Company Description

Teleradiology Solutions (TRS) is a pioneer in teleradiology, delivering round-the-clock diagnostic radiology reporting and support to hospitals and healthcare providers across India, the US, and other global markets. Founded in 2002 by two Yale-trained physicians and headquartered in Ardmore, PA, TRS today serves over 150 hospitals across 21 countries. The company pairs a network of board-certified radiologists — including ABR-certified specialists — with technology-driven workflows and its AI-enabled arm, dAIgnostiX, to deliver fast, accurate, and reliable imaging interpretation. dAIgnostiX is based out of Bengaluru (Whitefield). TRS/dAIX also maintains an active academic focus (www.radguru.net) and ongoing research interests, including AI in radiology.

Reports to: Chief Operating Officer 

Location: Whitefield, Bengaluru | On-site / Operations Floor 

Team: Build and lead a central hub of 2–4 people, supported by a dotted-line network of process owners across operating functions 

The Opportunity 

TRS is scaling rapidly, with an ambition to significantly increase daily reading capacity while maintaining high standards of quality, turnaround time and customer experience. 

As we scale, we need to move from fragmented, function-specific ways of managing processes and performance to a common operating system for execution — with clear processes, transparent KPIs, disciplined review rhythms and rapid problem-solving. 

We are looking for a high-energy, hands-on builder to establish and lead this capability. 

This is not a traditional PMO role focused on project reports, PowerPoint presentations or following up on action trackers. You will work directly with operating teams, spend significant time on the floor, understand how work actually flows, identify bottlenecks, build the tools and processes required to fix them, and personally drive implementation. 

You will work closely with the COO and operating leaders across Production Operations, Radiologist Experience and Customer Management. 

What You Will Own 

1. Build the TRS Operations Management System 

Create a common methodology for managing operational improvement across functions, replacing fragmented trackers and review mechanisms with: 

• Standard operating and improvement methodology 
  
• Common project and action tracking 
  
• Clearly defined owners, milestones and escalation mechanisms 
  
• Standard daily, weekly and monthly operating reviews 
  
• Consistent problem-solving using Lean / Six Sigma principles 
  
• Clear visibility of progress, risks, bottlenecks and outcomes 
  

The expectation is to build and establish the system, not simply recommend it. 

2. Build the Operations KPI & Performance Dashboard 

Own the design, development and ongoing management of a live operations dashboard covering key dimensions such as: 

• Productivity and throughput 
  
• RVUs / readings per day and leading indicators 
  
• ABR capacity and utilization 
  
• SLA / turnaround-time performance 
  
• Customer escalations 
  
• Employee / ABR satisfaction 
  
• Improvement-project performance 
  

The successful candidate should be comfortable going beyond defining dashboard requirements and should be capable of building the first working version personally. 

3. Establish Daily Management Discipline 

Design and run the operating cadence across the key operating functions. This includes: 

• Daily operational reviews 
  
• Weekly performance and improvement reviews 
  
• Monthly business reviews 
  
• Clear escalation mechanisms 
  
• Action tracking and closure 
  
• Identification of emerging risks before they become operational issues 
  

The role is responsible for the quality and effectiveness of these reviews, not simply scheduling meetings and circulating minutes. 

4. Own the End-to-End Value Stream 

Develop and continuously improve the end-to-end value stream for diagnostic interpretation: 

Client order → Assignment → Case loading → Reading → Proofing → Sign-out → Delivery 

Identify and quantify: 

• Bottlenecks 
  
• Queues and waiting time 
  
• Capacity constraints 
  
• Rework 
  
• Handover losses 
  
• Routing / assignment inefficiencies 
  
• Root causes of SLA and customer issues 
  

You should be able to conduct a Gemba walk, map the process, analyse the data and translate the findings into practical interventions. 

5. Turn Pilots into Scaled Operating Practices 

A key part of the role will be taking successful improvement pilots and converting them into repeatable, scalable operating processes. For example, where a routing or assignment intervention demonstrates measurable improvement at one site or for one workflow, you will: 

1. Understand why it worked 
   
2. Standardize the process 
   
3. Define the SOP and controls 
   
4. Build the tracking mechanism 
   
5. Train the teams 
   
6. Pilot and measure 
   
7. Scale across the organization 
   
8. Monitor sustainability 
   

You will work directly with the people performing the work — including assigners, case loaders, readers and proofers — rather than managing implementation remotely through presentations. 

6. Build the Team and Process Owner Network 

Build a small, high-calibre central team covering: 

• Process excellence / Lean methodology 
  
• Performance management and analytics 
  
• Project execution 
  

In parallel, establish a network of embedded process owners / improvement champions across the operating functions. The objective is to create a small, highly capable central hub that enables improvement across the entire organization, rather than a large PMO. 

7. Drive Cross-Functional Execution 

The role will work closely with Technology / AI, Quality, Credentialing and other support functions whose actions can directly affect operational performance. You will identify dependencies, establish clear ownership, drive commitments and escalate unresolved issues through the appropriate channels. 

This requires the ability to influence without formal authority and build credibility with operating and functional leaders. 

The Profile 

We are looking for someone who is energetic, analytical, hands-on, curious, highly organized, data-driven, comfortable with ambiguity. 

More importantly, you should be a builder rather than an advisor. You should have demonstrated experience in: 

• Building a process, operating mechanism, tracker, dashboard or PMO capability from the ground up 
  
• Personally driving an improvement initiative from problem identification through implementation 
  
• Using Lean / Six Sigma or structured problem-solving methods in a real operating environment 
  
• Taking a pilot or improvement idea and scaling it into standard operating practice 
  
• Working directly with frontline teams to change how work gets done 
  
• Managing multiple priorities and stakeholders in a fast-moving environment 
  
• Driving outcomes without relying on formal authority 
  

Lean / Six Sigma 

A Lean Six Sigma Green Belt or Black Belt is preferred. The certification itself is less important than demonstrated application of: 

• Value stream mapping 
  
• Root-cause analysis 
  
• Process mapping 
  
• Waste identification 
  
• Capacity analysis 
  
• Standard work 
  
• Continuous improvement 
  
• Data-driven problem solving 
  

Data & Technology Fluency 

The candidate should be able to work independently with operational data. 

Expected: 

• Advanced Excel 
  
• Dashboard / BI capability 
  
• Working knowledge of SQL 
  

Preferred: 

• Python or another scripting language 
  
• Experience integrating data from multiple operational systems 
  
• Experience building automated dashboards or trackers 
  

The expectation is that you can build the first working version yourself, rather than wait for a dedicated data or technology team. 

Floor-Based Mindset 

This is an operations-floor role. You should naturally want to understand how work actually happens rather than rely solely on reports. You will spend time with the people doing the work, observe the process, understand exceptions and bottlenecks, and use those insights to improve the operating system. 

High Ownership and Autonomy 

TRS is a fast-growing organization, and many of the systems required for scale are still being built. You should be comfortable taking an ambiguous problem and turning it into: 

Problem → Data → Diagnosis → Solution → Pilot → Measure → Standardize → Scale 

You should not need a large team, a detailed brief or constant direction to make progress. 

Domain Experience 

Healthcare, teleradiology or clinical operations experience is useful but not essential. Candidates from other high-throughput environments such as: 

• Manufacturing 
  
• BPO / ITES 
  
• Logistics 
  
• Supply chain 
  
• Shared services 
  
• High-volume service operations 
  

will also be considered.