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This is a full-time role operating from central or eastern regions of United States during standard business hours, Monday - Friday (from your home office remotely) with required travel in the United States to assigned practice (this is not a flexible schedule opportunity). This role handles sensitive information; work must be performed in a private and secure setting (with a door) requiring reliable internet and phone connectivity.  The candidate must reside in the Eastern time zones/region of United States.  This role does not offer immigration visa sponsorship. 

This role offers annual salary of $110,000.  We offer an excellent benefits package including 15 days of vacation, 7 paid holidays, and 5 sick days annually, multiple medical and vision insurance plans, which begin day one (no waiting period), employer-paid life insurance, 401(k) with a company match, $1,700 annual professional development reimbursement, $100 monthly teleworker stipend and more.

The Practice Administrator will be responsible for the development, launch, and ongoing operational management of Medrina's new outpatient interventional psychiatry practice. The practice will provide comprehensive psychiatric and behavioral health services, including physician and advanced practice provider (APP) evaluations, medication management, psychotherapy, and intranasal esketamine (SPRAVATO®) treatment for eligible patients.

The practice will serve the general community while maintaining a strategic focus on residents of skilled nursing facilities (SNFs) who require specialized psychiatric evaluation, depression management, and interventional treatment services.

This position will lead the operational start-up of the outpatient practice, including facility readiness, staffing coordination, regulatory compliance, policy and procedure development, payer enrollment, clinical scheduling, and implementation of the requirements necessary to become a certified SPRAVATO REMS healthcare setting.

The Administrator will work closely with Medrina's clinical leadership, psychiatrists, APPs, therapists, SNF administrators, and facility clinical teams to establish an integrated behavioral health delivery model that supports both outpatient treatment and on-site psychiatric rounding within skilled nursing facilities.

Essential Duties and Responsibilities (below are typical responsibilities and not an exhaustive list of all duties, other duties may be assigned as needed).

1. Practice Development & Operational Launch

• Lead the planning, development, and operational implementation of Medrina's outpatient interventional psychiatry practice.
• Coordinate office site selection, physical space design, equipment, technology, furnishings, and clinical infrastructure.
• Establish administrative workflows for patient registration, scheduling, referrals, documentation, billing, and patient communication.
• Coordinate recruitment, onboarding, and scheduling of psychiatrists, psychiatric APPs, therapists, and administrative support personnel.
• Develop operational budgets, staffing plans, and financial performance expectations.
• Coordinate practice opening activities and ensure operational readiness prior to patient care.

2. Regulatory Compliance & REMS Certification

• Coordinate the practice's certification as a SPRAVATO REMS healthcare setting in collaboration with clinical leadership and the manufacturer-designated REMS program.
• Develop and implement operational policies supporting medication procurement, secure storage, inventory management, administration, required observation, documentation, and emergency response.
• Ensure the practice meets applicable federal and state requirements related to outpatient psychiatric services, professional licensure, controlled substances, and medication management.
• Establish compliance monitoring processes, staff training requirements, and ongoing certification maintenance.
• Partner with clinical leadership to ensure appropriate patient safety protocols, emergency equipment, and clinical oversight are in place.

3. Clinical Practice Operations

• Oversee daily operations for psychiatric physicians, APPs, therapists, and clinical support staff.
• Develop provider scheduling models that balance office-based services, interventional treatment appointments, and SNF rounding responsibilities.
• Establish efficient patient intake, referral, insurance verification, prior authorization, and appointment coordination processes.
• Support implementation of the electronic health record, practice management system, telehealth capabilities, and billing workflows.
• Coordinate with clinical leadership to ensure timely documentation, appropriate follow-up, and continuity of psychiatric care.
• Monitor provider productivity, appointment availability, patient access, and operational efficiency.

4. Skilled Nursing Facility Partnerships & Psychiatric Rounding

• Establish strong working relationships with SNF administrators, Directors of Nursing, social services departments, and facility medical leadership.
• Develop and manage psychiatric rounding schedules for Medrina psychiatrists and APPs serving SNF residents.
• Coordinate identification and referral of residents experiencing depression or other behavioral health conditions who may benefit from psychiatric evaluation and treatment.
• Establish standardized communication pathways between SNF clinical teams and Medrina psychiatric providers.
• Coordinate patient appointments, transportation needs, and treatment planning for residents referred to the outpatient practice.
• Support appropriate transitions between SNF-based psychiatric management and outpatient interventional treatment services.
• Work with facility teams to promote continuity of care, timely follow-up, and communication of treatment recommendations.

5. Policies, Procedures & Quality Oversight

• Develop and maintain administrative and operational policies and procedures for outpatient psychiatric and interventional services.
• Coordinate clinical policy development with the Medical Director and other appropriately licensed clinical leaders.
• Establish protocols for referrals, patient consent, medication management, emergency escalation, treatment scheduling, and follow-up.
• Support compliance with HIPAA, patient privacy, documentation requirements, and applicable accreditation or licensing standards.
• Implement quality monitoring processes addressing patient satisfaction, treatment access, operational compliance, and patient safety.
• Participate in internal audits, regulatory reviews, and performance improvement initiatives.

6. Revenue Cycle, Payer Relations & Financial Management

• Coordinate payer credentialing, provider enrollment, contracting, and practice participation requirements.
• Oversee administrative processes supporting accurate billing for psychiatric evaluations, medication management, psychotherapy, interventional treatment, and SNF-based professional services.
• Collaborate with Medrina's revenue cycle team to monitor reimbursement, denials, authorization requirements, and collections.
• Monitor practice expenses, staffing utilization, provider productivity, and financial performance.
• Identify opportunities to expand services while maintaining regulatory compliance and financial sustainability.

7. Business Development & Service Line Growth

• Support growth of the practice through relationships with skilled nursing facilities, hospitals, primary care providers, behavioral health professionals, and community referral partners.
• Develop referral coordination processes that support access to psychiatric and interventional services.
• Collaborate with Medrina leadership to evaluate opportunities for additional outpatient locations, SNF partnerships, and behavioral health programs.
• Monitor practice performance and provide regular operational updates to executive leadership.

Job Requirement: (list required education/degree, licensure, certifications, specific experience)

Required

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field; equivalent relevant experience may be considered.
• Minimum of 5 years of healthcare practice management or outpatient clinical operations experience.
• Demonstrated experience launching, expanding, or managing physician or multispecialty outpatient practices.
• Knowledge of healthcare regulatory compliance, payer credentialing, revenue cycle operations, and provider scheduling.
• Experience developing operational policies, procedures, and practice workflows.
  Strong organizational, financial management, communication, and relationship-building skills.

Preferred

• Master's degree in Healthcare Administration, Business Administration, or a related field.
• Experience in outpatient psychiatry, behavioral health, or interventional psychiatric services.
• Familiarity with SPRAVATO REMS requirements and the operational management of esketamine treatment programs.
• Experience working with skilled nursing facilities, long-term care providers, or post-acute care organizations.
• Experience coordinating psychiatrists, psychiatric APPs, therapists, and multidisciplinary clinical teams.

Physical Requirements:

• This is a full-time remote, work-from-home position, primarily working during standard business hours handling sensitive and confidential information.
• Work must be performed in a private and secure setting requiring reliable internet and phone connectivity.
• Ability to communicate via virtual/online meetings daily with a camera on as well as being responsive in a timely manner during work hours via email, MS Teams and phone.
• Ability to travel quarterly for training, and meetings.
• Ability to sit, stand, and walk for extended periods, lift and move up to 25 pounds. 

EOE/M/F/Vet/Disability:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.