Business Operations Manager

About the Company

We’re building infrastructure that makes healthcare innovation easier. Our customers already serve 3+ million patients and manage $15+ billion in annual medical spend. Today, we work with leading healthcare groups backed by top Silicon Valley investors such as Sequoia, General Catalyst, Y Combinator, Kleiner Perkins, Stanford, Khosla Ventures, and others. Our mission is to enable more innovation in healthcare—so more patients receive affordable care.

About our Team

Our leadership previously founded and led a national digital health company (>$15M raised), with a team of 100+ employees across the US and that sold to a 1,000+-person incumbent. We’re a tight-knit team that’s driven to move fast and take on some of the biggest problems in healthcare and ultimately improve patient lives.

About the Role

As our business grows, we're looking for a Business Operations Manager to help shape the company's strategic priorities, identify the biggest bottlenecks to accomplishing them, and do whatever it takes to address those bottlenecks.

You'll work directly with the COO as a generalist problem-solver for the highest-leverage issues in the business. One month you might be re-architecting how we onboard clients (including onboarding several yourself); the next, building the model that decides where we invest; the next, standing up the metrics and cadence a team runs on. You'll go deep enough to understand each part of our business or operations — how it works, how to measure it, and how the pieces interact — then test solutions and install systems that make it run better without you. You'll start by doing the work manually and end by automating it, building lightweight tools and agents, and working with other teams to run and improve upon what you've built.

What You’ll Own

• Take ambiguous, cross-functional problems ("time-to-activation is too slow," "we don't understand margin by client type," "Partnerships and Success disagree on what 'ready' means") from diagnosis to an installed, measured solution.

• Build the quantitative backbone: models, unit economics, funnel and throughput instrumentation, and the definitions and dashboards a function trusts and runs on.

• Design operating mechanisms (cadences, ownership, SOPs, decision rules) then reduce the manual load through tooling, automation, and agents.

• Partner with functional leaders (Legal/Compliance, Success, Partnerships, Finance) to surface the real underlying need behind the stated ask, build the relationship, and land changes that stick.

• Prepare the analysis and narrative behind key leadership decisions; and, more importantly, own the recommendation and its tradeoffs.

Key Performance Indicators

In your first 6-12 months, you will have (outcomes, not activities):

• Owned at least one company-priority operating problem end-to-end and moved a top-line metric on it.

• Stood up the instrumentation and cadence for at least one function such that its leader runs the business off it without you in the room.

• Replaced meaningful manual effort with a durable system, tool, or agent - and handed run-state to another teammate.

About You

Core Experience

• 4+ years of experience, including a structured "apprenticeship" tour (top management consulting, IB, PE/growth equity, or in-house strategy/BizOps)

• 2+ years as an operator inside a startup

• Highly analytical and structured - decomposes a vague problem into a framework and measures it quantitatively.

• A genuine systems thinker - sees the whole business as an interacting machine and reasons about second-order effects.

• A strong communicator with executive presence - concise, structured, credible with senior stakeholders, non-defensive under pressure.

• Builds relationships and reads what stakeholders actually need underneath what they ask for.

• Willing to roll up your sleeves on unglamorous manual work - with the instinct to systematize and automate it rather than do it forever.

• Fluent with AI as a force multiplier, and clearly additive on top of it - you use it well, including maintaining accountability and ownership of your outputs.

Bonus

• Healthcare, compliance-heavy, or operationally intensive industry experience.

• Experience building tools / automations / agents, or managing people.

What You Bring

• Energy and drive; you have a hunger for self-improvement and want to be around the most talented teammates who push you to do so. (Kobe said it best.)

• Excited by a fast-paced, startup culture where you’ll navigate ambiguity and solve big problems, with very high autonomy.

• Talent for identifying process improvement opportunities and creative ways to better structure operations.

• Interest in working in healthcare and helping healthcare innovation flourish.

What We Offer

• Highly competitive salary and stock options (we want you to share in our growth)

• Compassionate, fun, and mission-driven culture of excellence and innovation. (We help companies bring new life-changing care models into the world.)

• Many growth and advancement opportunities (the company is growing fast, so there are many opportunities to step up).

• Hybrid set-up. Preference for either New York or Toronto, but open to elsewhere.

• Paid Time Off: Holidays, vacation days.

• Comprehensive health plans so you feel your best.

• Culture of mentorship, learning, independence, and critical-thinking.

• This role has a preference for Eastern Time (EST) hours (some flexibility there)