Target roles: Chief of Staff · Director of Operations · VP of Operations

Nacim Iranmanesh.

MPH CPPS DHSc

I help digital health companies scale when growth breaks the operating system. I build the executive cadence, KPI infrastructure, revenue cycle workflows, and provider operations that turn demand into durable execution.

Provider-side rigor meets startup velocity.

niranmanesh1@gmail.com · LinkedIn · Irving, TX — remote
Nacim Iranmanesh

By the numbers.

A career, in metrics.

11 yrs
healthcare operations across hospitals and digital health.
Sr. Director
promoted from Director of Clinical Operations at Manatee.
End-to-end RCM
revenue cycle operating infrastructure rebuilt at Manatee.
3.5 years
leadership data and safety work at Barrow Neurological Institute.
130+
ambulatory clinics in scope for BWH quality & safety operations.
CPPS
patient safety credential, since 2018.

Where I’m useful.

The problems I solve best.

When growth breaks process

Demand has outpaced the system. I turn tribal knowledge into infrastructure the team can actually run on.

When revenue is leaking after the visit

Verification, denials, and AR are slipping. I build the workflows, ownership, and reporting needed to collect what the business has earned.

When the CEO lacks one operating view

I connect strategy, execution, leadership cadence, and cross-functional accountability into a single source of truth.

When startup speed needs clinical rigor

I bring provider-side discipline (quality, safety, compliance) into venture-backed environments without slowing the business down.

Selected work.

Diagnosis through delivery, end-to-end.

01
Manatee, Inc. · Sr. Director of Operations (promoted from Director, Clinical Operations) · May 2023 – Dec 2025

Built the revenue cycle operating infrastructure at Manatee, end-to-end.

Sr. Directorpromoted from Director of Clinical Operations
Revenue cycle rebuilt as an accountable operation; denial rate reduced as a downstream effect.
Sr. Director of Operations Revenue Cycle Operating Ownership Candid + Nirvana Pediatric Mental Health

Manatee is a pediatric mental health startup. I joined as Director of Clinical Operations to lead RCM through a scaling phase. Demand was not the constraint; revenue was leaking after the visit through late verification, unworked denials, and unclear ownership. The work was to turn RCM into an accountable revenue operation.

  • Process & tech — mapped end-to-end RCM and built the control layer: Candid auto-correction, Nirvana real-time eligibility, and alerts so denied claims could not close quietly.
  • VOB — standardized intake scripts and moved verification to consultation booking, not day of service.
  • Denials — appeal scripts, named ownership of every denied claim, weekly AR aging working session.
  • Culture — created clearer ownership, weekly review, and shared accountability so fewer claims fell through the cracks.

The durable win was the revenue cycle foundation: earlier verification, structured denial ownership, clearer AR review, and fewer claims falling through the cracks.

02
Receptive Health · Chief of Staff to the CEO · Dec 2025 – May 2026

Chief of Staff across three Receptive Health brands.

3 brandsoperating rhythm across TNC, ADHD Advisor, and Pettable
Chief of Staff to the CEO, Dec 2025 – May 2026.
Chief of Staff Operating Cadence Multi-brand Engineering Partnership Support Automation

As Chief of Staff to the CEO, I supported operating rhythm across three Receptive Health brands — TNC, ADHD Advisor, and Pettable. The work spanned cross-brand operating cadence, engineering partnership on intake workflows, and the buildout of self-service support across the consumer brands.

  • Auto-booking — partnered with engineering to fold follow-up scheduling into the existing intake flow.
  • Self-service support — built Zendesk Help Centers for TNC and ADHD Advisor; deployed an AI chatbot to deflect routine support inquiries.
  • Provider comms — launched cross-brand newsletter cadence where none had existed.

Built and shipped operating systems across the three brands during the first quarter of the role.

03
Phoenix Children’s Hospital · Clinical Quality Improvement Manager, Barrow Neurological Institute · Feb 2021 – Sep 2024

Built the leadership data and safety infrastructure at Barrow Neurological Institute.

