Director of Medical Operations

Our Story

TopDog Law is not your typical law firm. We're a nationally scaling personal injury firm built for impact and growth — owning the client experience end-to-end, from marketing and intake through litigation. We believe that world-class marketing, paired with exceptional legal talent and operations, creates better experiences and outcomes for clients and the business alike.

Over the past three years, we've grown 2–3x year over year, setting a new standard on the marketing side of the personal injury space and proving what's possible when strategy, speed, and execution align. Now we're applying that same discipline and innovation to firm operations, case management, and national scale — intentionally building the infrastructure, systems, and teams to grow without sacrificing quality, culture, or accountability.

We are a fully remote team that share trust, open communication, and a commitment to doing great work. If you love ownership, thrive in a fast-moving environment, and want to help build something exceptional, you'll feel right at home here.

The Opportunity

The Director of Medical Records and Case Execution owns the medical records function end to end — collection, throughput, compliance, and data integrity — for a centralized team supporting personal injury cases across all states. This role is accountable for the team's performance against SLAs and scorecard KPIs, for building the capacity and staffing model as case volume grows, and for the vendor and compliance relationships that keep records moving.

Beyond the core team, this role also holds connected oversight of medical record collection wherever it happens across the firm. Case managers, intake, and the provider group all touch record collection at points in the case lifecycle, and this Director is the person who tracks that full pipeline, closes the gaps between teams, and gives leadership one reliable picture of how records move from request to file — even for the portion of collection that happens outside the core team.

This role also owns the strategic roadmap for the systems that power medical records work — records-retrieval and case-management platforms and their integrations — and oversees how the function trains its people on them, so tooling and training scale alongside headcount and volume rather than trailing behind.

Finally, this role extends into case execution: monitoring the medical metrics that determine whether a case is on track — treatment adherence, appointment and provider set-up compliance, and gaps in expected care — and making sure symptoms and complaints are matched to the right provider type, medical necessity is documented, and the Treatment Tracker and records/bills are complete and reliable enough to support case valuation and demand.

What You Will Own

OWN THE MEDICAL RECORDS FUNCTION

- Own end-to-end performance of the Medical Records function — backlog, throughput, average days open, and closure rate — and maintain a reconciled scorecard against firm KPIs (total open requests, requests closed, avg days open, avg cases per coordinator).

- Directly manage the Medical Records Manager and specialist team; build and run the capacity plan that sizes staffing to case volume, including straight-time vs. overtime staffing scenarios as demand grows.

- Move the team from state-by-state, single-owner assignment to a centralized, queue-based model organized around the provider or facility, with every specialist cross-trained across states.

- Publish and maintain SLAs (e.g., 30 days for provider records, 45 days for hospital records), SOPs, and performance standards ahead of any further headcount growth.

- Diagnose and correct structural drivers of backlog — requests tied to cases that have settled or left the firm, uneven workload distribution across specialists, and coverage gaps created by leave or turnover under a single-owner-per-state model.

OVERSEE RECORD COLLECTION ACROSS TEAMS

- Serve as the connective ti