This is a remote position.

Director of Implementations

Location: US Remote (East Coast preferred; travel required ~25-40%)

Role Summary

Fold Health is hiring a Director of Implementations to lead enterprise implementations for value-based care organizations nationwide. As Fold scales to support larger and more complex provider groups (ACOs, MSOs, and risk-bearing organizations), this role will own predictable, high-quality go-lives and ensure customers realize measurable clinical, operational, and financial value.

This is a senior, hands-on leadership role with end-to-end ownership of implementations and strategic oversight of early post-go-live success (approximately 75% implementation / 25% customer success). The ideal candidate has deep experience implementing enterprise healthcare technology, understands provider operations, and can lead confidently across clinical, operational, technical, and executive stakeholders.

What You'll Do

Own Enterprise Implementations

• Lead the full implementation lifecycle from contract signature through go-live and stabilization.

• Define and continuously improve a scalable, repeatable implementation methodology.

• Serve as executive owner for all active implementations, accountable for timelines, quality, and outcomes.

• Lead go-live planning, execution, and early performance monitoring to ensure smooth adoption.

• Navigate complex provider organizations with multiple departments, sites, lines of business, and governance structures.

Drive Cross-Functional Execution

• Act as the single point of accountability across Product, Engineering, Data, Integrations, QA, Sales, and Customer Success.

• Translate customer needs into clear internal workstreams and resolve cross-team dependencies.

• Partner with Product and Engineering to align implementation needs with roadmap priorities while avoiding long-term technical debt.

• Support Sales in late-stage deals by validating scope, timelines, and implementation readiness.

Ensure Customer Readiness & Value Realization

• Ensure operational, clinical, and technical readiness, including workflows, staffing models, and integrations (EHR, claims, eligibility, HIEs).

• Define success metrics such as time-to-go-live, adoption readiness, and early value realization.

• Own the handoff to Customer Success with clear success plans, KPIs, and adoption milestones.

• Remain strategically involved with key enterprise customers during the first 6-12 months post-go-live.

Build Scalable Tools & Processes

• Own implementation metrics, dashboards, and reporting for executive visibility.

• Develop playbooks, templates, and internal tooling to standardize delivery.

• Define SLAs and operating rhythms with Product, Engineering, Data, QA, and Integrations.

• Ensure implementation learnings inform product improvements and go-to-market processes.

Lead & Scale the Team

• Build, mentor, and scale a high-performing Implementation team.

• Set clear roles, expectations, and accountability frameworks.

• Establish strong operating rhythms and decision-making in fast-paced, ambiguous environments.

• Design training programs and enablement materials for internal teams and customers.

What This Role Is Not

• This role is not a pure Customer Success or Account Management role.

• This role does not own upselling or commercial negotiations.

Why This Role Is Exciting

• Real influence: Significant ownership and visibility, with the ability to shape how Fold delivers value to its largest customers.

• Startup energy, senior impact: Fast-moving environment with autonomy to build, improve, and make decisions.

• Exceptional teammates: Work closely with a smart, mission-driven team across Product, Engineering, Data, and Customer Success.

• Meaningful impact: Your work will directly improve how healthcare providers operate and succeed in value-based care.

Requirements

Qualifications

Required

• 10+ years in healthcare technology implementations, program management, or professional services

• 7+ years implementing enterprise platforms for provider organizations, ACOs, MSOs, or health systems

• 5+ years working with value-based care, risk-based arrangements, or population health programs

• Proven ability to lead cross-functional teams without direct authority

• Strong executive presence with experience engaging C-level and clinical leaders

• Comfortable operating in high-growth, ambiguous environments

• Willingness to travel to customer sites as needed

Preferred

• Experience implementing platforms integrated with Epic, athenahealth, eClinicalWorks, Elation, or similar EHRs

• Experience scaling implementations in high-growth healthcare startups

• Background working directly with delegated-risk or value-based provider organizations