3.5 yearsClinical Quality Improvement Manager, Barrow Neurological Institute
Dashboard, behavioral health, and safety infrastructure remained embedded after my departure.
Clinical Quality Patient Safety KPI Dashboards Team Building Zero-Suicide HRO

At Barrow Neurological Institute, leadership needed a unified data view across the operating dimensions required to scale a pediatric neuro institute responsibly. The primary build was a leadership KPI dashboard with the operating review process behind it. Related infrastructure included behavioral health capacity and zero-suicide escalation pathways.

  • Leadership dashboard — a unified operating view across the institute’s core performance dimensions, with the review cadence behind it.
  • Behavioral health build — operationalized psychiatry and LCSW capacity, with national health plan contracts to make the services billable.
  • Safety culture — zero-suicide protocols as part of an HRO discipline: no-blame, escalation pathways, monitoring kids through their care.

Leadership had one performance view and clearer escalation paths. The dashboard, behavioral health workflows, and safety protocols remained embedded in the institute’s operating model.

Selected examples are non-confidential summaries of operating work.

In their words.

From managers, peers, and cross-functional partners who’ve worked alongside me.

  1. “Nacim excels at building process, policy, and data insights to capture key reporting metrics, identify trends, and operationalize systems to improve quality. I would highly recommend Nacim to build a quality department or team.”

    — Lorrie Evans  ·  VP of Care Operations  ·  managed me directly at Brightline

  2. “Nacim is an authentic leader invested in creating systems and processes that enhance the quality of care and safety for both members and providers — a great thought partner, compassionate collaborator, and purposive contributor.”

    — Dr. Ayana Gilham, Psy.D.  ·  Therapy Supervisor  ·  Brightline

  3. “Nacim is an exceptional leader, using data-informed decision-making to drive strategic initiatives, improve efficiency, and keep key stakeholders aware of the health of the business.”

    — Jasmine Shively  ·  Senior Manager, Member Support  ·  cross-functional partner at Brightline

What I leave behind.

The infrastructure that survives my tenure.

01

SOP libraries

Built for onboarding, audit readiness, handoff, and role coverage: RCM workflows, VOB scripts, denial playbooks, provider onboarding, and intake protocols.

02

Executive dashboards

Single-source operating views with KPI definitions, AR aging, denial rates, access, safety, and weekly review rhythms.

03

Operating cadences

Leadership meeting rhythms, OKR reviews, board prep, and cross-functional accountability that don’t depend on one person holding the process together.

04

Automation systems

Workflow alerts, AI-assisted support, intake and scheduling triggers, denial-management automation: the system carrying what doesn’t need a human judgment call.

Eleven years.

Boston to Phoenix to Irving. Hospitals to startups. Full-time roles listed with part-time or concurrent work noted.

  1. Receptive Health

    Chief of Staff to the CEO  ·  TNC · ADHD Advisor · Pettable  ·  Remote

    Dec 2025 – May 2026

  2. Manatee, Inc.

    Sr. Director of Operations · promoted from Director, Clinical Operations  ·  Remote

    May 2023 – Dec 2025

  3. Western Governors University

    Subject Matter Expert · MHA Program · part-time

    Nov 2024 – Now

  4. Phoenix Children’s Hospital

    Clinical Quality Improvement Manager · Barrow Neurological Institute  ·  Phoenix, AZ

    Feb 2021 – Sep 2024

  5. Brightline, Inc.

    Sr. Manager, Care Quality · concurrent part-time consulting role alongside Phoenix Children’s

    Apr 2022 – Apr 2023

  6. Brigham and Women’s Hospital

    Clinical Pathways PM · Ambulatory Quality & Safety Manager · PM, Quality & Safety  ·  Boston, MA

    Jun 2017 – Feb 2021

  7. Boston Medical Center

    Team Coordinator, Digestive Disorders · Sr. Admin Coordinator, General Internal Medicine  ·  Boston, MA

    Aug 2015 – May 2017

In print.

Selected writing on patient safety, operations, and the work of healthcare.

