Founding Head of Operations

Role Description

Design the operating system of a healthcare AI company. Write the specs. Ship the product.

As Founding Head of Operations, you will own how Recourse runs its claims workflow, and how that workflow gets encoded into product. You will:

• Own end-to-end claim operations: ingestion, eligibility, evidence packaging, submission, settlement tracking
• Turn real-world claim patterns into specs and drive them to production, often by steering agents yourself
• Design the division of labor between AI agents, human operators, and customer teams
• Build the operating cadence: OKRs, weekly rhythms, throughput metrics, quality standards
• Stand up partner onboarding and customer success for provider and legal-partner relationships
• Partner closely with the Head of Engineering to ship product, not just document requirements
• Use AI tooling directly (Claude Code, Codex, Cursor, agentic frameworks) to move specs, data, and early features forward without waiting on engineering cycles
• Build the playbook as we scale from dozens of claims to thousands

This is not a classic COO role and it is not a classic head-of-ops role. It is the person who makes sure the product matches the work, and the work matches the product. You will write code-adjacent artifacts (specs, workflow diagrams, AI prompts) and you will ship.

Qualifications

• 5+ years of operations leadership, ideally spanning healthcare revenue cycle, claims operations, or a similarly regulated domain
• A track record of designing and running workflows at scale, not just documenting them
• Meaningful technical fluency: comfort with data, analytical tools, and getting hands on to move work without waiting on engineering
• Deep familiarity with AI tooling (Claude, ChatGPT, Cursor, agentic frameworks). You have shipped things using them, not just demo'd them
• Experience writing product specs, user stories, or equivalent artifacts that can be built against
• A preference for small teams and early-stage chaos over mature org charts
• Experience managing outside partners (law firms, vendors, offshore teams, customer ops) is a strong plus
• Familiarity with the No Surprises Act, IDR, payer contracting, or out-of-network claims is a major plus
• Experience designing systems where correctness, auditability, and financial impact are tightly coupled is highly valued.
• Sound judgment, operational depth, and ownership mindset are required.

Requirements

• You are AI-pilled. You have opinions about which agentic frameworks matter, which ones are hype, and which tools you reach for first.
• You have strong operational common sense. You can walk into a messy process, figure out what actually matters, and produce a clean system.
• You have a bias to action. You don't default to no. Speed of iteration over polish of iteration.
• You have technical fluency. You're comfortable working with data, querying systems directly, and getting hands on to move work forward rather than waiting for engineering cycles.
• You understand healthcare, ideally revenue cycle. You know what an 835 is.
• You are intellectually honest and curious. You seek out the things that might disconfirm your beliefs, not just confirm them.
• You put the team first. You are reliable and fully invested. You know sustainable intensity beats burnout.

Benefits

• Base salary range: $150,000 to $200,000, with meaningful equity.
• Specific offers are calibrated to experience, location, and scope of the role.
• Standard health, dental, and vision benefits.
• Expect our team to take real vacation time.

Equal Opportunity

Recourse is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We believe the best teams are built from people with different backgrounds and perspectives, and we're committed to creating an environment where everyone can do their best work.