Director of Operational Excellence

About Veratru

Veratru serves as a critical financial partner supporting the federal "No Surprises Act." When healthcare providers and insurance companies disagree on payment for out-of-network services, they enter a structured dispute resolution process. While the arbitration administrators handle the decision-making, Veratru handles the money. We manage the complex flow of administrative and arbitration fees associated with these disputes. We are a technology-forward, process-driven company operating in a high-volume environment where accuracy and agility are paramount.

You will lead and scale the operating system for high-volume payment processing, reconciliation, refunds, and exception handling. You will own the transition from manual processes to an increasingly automated, technology-enabled payments operation. You will combine operational leadership with a systems mindset: simplifying workflows, implementing tooling and automation, and building the metrics, controls, and documentation needed for accuracy and audit readiness. As the organization grows, you will hire, coach, and develop a high-performing team and create a culture of ownership and continuous improvement.

• You will build and lead the payments operations function, including hiring, onboarding, training, and performance development.
• You will establish operating rhythms and measurable standards that drive throughput, quality, and predictability.
• You will design and implement controls, documentation, and quality checks that reduce financial risk and support audit readiness.
• You will improve end-to-end workflows for cash application, refunds, and reconciliations so manual effort decreases and accuracy improves.
• You will partner closely with Accounting to deliver clean reconciliations and reliable close support.
• You will own escalations by creating clear triage paths, coaching the team through complex cases, and driving root cause fixes.
• You will lead automation initiatives that reduce manual work across payment processing, reconciliation, exception handling, and approvals.
• You will partner with Product and Engineering to translate operational needs into clear requirements, prioritization, and successful releases.
• You will set controls, audit trails, and documentation standards so processes remain compliant as systems evolve.

• Proven leader who has built or scaled high-volume financial or payment operations in regulated environments.
• Strong accounting and operational foundation with hands-on experience in large-scale payments or reconciliation.
• Hands‑on, builder mindset with a track record of reducing manual work through process design and automation.
• Strong problem‑solving skills to research, resolve, and prevent complex payment issues.
• Ability to translate operational detail into scalable, long‑term solutions.

• Bonus if you have Fin Tech Experience
• Must be based in the United States.
• Ability to pass a comprehensive background check.
• Bonus:
  Bilingual in English and Spanish.

Position Location:

Remote