Role OverviewThe COO, US is the senior-most operator in the US business and owns the P&L end-to-end. Reporting to the Global CEO, this role is equal parts execution and leadership - building the SOPs, systems, cadence, and team that convert early SNF traction into a scaled, repeatable commercial engine.
This is a player-coach seat, not a traditional Fortune 500 COO role. You will be in the weeds of a SNF deployment one day, closing a multi-facility chain deal the next, and building a repeatable go-to-market the week after. Ideal for someone who wants to build an institution - not inherit one.
ResponsibilitiesP&L and Business Performance- Own US revenue, gross margin, contribution margin, and EBITDA against the Annual Operating Plan.
- Build forecast discipline, monthly operating reviews, and a culture of hitting commitments.
- Own unit economics: customer CAC and LTV, deployment cost, per-facility margin, payback period.
Commercial Engine (Sales + Revenue Operations)- Partner with the Head of Sales to scale enterprise SNF chain deals and regional expansion.
- Build the pricing, contracting, RFP response, and revenue realization motion for the US market.
- Drive pipeline accountability, quota design, territory planning, and commercial KPIs.
Operational and Clinical Excellence- Ensure every SNF deployment meets clinical quality, nurse adoption, and SLA commitments.
- Institutionalize SOPs for installation, nurse training, clinical escalation, and customer success.
- Drive adoption metrics: alerts reviewed, percent of residents monitored, clinical actions taken, rehospitalization impact.
Team and Leadership- Directly manage the Heads of Sales, Operations, Clinical Operations, and Revenue Operations.
- Hire, develop, and raise the bar on talent as the US business scales.
- Act as the voice of the US business in global leadership forums.
Cross-Geo Execution- Partner daily with India-based Engineering, Product, Finance, HR, and Supply Chain teams.
- Translate US market realities into the global product roadmap.
- Run effective cross-time-zone execution with clean hand-offs and feedback loops.
Account Management Excellence- Own post-sale customer relationships across all SNF accounts - from single-facility pilots to multi-site enterprise chains - ensuring high retention, expansion, and NPS.
- Build and institutionalize a structured account management playbook: QBRs, clinical outcome reviews, escalation protocols, and renewal cadence.
- Drive net revenue retention by identifying upsell and cross-sell opportunities within the existing customer base, including additional wards, modules, and adjacent use cases.
- Serve as the executive sponsor for strategic accounts, maintaining senior relationships with SNF administrators, Directors of Nursing, and corporate operations leads.
- Translate customer feedback and usage patterns into actionable insights for Product, Clinical, and Commercial teams to improve retention and product-market fit.
Compliance and Regulatory Affairs (US)- Ensure Dozee's US operations - commercial, clinical, and data - remain fully compliant with applicable federal and state regulations, including HIPAA, CMS conditions of participation, and Medicare Part B RPM billing requirements.
- Partner with Legal and Finance to maintain compliant contracting, business associate agreements (BAAs), and billing practices across all SNF accounts.
- Stay current on evolving RPM reimbursement policy, CMS rule changes, and state-level telehealth and licensure requirements; translate regulatory developments into operational and commercial implications.
- Build internal compliance SOPs for data privacy, incident reporting, and clinical documentation to meet the standards of SNF accreditation bodies and payer audits.
- Liaise with external legal counsel, compliance advisors, and industry bodies to proactively manage regulatory risk as the US business scales.
Requirements- Operator tenure: 12+ years in operator, commercial leadership, or general management roles in a B2B business, with at least one tour running a full P&L at the business unit, regional, or divisional level.
- Commercial chops: Deep fluency in revenue operations - forecasting, pipeline management, quota design, pricing, deal desk, and commercial KPIs.
- Multi-site deployment: Scaled a business where success depends on repeatable deployments across dozens or hundreds of customer sites - training frontline users, managing on-site rollout, driving adoption.
- Zero-to-one builder: Stood up SOPs, dashboards, and operating cadence from scratch in a scaling company. You have built an operating rhythm, not inherited it.
- Cross-geo stamina: Worked daily with teams in a 10+ hour time-zone split for 18+ months. India is our primary engineering and product hub - this is non-negotiable.
- Learning speed: Track record of adapting fast to new verticals, domains, and regulatory environments.
