COO — CHIEF OPERATING OFFICER

THE ROLE The COO owns the operational engine of — clinical workflows, technology systems, billing, insurance, and provider operations. This is a builder role in a startup environment. The ideal candidate has run the full back-office of a clinical or telehealth operation and thrives in complexity.

MUST-HAVE BACKGROUND

• Healthcare operations leadership — clinical workflows, provider management, staffing
• Medical billing and revenue cycle management
• Insurance credentialing and payer contracting
• Health technology / EMR systems oversight
• Multi-site, telehealth, or distributed clinic experience
• Ability to build and document operational systems from scratch

NICE TO HAVE

• Experience with integrative, functional, or longevity medicine practices
• Familiarity with AI-powered clinical platforms or agentic health tools
• Federal health compliance experience (VA, DoD, CMS billing)
• SDVOSB or government contract operations background
• Veteran background — strong cultural fit

TITLE HISTORY TO TARGET COO, VP Operations, or Director of Operations at a telehealth company, multi-site clinic network, MSO, or health IT platform. Revenue cycle directors or practice administrators who have grown into broader operational leadership are also worth evaluating.

TARGET INDUSTRIES Telehealth and virtual care operators | Multi-site / MSO clinic networks | Integrative / functional medicine groups | Health IT platforms with clinical ops

SOURCE FROM DPC / concierge medicine networks | Telehealth Series A–C companies | Revenue cycle management firms | Government health services operators

COMPENSATION Base: Cash-light; modest base until funding milestone Equity: Meaningful — tied to operational milestones and funding events Upside: Ground-floor opportunity; clinic network scaling to 1M+ users by 2029

CULTURAL FIT Mission-driven | Comfortable with ambiguity | Collaborative | High integrity | Veteran affinity a strong plus