Chief Operating Officer

Inato is a Tech for Good company striving to bring clinical research to each and every patient, regardless of who they are or where they live. To do this, we are building the world's first clinical trial platform to create greater visibility, access, and engagement across a more diverse population of doctors and their patients.

Drug development is a challenging, intellectually complex, and rewarding endeavor: we enable global pharmaceutical companies to confidently partner with community-based researchers to increase patient access to the latest medical innovations. Our AI-powered platform currently offers clinical trials from leading companies to over 5,500 sites across the globe and we are well poised for growth in 2025.

We are a growing team of passionate pharmaceutical experts, software and AI engineers, professional services members, and many more—all bringing their unique perspectives to solve the challenges facing clinical research.

Inato is the recent recipient of Fast Company’s Most Innovative Companies of 2024, Fierce Healthcare’s Fierce 15, and Built In's Best Places to Work 2025.

We are hiring a Chief Operating Officer to lead cross functional execution across the company and ensure that our core operational teams can deliver with speed, clarity, and accountability. This person will manage our site side and sponsor side delivery teams, own the operating cadence, and serve as a close partner to our CEO and leadership team to help the company scale.

In the next 12 to 24 months, this role will be central to delivering on our enterprise partnerships, driving adoption of our AI platform across research sites, and scaling our geographic expansion.

This role reports to the CEO.

Lead Delivery and Operational Execution

• Manage our site side and sponsor side delivery teams, ensuring clear priorities and high quality execution across onboarding, adoption, enterprise delivery, and geographic expansion.

• Build the operational structure, processes, and decision making systems needed to support scale and consistency.

• Ensure teams execute with clear goals, consistent tracking, and timely decisions, and that compliance is built into how work gets done.

Drive the Company Wide Operating Cadence

• Own leadership level operating rhythms including OKR setting, operational planning cycles, and leadership meetings.

• Improve coordination across teams by establishing clear, predictable structures for how cross functional initiatives are planned, executed, and communicated.

Must Have

• 3+ years experience as a COO or in a senior operational leadership role with comparable scope and responsibility, with a track record in operating roles rather than primarily advisory or consulting work.

• Significant experience owning (or collaborating closely with?) customer facing delivery functions in a fast paced startup, in a company between 50 and 500 people.

• Strong business judgment with the ability to gather input from teams, determine key priorities, and make clear decisions when situations are ambiguous.

• Demonstrated ability to partner effectively with a CEO or executive team to translate company level goals into actionable plans.

• Must be based in EST time zone. (Candidates in France may be considered)

Nice to Have

• Experience working within a platform or marketplace model.

• Exposure to regulated industries or environments handling sensitive data.

Our mission is to make clinical trials more accessible and inclusive. We value diverse backgrounds and experiences, bringing together industry veterans and fresh perspectives to advance the clinical trials industry. Join us and be part of a team that is making a real difference in healthcare.

• 6 weeks vacation

• 9 holidays plus 4 floating holidays

• 16 weeks of paid maternity leave

• Comprehensive health insurance

• Competitive salary and equity

• An inclusive workplace committed to equal opportunity and reasonable accommodations

We strictly prohibit unlawful discrimination or harassment on the basis of race, color, religion, veteran status, national origin, ancestry, pregnancy status, sex, gender identity or expression, age, marital status, mental or physical disability, medical condition, sexual orientation, or any other characteristics protected by law. We also make reasonable accommodations to meet our obligations under laws protecting the rights of the disabled.