about how to make things repeatable and easier to scale.

• Builders who like setting up new functions, systems, and processes from scratch.

• Structured thinkers who can move between strategy and execution without losing the details.

• Generalists who are comfortable working across a lot of areas and picking up new ones quickly.

• Self-starters who can own a broad mandate without a playbook.

• People with a real interest in healthcare and a head for process, who take pride in building the operations that keep practices financially healthy.

• People who bring ownership, humility, and hard work to what they do.

The salary range for this role is $110,000-$140,000.