Salary range: $180K - $250KLocation: San Francisco, CA
Visa Sponsorship Details: Open to visa transfers (e.g. OPT, H1B transfers)Hybrid work policy: 3 days in-office (Tue-Thu) in San Francisco, plus regular travel to clinic sites across Northern California
About this roleWe are looking for a Director of Business Operations with 7-12 years of experience to own and scale Indigo's Northern California region end-to-end. This is a true GM seat - you'll inherit a ~$10M ARR market with room to grow to $70M+, manage a team of 10+ (and growing), and own the P&L, strategy, and day-to-day operations for ~40 physician relationships across the region.
What will you be doing?- Own the NorCal P&L - drive regional growth, physician satisfaction, and operational efficiency across all clinic sites
- Manage and grow a team of 10+ (onboarding specialists, on-site day specialists, and hourly staff), with 3-6 additional hires planned in the next six months
- Visit physician practices and clinic sites weekly - ensure facilities are stocked, operational, and delivering a great experience
- Build and deepen physician relationships to maintain zero churn and fuel referral-driven growth
- Partner with product and engineering to identify automation opportunities and implement AI-native workflows without sacrificing quality
Key Requirements- P&L ownership experience for a region or business unit - must have directly owned results, not just influenced them
- Prior management experience - this cannot be a first-time manager role; you'll inherit 10+ direct reports on day one
- Consulting background (MBB strongly preferred) with a transition into hands-on operating roles at high-growth startups or marketplaces
- Degree from a top-tier university; bulk of career experience must be US-based
- Comfortable being boots-on-the-ground - 70% hands-on execution early on, traveling to clinic sites, and doing whatever it takes at a 30-person company
