Business Operations & Strategy Manager

About us

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We are a small team that cares about deep thinking, speed, craftsmanship, and putting customers first. Our mission is to build the best care experience in healthcare, on a 30 year horizon.

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We help physicians achieve independence by making it easier to start, operate, and grow their practices. We believe the future of healthcare will be driven by individual physicians, not by large bureaucratic systems. Lowering the barrier to practice ownership lets doctors deliver better care for everyone.

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The founding team brings deep expertise across medicine, product, operations, and engineering, including more than 30 years of experience running independent practices across urgent care centers, surgical centers, and beyond. We have built 0-to-1 products at Meta, Dropbox, Instagram, Coda, and Nomad, and have founded companies with valuations exceeding $1B and more than 100M MAU.

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Highlights

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• We have strong product market fit. $15M+ ARR in under 15 months.
• We are profitable and funded by top tier healthcare investors.
• We are about 30 people today and rapidly growing across the company.
• You will fit in here if you want to own a product, a process, or a function and take it from 1 to 100.

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The role

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You will turn market strategy into execution across growth, physician operations, and business performance. You will work closely with physicians and frontline teams, solve operational problems, improve practice performance, and help build the systems needed to scale across the state.

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This is a hands-on role. You will move between analyzing performance, launching new initiatives, working directly with practices, and partnering with product and engineering to build better operational tools.

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You will also help shape how we build AI-native operations. That means rethinking workflows from first principles, identifying where automation can create leverage, and knowing where human judgment and relationships still matter.

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Responsibilities

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• Own key growth and operational initiatives across California.
• Work directly with physicians and practice teams to identify problems and improve performance.
• Support the launch, ramp-up, and growth of new physicians and practices.
• Use data to identify operational bottlenecks, growth opportunities, and areas for improvement.
• Build repeatable processes and operating playbooks as the market scales.
• Identify opportunities to make workflows automated, AI-assisted, or more efficient.
• Partner with product, engineering, and central teams to turn operational needs into scalable solutions.

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You might be a fit if

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• You have 3–5 years of experience in operations, strategy, consulting, healthcare, startups, or another high-growth environment.
• You can move seamlessly between strategy and hands-on execution.
• You understand how to redesign operations around AI rather than simply add technology to existing processes.
• You have strong judgment about where automation creates leverage and where human involvement creates a better experience.
• You are a self-starter who can develop a plan and execute it end to end.
• You are comfortable solving complex problems with limited structure or information.
• You have a roll-up-your-sleeves approach and are willing to work directly with teams and customers.
• You move quickly, hold a high bar for quality, and take full ownership of results.
• You are a thoughtful, low-ego teammate. We want to play long-term games with long-term people.

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What we offer

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• Medical insurance through Blue Shield of California, with multiple PPO and HMO options
• Dental and vision insurance
• Unlimited PTO
• Lunch in the office
• Competitive equity package
• A high-trust, low-ego, high-ownership culture where people move fast, and take real responsibility

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Equal opportunity employer

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We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability, or any other characteristic protected by law.