Strategy & Ops Lead/GM

About Joyful Health

Building the financial operating system for healthcare, and bringing the joy back to healthcare by fixing the financial chaos behind it.

The healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. This financial uncertainty leaves practices struggling to stay afloat, while valuable revenue slips through the cracks.

Joyful Health is building the AI-powered financial operating system for healthcare practices. Our mission is to bring the joy back to running a private practice by simplifying financial operations so providers can focus on patient care. We spent 10 months working as fractional CFOs for a dozen practices, doing this work side by side with providers as we developed our product.

We just closed a funding round led by world-class investors and angels including the founders of MongoDB & KAYAK.

We have an enormous opportunity in front of us. The broken healthcare payment ecosystem impacts practices of all sizes, and the opportunity to make a real difference is massive. If you’re passionate about empowering medical practices and excited to tackle one of the most important (& challenging!) problems in healthcare, we’d love to meet you. Apply here: Joyful Health CareersJoyful Health Careers

The Role

Role Description

We're looking for a Strategy & Ops Lead/GM to drive operational excellence across Joyful Health, with a particular focus on scaling our revenue recovery services business. This would be our first business hire.

As the GM of our services business and leader of company-wide operations, you'll build the operational foundation that enables our growth. You'll own the P&L of our revenue recovery service line while establishing the systems, processes, and metrics that drive efficiency across the organization.

This is a highly strategic role combining business unit ownership with hands-on operational execution. You should have strong analytical skills, experience scaling operations, and a track record of driving results through meticulous operational excellence. This role is perfect for someone with consulting or banking experience who has transitioned to startup operations, particularly in healthcare.

This role is full-time. We’re looking for someone who is NYC based for this role, and is open to coming to the office 3 days a week.

What you'll do…

Lead Our Services Business: Own the P&L and day-to-day operational execution of our revenue recovery services. This includes developing staffing models, creating detailed SOPs, implementing performance tracking systems, managing customer onboarding workflows, and ensuring we hit our quality and financial targets.

Drive Operational Excellence: Ensure flawless service delivery execution by building and maintaining detailed operational playbooks, quality assurance processes, and performance management systems. Partner with RCM teams to manage customer implementations, oversee biller training and performance, and maintain service delivery standards.

Build & Leverage Financial Models: Build and maintain sophisticated financial models, KPI dashboards, and reporting infrastructure. Use data to develop deep insights into unit economics, operational efficiency, and performance trends to guide strategic decisions. You'll be the go-to person for all data-driven analysis across the business.

Project Management & Cross-Functional Collaboration: Plan, manage, and execute complex operational projects across teams. Work closely with RCM, GTM, and engineering stakeholders to ensure seamless execution. You'll be the person who makes sure nothing falls through the cracks and all moving pieces come together on time.

Build Operational Infrastructure: Establish core operational systems across finance, HR, workforce management, and service delivery. Create scalable processes and detailed documentation that will grow with us as we expand.

Scale Team Performance: Design and implement systems for hiring, onboarding, training, and performance management of our service delivery team. Build the foundation for scaling efficiently while maintaining quality standards. You'll build and implement these processes from scratch, figuring out how to tackle new challenges and establishing systems as needed to help make the team more effective.

Champion Process Optimization: Use data to identify opportunities for automation and efficiency improvements. Work closely with our product and engineering teams to translate manual processes into scalable solutions. You love finding the inefficiencies and building systems to fix them.

We’d love to hear from you if…

You're passionate about Joyful Health's mission – You want to solve real, pressing problems for providers and put them in control of their businesses. You have a deep passion for healthcare and are excited by the challenge of building a business here.

You have relevant experience in operations and ideally healthcare –

5-7+ years of experience in operations, driving results across diverse business sectors and/or at high growth healthcare companies.

Ideally, you also have:

A few years in consulting and/or banking

Experience at a startup

Some exposure to healthcare (whether in consulting and/or at startups)

You're deeply analytical and love working with data - You have strong quantitative skills and extensive experience building financial models, analyzing operational metrics, and using data to drive decisions. You're comfortable in Excel/Google Sheets, can build complex models from scratch, and love diving into the numbers to find insights.

You thrive on operational details and execution – You have experience managing P&Ls or business units and are excited about having true accountability for results. You're the person who loves making sure the trains run on time - you pay attention to the details, build robust processes, and take pride in flawless execution.

You're exceptionally organized and love project management - You excel at planning complex projects, managing multiple stakeholders, and ensuring everything gets done on time and to spec. You're the person people rely on to keep things moving and organized.

You excel at cross-functional collaboration - You have a track record of working effectively across teams, managing stakeholder relationships, and driving results through influence rather than authority. You can effectively communicate operational insights and rally teams around shared goals.

You're a strong leader and communicator – You can effectively manage teams, work cross-functionally, and clearly communicate operational insights to stakeholders at all levels.

You're highly adaptable and love building from scratch – While you'll own the services business, you're comfortable taking on broader operational responsibilities as needed. You love the challenge of building new processes, figuring out solutions to novel problems, and maintaining high standards of execution as things scale.

Our Value Prop to You

At Joyful Health, we’re on a mission to fix one of the most broken systems in healthcare. Joining us means having the opportunity to make a direct, meaningful impact on the lives of clinicians and the financial health of their practices. Here’s what you can expect from working with us:

Meaningful Impact You’ll be tackling one of the most complex challenges in healthcare—helping practices thrive in a chaotic financial landscape. Your work will directly contribute to solving one of the most hair on fire problems for providers, ensuring that they can focus on what they do best: caring for patients.

Autonomy & Ownership As an early team member, you’ll have significant autonomy and the chance to shape our company from the ground up. You’ll have ownership over your work and the freedom to challenge the status quo in an environment that values initiative and creativity.

Growth & Learning We’re a small, ambitious team with big goals, which means you’ll be constantly learning and growing. You’ll take on new challenges, expand your skill set, and have direct access to experienced founders and advisors who are invested in your development. We also offer stipends for professional development courses & books (that we often will partake in together!) so we can all continuously grow.

Competitive Compensation & Equity We believe that our team is our most valuable asset. We offer competitive compensation packages, strong equity, and the opportunity to share in the success of Joyful Health. We want you to feel supported, both financially and professionally, as we grow together.

Be Your Best Self We provide the benefits you need to stay happy and healthy, including comprehensive healthcare benefits, unlimited PTO (with a minimum of 10 days off a year), and flexibility so you can take care of yourself. We also organize regular team off-sites and events to ensure that even as we tackle big problems we enjoy the journey.

If you’re passionate about empowering practices and excited to tackle one of the most important (& challenging!) problems in healthcare, we’d love to meet you. Please apply even if you don't meet 100% of the criteria. Nobody checks every box every time and we'd love to talk to you about how and why you can see yourself growing into this role. We're also very open to candidates with non-traditional experience. Apply here: Joyful Health CareersJoyful Health Careers

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