---
title: 'Strategy & Operations Manager, RCM at Duet'
canonical: 'https://feeny.ai/job/strategy-operations-manager-rcm-duet-new-york-m1qverckshmd'
type: 'job'
last_seen: '2026-09-08'
---

# Strategy & Operations Manager, RCM at Duet

- **Company:** Duet
- **Location:** New York, NY
- **Compensation:** $110k–$140k
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-06-10
- **Last confirmed live:** 2026-09-08
- **Apply:** https://jobs.ashbyhq.com/duet/23bfba70-9eef-4a33-be5d-a634eb6b1134

## Job description

## STRATEGY & OPERATIONS MANAGER, RCM

## ABOUT DUET

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.

## WHY DUET, WHY NOW

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.

## ABOUT THE ROLE

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.

## WHAT YOU’LL DO

- 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.

## WHAT YOU BRING

- 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.

## WHO WILL THRIVE HERE

- 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.

## About Duet

## Company Overview
- **One-liner**: Duet is a network and platform that helps Nurse Practitioner-led primary care practices capture full value through smarter billing, accurate coding, patient engagement, and contracting support.
- **Entity Type**: Private (unfunded / bootstrapped)
- **Headquarters**: Phoenix, Arizona, United States (with presence in the Philippines)
- **Founded**: 2023
- **Founders**: Jonathan Goldberg (Founder & CEO)

## Core Business
- **Primary industry/industries**: Healthcare IT, Healthcare Services (primary care enablement)
- **Target customers**: B2B – Nurse Practitioner (NP) owned primary care practices, from solo founders to teams of 20+ NPs
- **Mission or purpose statement**: “Empower Nurse Practitioners as practice owners and reshape primary care for all.” [joinduet.com/about](https://joinduet.com/about)

## Products & Services
- **Billing**: Optimizes reimbursement, reduces denials, and strengthens revenue performance by staying ahead of payer rule changes. [joinduet.com](https://joinduet.com)
- **Coding**: Provides continuous review and daily insights to ensure accurate, compliant coding. [joinduet.com](https://joinduet.com)
- **Patient Engagement**: Automates recall to keep calendars full and collects 5-star reviews from every visit. [joinduet.com](https://joinduet.com)
- **Contracting**: Negotiates exclusive contracts that recognize the quality and impact of NP-led care. [joinduet.com](https://joinduet.com)
- **Launching (Start Strong)**: All-in-one support from credentialing through opening doors for new practices. [joinduet.com](https://joinduet.com)
- **Scaling**: Untangles complexity to help established practices grow without burnout. [joinduet.com](https://joinduet.com)

## Market Standing
- **Valuation/Market Cap**: Not publicly available (unfunded, bootstrapped)
- **Key Metric**: Total headcount of ~22 employees (as of mid-2025), with +97% YoY growth [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)
- **Notable Investors/Partners**: Not disclosed; no funding rounds reported. Partners likely include payors and health systems (implied by “partner with payors and health systems” [tracxn.com](https://tracxn.com/d/companies/join-duet/__sy8S-u8hj4o5qvhnEMSWmNpZUAiNnC3bFxZIGFBTwdE))
- **Growth Signals**: Headcount grew 97% YoY; monthly traffic growth of +619% to website (though small base); 6 active job postings as of mid-2025; expanding from US to Philippines operations [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)

## Competitive Advantages
- **NP-specific focus**: All tools and services are built specifically for NP-led practices, unlike general medical billing companies.
- **Real human support**: “Powered by real humans, not just AI” – combines technology with dedicated advisors who have experience as NP practice owners [joinduet.com](https://joinduet.com)
- **Network effect**: The first network for NP owners, creating community and scale that individual practices can’t achieve alone.

## Strategic Focus
- Current priorities include expanding the network of NP-led practices, deepening value-based care (VBC) capabilities (e.g., hiring Director, VBC Strategy & Operations), and strengthening payor partnerships [jobs.ashbyhq.com/duet](https://jobs.ashbyhq.com/duet)
- Long-term goal: Radically expand primary care access and revitalize communities through NP ownership [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)

## Why Work Here
- **Culture**: High employee satisfaction – 5.0/5.0 overall rating on LinkedIn (4 reviews), with perfect scores for Work-Life, Culture, and Career growth [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)
- **Mission-driven**: Opportunity to directly impact healthcare access and empower NP practice owners.
- **Growth trajectory**: Rapid headcount growth (97% YoY) and early-stage environment offer significant ownership and impact.
- **Remote/hybrid policy**: Not explicitly stated, but the team is distributed across US and Philippines, suggesting flexible/remote work.
- **Notable perks**: Not detailed, but small company culture with flat structure and direct access to leadership (CEO Jonathan Goldberg, COO Charles Donner, etc.).

## Sources
1. [joinduet.com](https://joinduet.com)
2. [joinduet.com/about](https://joinduet.com/about)
3. [linkedin.com/company/joinduet](https://www.linkedin.com/company/joinduet)
4. [tracxn.com/d/companies/join-duet](https://tracxn.com/d/companies/join-duet/__sy8S-u8hj4o5qvhnEMSWmNpZUAiNnC3bFxZIGFBTwdE)
5. [jobs.ashbyhq.com/duet](https://jobs.ashbyhq.com/duet)

## Other roles at Duet

- [Senior Integration Engineer](https://feeny.ai/job/senior-integration-engineer-duet-new-york-h015hv88n5cf) — New York, NY
- [Senior Product Engineer, RCM Operations](https://feeny.ai/job/senior-product-engineer-rcm-operations-duet-new-york-3mcf9saqne2x) — New York, NY
- [VP of Engineering](https://feeny.ai/job/vp-of-engineering-duet-new-york-9wrar2r669my) — New York, NY
- [Recruiting Lead](https://feeny.ai/job/recruiting-lead-duet-new-york-edqpj6fpqhh4) — New York, NY
- [Partnerships Lead](https://feeny.ai/job/partnerships-lead-duet-new-york-9sh2pyh8b8dh) — New York, NY
- [Chief of Staff](https://feeny.ai/job/chief-of-staff-duet-new-york-ggxzaphr6myt) — New York, NY
- [Head of Payor Partnerships](https://feeny.ai/job/head-of-payor-partnerships-duet-new-york-jfas945brbq8) — New York, NY