About the roleAs the Founding Head of Operations, you are the operating backbone of the company. You turn strategy into execution and you build the machine that lets a regulated healthcare company move fast without breaking. One day you are running a special project or prepping the board, the next you are standing up our billing rails or fixing a broken process before it scales.
You will own four things:
- Force multiplier to the CEO: Run special projects end-to-end, drive hiring and onboarding, support fundraising and board prep, and own the dozens of cross-functional threads that keep the company moving.
- Compliance and billing rails: Stand up the infrastructure that makes us legitimate and reimbursable. HIPAA, BAA, OIG review, SOC 2, entity and TIN, Medicare enrollment, consent and copay workflows, and audit-ready documentation.
- Revenue cycle: Run the rails day to day. Time tracking, claims submission, acceptance, denials, and days to cash. Turn delivered navigation into clean, collected revenue.
- Analytics and reporting: Build the reporting backbone. Track outcomes and leading indicators, run the weekly cadence, and give the team and the board a clear, honest picture of what is working.
Expect to make high-leverage operational decisions, move fast, and own outcomes end-to-end with minimal process. This is a true 0-1 role. You will define how the company runs.
Who we're looking for- You are a generalist operator who goes deep. You can run a fundraising workstream and a claims workflow in the same week and do both well.
- You have hands-on clinical billing experience. You have personally run Medicare, Medicaid, or commercial billing, documentation, credentialing, and denials, and know what breaks and how to stay compliant.
- High agency. You figure things out, move fast, and do whatever it takes to make progress. You don't wait for perfect requirements or perfect conditions.
- You thrive in ambiguity and chaos. You prefer clear goals and maximum freedom over hand-holding and process.
- You bring structure to messes. You see the broken process or the missing system before it becomes a fire, and you build the fix.
- Low ego, high output. You want the intensity and ownership that only exists at the earliest stage of a company.
If you need constant direction, clear roadmaps, or a well-defined role, this is not the right place.
