Chief of Staff to COO, Business Operations Lead

About Hike Medical Hike Medical is reinventing musculoskeletal care, starting with feet. Our proprietary AI-vision platform turns a 30-second web-based (no sensors) foot scan into precision-engineered, 3D-printed insoles that prevent pain before it starts. We're already protecting on-their-feet workforces at Fortune 50 leaders, major health systems, and middle America manufacturers. Fresh off a stealthy round with top-tier VCs, we run a fast, no-BS, execution-first culture out of Boston's Seaport as we sprint toward $100M ARR and standing with 10M Americans as they step into their shoes daily. First and only PDAC-approved 3D-printed custom insole in the world 3 proprietary AI models that power the experience Two products: one for employers & health plans, one for clinics — creating a virtuous cycle of clinician-labeled data Expanded care access to 100,000+ Americans to date The Opportunity You'll be the strategic and operational right hand to the founding team, reporting directly to the COO — sitting at the intersection of planning, metrics-driven accountability, and large-scale execution. This role is for a strategy and operations athlete who moves fluidly between building the framework and getting their hands dirty to ship it. The role spans four critical functions: running the company's management cadence, driving performance culture through data and truth-telling, program-managing major operational rollouts, and owning select partnership relationships. If you've ever been the person in the room who sees the system everyone else is inside of — this is your seat. This role is perfect for someone who is: Energized by operational rigor and the challenge of scaling a hardware-meets-software business A systems thinker who can define KPIs, own dashboards, and run a weekly review cadence without being told to Comfortable doing the analytical work themselves — not just managing others to do it What We're Looking For These are not hard-and-fast requirements — we care more about ownership, execution, and judgment than checking every box. 5–10 years total experience, with at least 2–3 years of direct exposure to manufacturing, supply chain, or industrial operations Has worked inside a company actively going through scale — not just a mature, stable operation Ideally has served as the right hand to a GM, COO, or CEO before — knows how to operate in that leverage role Fluency in unit economics, COGS structure, and contribution margin analysis Experience running S&OP or analogous cross-functional planning processes Understands factory economics: yield, throughput, capacity utilization, capex payback Proven ability to structure ambiguous problems into a rigorous framework and drive to a decision Experience designing and implementing leading and lagging indicator systems Strong executive presence — equally effective with operators on the floor and founders in the boardroom Ideal Background The best candidates tend to come from one of four places: Ops or Industrial Engineering at a scaled hardware/manufacturing company — Thinks in systems and constraints. Apple, Tesla, SpaceX, Medtronic, or similar. Has seen what rigorous operational excellence actually looks like at scale. Military (engineering or logistics) → MBA → ops — Execution discipline, cross-functional influence without authority, and genuine comfort with ambiguity. Management consulting → ops or manufacturing role — Gets strategy and structure, and has been tested in implementation. Work product should show operational results, not just decks. Private equity or portfolio ops — Wired to find COGS and efficiency opportunities, drive metrics discipline, and manage toward milestones. Blend of financial and operational instincts. What we're not looking for: pure finance backgrounds without operational exposure, or generalist chiefs of staff whose work has been primarily coordination. Primary Responsibilities Management Cadence: Develop and operate the company's executive operating rhythm — planning cycles, reviews, and decision-making forums Metrics & Truth-Telling: Apolitically drive performance culture through data, dashboards, and honest analysis — with both numbers and anecdotes Program Management: Lead large-scale operational rollouts, cross-functional initiatives, and crisis response Partnership Ownership: Own select partner and supplier relationships end-to-end Operating Model: Build and maintain the company operating model; own make/buy/partner analysis and investment cases Systems Design: Design and run company-wide and operations-wide KPI systems from definition through weekly and monthly review cadence What You'll Get Competitive cash compensation + equity Full medical, dental, and vision coverage $15K relocation bonus if needed Daily collaboration with the founding team and senior leadership Free custom insoles (of course…) #J-18808-Ljbffr RiverPark Ventures