Special Projects Lead

About Us We are fixing US healthcare by building an AI-native physical care platform, starting with home health. Home health is a $140B industry with less than $10B in EBITDA - 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today. By reshaping the cost structure of this industry, we unlock its growth. We’ve built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans and ex-MBB strategists to build a new type of healthcare company: one that delivers care at the speed of an AI company. Our physical care platform already operates with 30pp higher gross margins than traditional home health providers. With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry. If we served this entire $140B market, instead of $10B in EBITDA, we’d drive $60B. We're starting with home health, then expanding to all delivered care. Our mission is "any care, any where". Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars taken out of the healthcare system. If we succeed, so does US healthcare. The Opportunity - Operational Ownership We're building an AI operating system that automates the entire back office of home health - collapsing 20+ traditional roles into 2. To win, we need someone who owns the operational stack : the complex, high-leverage workflows where automation meets the real world of patient care. You will own critical operational domains end-to-end, get deep into the workflows that drive care delivery and revenue, and work directly with product and engineering to ensure we build the right solutions. Think of it as a blend of: Operational strategy (decide which workflows to optimize and in what sequence - these choices determine how fast we scale and which patients we can serve) Workflow mastery (map real processes step-by-step, find the leverage points where better systems change the economics of care delivery) Cross-functional translation (bridge the gap between operators, clinicians, and engineers - turn messy real-world complexity into crisp requirements that ship) You'll be one of the earliest operational leaders at the company, working directly with the founders, engineering, and operations to build the systems that power care delivery across the USA. This role is an operations track that also supports people still figuring out what they want to grow into - strategic finance, product leadership, P&L ownership, or a COO-style path depending on where you spike. This role is designed for you if you have a low ego, love solving problems that matter, and are ready to build an industry-changing company. What You'll Do You'll own high-impact, ambiguous problems end-to-end, such as: 1. Own operational domains and drive cross-functional initiatives Own end-to-end planning and execution for one or more operational areas: Intake (referral processing, eligibility, scheduling), Clinical operations (documentation workflows, QA), RCM (prior auth, collections, billing), or growth and partnerships Scope, plan, and deliver strategic initiatives that integrate software solutions and operational improvements - you're the connective tissue between what operators need and what engineering builds Build new teams and departments as the company scales—you'll be at the forefront of standing up the functions that don't exist yet Oversee and develop a team of operators, setting priorities, removing blockers, and raising the bar on execution quality 2. Get deep into the workflows you're improving Spend time with operators and clinicians to map processes step-by-step: inputs, outputs, handoffs, exceptions, failure modes Identify the bottlenecks that matter - where time, cost, or errors concentrate and prioritize ruthlessly Own real-world care and financial outcomes for your domains 3. Turn complex problems into crisp specs and recommendations Break down ambiguous operational problems into clear requirements, user stories, and acceptance criteria that engineering can build against Use analytical rigor - qualitative user insights and quantitative modeling to drive decisions and prioritize investments Provide strategic recommendations on business-critical decisions: pricing, deployment strategy, product expansion, operational scaling 4. Build and lead your team Hire, onboard, and manage operators who run the day-to-day workflows in your domain - you own the talent pipeline for your function Set clear expectations, run regular feedback cycles, and create an environment where operators do the best work of their careers Design team structures and roles that scale with the business - today's scrappy squad becomes tomorrow's department 5. Define the metrics that move the business Identify the KPIs that matter for your operational domains and the business Build dashboards and tracking that make your domain's impact legible to the whole company Know the perverse incentives your metrics might create and design around them Must-Have Experience 2-4 years in management consulting, investment banking/private equity, product operations, or similar analytically rigorous environments (e.g., MBB, high-velocity startups, complex operational systems, workflow automation companies) Proven track record of owning and executing complex projects involving multiple stakeholders and workstreams—you can articulate the load-bearing decisions and why they mattered Analytical depth: comfort with Claude Code, SQL, Excel modeling, and self-serving data analysis to guide decisions Exceptional written and verbal communication—able to synthesize complex topics clearly and concisely How You Work Owner mindset: you want to be accountable for outcomes end-to-end—you unblock yourself, escape when necessary, and iterate quickly Operationally curious: you love getting into the weeds of how work actually happens—you ask about exceptions, handoffs, and failure modes Team builder: you attract talent, develop people, and create high-performing teams—you take as much pride in your team's growth as your own Versatile generalist: you spike in at least one of workflow/system design, financial analysis, relationship management, or product thinking—and you pick up the rest fast Clear communicator: you have precise, succinct written communication that moves people to action Comfort with ambiguity: you can operate from zero-to-one and thrive in environments where the playbook doesn't exist yet Low ego: this is a startup—you want to get scrappy Nice-to-Haves Experience in healthcare operations or technology—intake, clinical documentation, revenue cycle management Experience leading initiatives involving operationally complex workflows (e.g., call centers, service delivery, logistics) Background building or optimizing labor-intensive, process-driven systems where automation and human expertise work side by side Technical fluency: you can confidently engage with engineers and understand concepts like APIs, schemas, latency, and security What We Don't Require Healthcare experience (we'll support your learning curve, but you must be an autodidact who will quickly familiarise yourself with the details of the industry) What We Offer Opportunity for growth in a fast-growing company Collaborative team valuing innovation and problem-solving Competitive salary and equity compensation Flexible time off policy - we expect most employees to take at least 3 weeks of vacation per year In-office lunches, dinners, and snacks to fuel your focus and well-being 401(k) retirement plan with employer contribution Comprehensive health insurance, dental, and commuter benefits Location This role is in-person 3-5 days a week in our New York City office #J-18808-Ljbffr