  1. Patient Safety Isn’t Seasonal: Five Tips Every Health System Should Follow

    Patient Safety & Quality Healthcare

  2. A Love Letter to Healthcare

    Swaay.Health  ·  February 2026

How I work.

Four principles I work by.

  1. 01

    Build teams that can operate without me.

    I document workflows, teach the operating logic, and remove single points of failure so the team gets stronger instead of more dependent. The playbook should stay with the team, not live in one person’s head.

  2. 02

    Build systems people don’t have to remember.

    Asking someone to hold a complicated process in their head, day after day, is setting them up to fail. I automate the manual work so the system carries what doesn’t require judgment. At Receptive, that meant alerts and workflow automation to reduce missed handoffs and accelerate onboarding.

  3. 03

    Create conditions for early signal.

    People surface problems earlier when they trust the system will respond fairly. I build that psychological safety first, because dashboards only matter if the team tells the truth before the metric turns red.

  4. 04

    Get to the root cause. Ask why five times.

    The first answer is usually the symptom. I keep asking why until the broken handoff, the missing incentive, the unclear ownership, or the system rule that’s no longer working becomes visible.

The practice.

Why I do this. And how I think about the work.

Growing up, I helped my parents navigate the American healthcare system. Appointments, insurance forms, medical instructions that weren’t always easy to understand. At the time it just felt like something our family had to figure out. The work I do now is the work I wish had existed for them.

Eleven years building healthcare operations and quality systems — first in academic medical centers, then in tech startups across digital health. My career took shape at Boston Medical Center, sharpened at Brigham and Women’s and Phoenix Children’s, and accelerated across the startup chapter — Brightline, Manatee, and most recently Receptive.

At Brigham and Women’s, I helped scale Just Culture and supported the Board Quality & Safety Committee, turning patient-safety priorities into decks, follow-up, action tracking, and executive accountability. That work trained me to separate human error from system failure and build compliance into the operating rhythm instead of treating it as cleanup.

The same pattern shows up everywhere I’ve worked: most “people problems” are system problems. The work that actually changes outcomes is the slower kind: undoing the invisible workarounds people built to survive a broken system.

MPH from Boston University. DHSc from A.T. Still. CPPS since 2018. First-generation American, fluent in Farsi.

The stack.

Systems, capabilities, and frameworks I lean on. Patient safety is the operating discipline beneath them.

Healthcare systems

Healthie Candid Nirvana Sohar Health Availity Epic eClinicalWorks SimplePractice

Operating systems

Tableau Zendesk Zapier Asana Jira Smartsheet

Capabilities

Revenue Cycle Mgmt VOB Payer Operations Credentialing Denials Eligibility Provider Operations Service Delivery

Frameworks

CPPS Just Culture HRO NAHQ 8-Domain HIPAA / HITECH Value-Based Care Six Sigma

AI-enabled workflows: support-center design, drafting, analysis, workflow automation.

What’s earned.

Formal training across public health, leadership, organizational behavior, and patient safety.

  • Doctor of Health Sciences (DHSc)

    A.T. Still University  ·  Leadership & Organizational Behavior

  • Master of Public Health (MPH)

    Boston University  ·  Health Policy & Management

  • Bachelor of Science, Biology

    University of Arizona  ·  Minors in Chemistry & Persian Studies

  • Certified Professional in Patient Safety (CPPS)

    Earned 2018  ·  current through July 2027

Let’s talk.

Email me, or book a 30-minute slot directly.

The best fits I’ve found started with a real conversation, not a job description. If something here landed, or if you’re sizing up a specific operations problem, send me a note.

Best fit roles

Chief of Staff · Director of Operations · VP of Operations · Director of Service Delivery · Healthcare Operations Lead · RCM or payer operations leadership · Quality, safety, or compliance operations in digital health.

Best fit environment

Digital health, behavioral health, payer-adjacent care, provider operations, and early-to-growth-stage healthcare startups.

Less aligned

Roles limited to task tracking, narrow project coordination, or environments not yet ready to make operational ownership visible.

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