Founding Operations Lead

Job title: Founding Operations Lead

Location: San Francisco, CA (in-person only, relocation available)

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The Company

They help speech, occupational, and physical therapists build their own private practices. They're AI-powered “business-in-a-box” handles everything from business setup and insurance to marketing and software, so therapists can focus on what they do best: helping children.

They're a small team in San Francisco backed by industry-leading investors who share their vision to reimagine the shape of pediatric care in the US. If you’re ready to build something big, you’re in the right place.

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Role Overview

They're hiring our Founding Operations Lead to work in-person, 5 days/week, in San Francisco as a member of the founding team. The office is currently in the Mission.

This is not a 9-to-5 role. This is a chance to join an early-stage startup, work incredibly hard to build something massive, and get unmatched career growth and learning along the way. What they’re building matters — to families, to therapists, and to the kids waiting for care.

As the Founding Operations Lead, you will be employee #1 and build & own the entire operations experience — primarily on the provider side (from provider outreach to onboarding to ongoing success) and increasingly on the patient side as we scale. You will be wearing several different hats:

• Provider onboarding
  • Design, build, and own the end-to-end provider recruiting journey from initial outreach through signed agreement — what we say, show, and do at each stage.
  • Build and continuously refine the onboarding process: from form completion, to back-office setup (LLC/business license/EIN), to brand/logo/website design. Learn how to do it manually and then automate these over time.
  • Develop a consistent outreach and follow-up cadence to engage prospective providers and keep them warm.
  • Work directly with providers to solve problems in real time and ensure a smooth, supportive onboarding experience.
• Provider success
  • Serve as the trusted point of contact for the therapists — helping troubleshoot issues & answer questions.
  • Help providers build full caseloads, leaning in with extra support where needed to ensure every therapist is thriving.
  • Gather provider feedback to inform product improvements, onboarding changes, and new support materials.
• Patient operations
  • Refine and optimize the patient-provider matching process ensuring the right balance of fit, strategy, and therapist capacity.
  • Build our CRM and tracking on patient leads, statuses, and outcomes
  • Partner with the offshore ops team to help build better processes on patient intake, insurance billing, and patient FAQs.

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You Might Be a Fit If You…

• Have 2-5+ years of experience in management consulting, investment banking, early-stage startups, or a similar role.
• Are scrappy and resourceful — you figure things out fast, make progress without perfect information, and aren’t afraid to get your hands dirty.
• Are a systems thinker — you notice patterns in messy workflows and instinctively look for ways to streamline and scale them.
• Are deeply empathetic with strong EQ — you’re comfortable collaborating and empathizing with providers to help them succeed
• Take ownership — you’re comfortable being proactive, taking ownership, and prioritizing progress over perfection.
• Feel comfortable with ambiguity — you thrive when things aren’t fully defined and you can shape what’s next.
• Are energized by a fast-moving environment — you can juggle multiple priorities, set your own pace, and don’t wait to be told what to do.

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Why Join Us

• You will have unparalleled career growth: This will be an opportunity for unparalleled learning & career growth.
• You’ll be part of a fast-growing startup aiming big: You will be part of something huge. We work hard, take ownership, and push ourselves to make that possible.
• You will have a massive amount of impact: As our first full-time hire, you will have a remarkable amount of impact and ability to shape how we operate, scale, and succeed. Your fingerprints will be everywhere.
• You can help shape pediatric therapy for the better: We’re building solutions to help kids who desperately need care. You’ll help improve access to therapy for kids and empower providers with better systems, better support, better outcomes.