Head of HR Business Operations

As our Director of HR Operations , you will be the heartbeat of the People engine. You will architect the systems, policies, programs, and processes that ensure the company scales rapidly without compromising on culture, trust, compliance, or mission. You will act as a critical bridge between the executive team and the broader workforce, responsible for turning people-strategy into actionable, repeatable, and scalable operations.
This is a role for someone who loves the craft of People Operations. You are energized by building from scratch, thrive when the stakes are high, and bring calm, precision, and sound judgment to complexity. You combine hands-on execution with strategic leadership , and you see operational rigor as the foundation of an exceptional employee experience.
If you want to shape the HR infrastructure of a hypergrowth, mission-driven organization-and care deeply about trust, clarity, and operational excellence-this is the place for you.
HR Operations & Systems Ownership

HRIS such as Rippling), ensuring workflows, automations, integrations, data integrity, and reporting are reliable and scalable.
Manage the full employee lifecycle: onboarding, internal transitions, performance changes, promotions, and offboarding.
Maintain confidential employee records and ensure data accuracy and compliance for reporting and audits.
Supervise and mentor any HR or People Ops staff - providing leadership, coaching, and development for the HR team.
Your work will help reinforce a culture of clarity, organization, and operational excellence across the entire company.
Compliance, Policies & Risk Management
Ensure organizational compliance with all relevant federal, state, and local labor laws, regulations, and employment standards - particularly critical as the company grows and operates across states.
Own the employee handbook, develop and maintain HR policies and procedures. Update policies as laws change or the company's needs evolve.
Oversee regulatory filings, audits, and HR-related reporting requirements.
Total Rewards Operations
Manage benefits administration, compensation workflows, payroll coordination, and rewards programs. Use market data and internal analytics to design competitive compensation and benefits plans.
Serve as a trusted, empathetic point of contact for employees - mediating disputes, supporting performance management, advising on disciplinary actions, and fostering an environment of fairness and openness.
Strategic People Operations & Scaling
Collaborate with Finance on headcount planning, budgets, compensation, and growth forecasting.
Work with leadership to align People strategy with business goals, growth trajectories, and scaling plans.
Your work will directly influence how we grow, how we collaborate, and how we maintain a high-performance culture during hypergrowth.
Reporting, Data & Analytics
Maintain accurate HR reporting (headcount, turnover, compensation, benefits, compliance metrics, demographics, trends).
Leverage data analytics to inform strategy, detect potential issues (e.g., turnover risk, engagement gaps), and drive continuous improvement in People operations.
To support fast collaboration and a strong team culture, this role is expected to be in our Palo Alto office five days a week, unless otherwise specified.
7+ years in People/HR Operations with at least 2+ years in leadership roles, with meaningful experience in fast-paced, high-growth startups

• Bachelor's degree in Human Resources, Business Administration, or a related field (advanced degree preferred).
• Deep functional knowledge across HR sub-functions: HR operations, total rewards, performance & talent management, compliance, HRIS, employee relations.
• Strong expertise with HRIS/People systems, especially Rippling - ability to design workflows, manage integrations, handle automations, and maintain data integrity.
• A deeply hands-on approach-you love rolling up your sleeves and building clean, reliable processes
• Strong foundation in multi-state employment (including hourly workforce), labor laws, and regulatory compliance
• Analytical mindset with strength in data, reporting, accuracy, and quality
• Experience with global expansion or international HR operations

Join us and help build the future of safe, life-changing AI in healthcare. We're building the world's first healthcareonly, safetyfocused LLM - a breakthrough platform designed to transform patient outcomes at a global scale. Hippocratic AI was cofounded by CEO Munjal Shah and a team of physicians, hospital leaders, AI pioneers, and researchers from institutions like El Camino Health, Johns Hopkins, Washington University in St. Louis, Stanford, Google, Meta, Microsoft, and NVIDIA.
Backed by the world's leading healthcare and AI investors. We recently raised a $126M Series C at a $3.5B valuation, led by Avenir Growth, bringing total funding to $404M with participation from CapitalG, General Catalyst, a16z, Kleiner Perkins, Premji Invest, UHS, Cincinnati Children's, WellSpan Health, John Doerr, Rick Klausner, and others.
Build alongside the best in healthcare and AI. Join experts who've spent their careers improving care, advancing science, and building worldchanging technologies - ensuring our platform is powerful, trusted, and truly transformative.
We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, sexual orientation, gender identity or expression, genetic information, military or veteran status, or any other characteristic protected by applicable law. We are committed to building a team that reflects the patients we serve. We actively encourage applications from candidates of all backgrounds. If you require accommodations during the hiring process, please contact View email address on click.appcast.io be aware of recruitment scams impersonating Hippocratic AI. All recruiting communication will come from @ hippocraticai.We will never request payment or sensitive personal information during the hiring process.