Remote Director of Implementation & Client Operations

Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Regional and national health plans, employers, and Fortune 500 organizations trust Galileo as the leading solution to improve population health.

Founded by Dr. Tom X. Lee, the healthcare pioneer behind One Medical and Epocrates, Galileo is a team of leading innovators from healthcare, technology, and human-centered design. Our mission is to apply that talent and scientific thinking to transform society by solving our largest, toughest healthcare problems, while at the same time bringing patient and provider closer.

Galileo is seeking a Director, Implementation to lead our implementation and eligibility functions. In this high-impact leadership role, you will be the architect of the systems, processes, and playbooks required to launch complex partnerships  will act as the critical bridge between Sales and Client Services, ensuring that the promises made during the commercial process are translated into operational reality. You will partner closely with a number of internal teams, including Product, Clinical, Revenue Cycle Management, and Insights.

This is a business operations and client-facing leadership role focused on launching healthcare delivery and health plan partnerships, not an internal IT software deployment role. This role will also be responsible for evolving Galileo’s implementation function to scale through automation, data, and emerging AI capabilities, reducing manual effort, accelerating time-to-launch, and improving overall client experience. Managing a diverse portfolio that includes Health Plans, Health Systems, Employers, Marketplaces, Federal and SLED (State, Local, and Education) clients, you will navigate a demanding sales pipeline to drive growth across multiple lines of business.

This is a remote position, reporting into our VP, Commercial and Client Operations.

• Define and execute implementation playbooks that ensure repeatable, high-quality client launches across all clients
• Build a scalable, automation-first implementation model that enables growth without linear headcount increases
• Lead the handoff process between Sales (pre-contract) and Client Services (post-launch), ensuring continuity and alignment with multiple internal teams
• Partner with Sales during active deal stages to flag implementation risks, inform go-live timelines, and influence client decisions including off-cycle launches
• Bring a systems-thinking approach that connects Sales, Operations, Data, and Engineering into a cohesive operating model supporting long-term client success
• Manage and develop your team, holding shared accountability for a portfolio of 20+ annual launches

• Own end-to-end implementation for large-scale clients (20k+ lives), including behavioral health, pediatrics, on-site popups, FFS structures, and health plan integrations
• Define and maintain eligibility and roster management processes across client types, including real-time eligibility gating, file-based roster management, and member offboarding
• Oversee the business logic and operational standards for client eligibility and roster management (including EDI/834 workflows), partnering with technical teams who handle the underlying engineering
• Identify and implement automation opportunities across the implementation lifecycle to reduce manual effort and improve accuracy
• Explore and apply AI-driven solutions where appropriate, data validation, file processing, anomaly detection, to improve efficiency and scalability
• Lead translation of complex client data needs into technical requirements, ensuring data quality across clinical and billing systems
• Own and maintain comprehensive documentation for all implementation workflows

• Build and deliver real-time visibility into the implementation pipeline, including timelines,…