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Chief Operating Officer (COO)

Confidential San Francisco, CA $300,000 - $400,000
ExecutiveDIRECT HIREONSITEPosted 15 days ago

About This Role

About the Company

We are a post-traction healthcare AI venture studio building and spinning out companies at the intersection of clinical intelligence, human interaction, and autonomous systems. The company has raised $40 million to date and is actively raising an additional $50 million. Our technology platforms power a pipeline of seven spinout entities spanning surgical operations, clinical operations, digital surgical solutions, healthcare robotics, and AI-driven workflow automation. The executive leadership team and advisory board include former C-suite leaders from major global health systems, medical device companies, and healthcare services organizations. We are headquartered in the San Francisco Bay Area.

 

We are not disclosing the company name at this stage of the search. Full details will be shared with qualified candidates following an initial screening conversation.

 

Role Overview

The COO will serve as the operational backbone of the company, translating the CEO’s strategic vision into executable plans across the parent company and its portfolio of spinout entities. This leader will own day-to-day operations, build scalable shared services infrastructure, and ensure that each spinout has the operational support it needs to move from incubation to market-ready status. The COO will also serve as the primary internal integration point across the CFO, General Counsel, CTO, CCO, and Chief of Staff, ensuring cross-functional alignment as the company scales through its next fundraise and beyond.

 

Key Responsibilities

       Own and execute the operating rhythm for the parent entity and all spinout entities, including OKRs, quarterly planning, and executive reporting to the Board.

       Stand up and scale shared services infrastructure (HR, finance, IT, procurement) that spinouts can leverage without duplicating overhead.

       Partner with the CEO and CFO to manage fundraise execution, investor diligence requests, and post-close capital deployment planning.

       Design and implement the licensing and IP governance framework between the parent entity and spinout entities, working closely with the General Counsel.

       Oversee spinout operational readiness—ensuring each entity has the right leadership, go-to-market plan, and operational infrastructure prior to formal spin.

       Build and manage the operational budget across the parent entity and allocate shared R&D costs to spinouts per the intercompany framework.

       Drive the inception partner program, ensuring healthcare system partners are onboarded, KPIs are tracked, and feedback loops inform product development.

       Recruit, develop, and retain a high-performing operations team, including Project Managers overseeing key partner and subsidiary relationships.

       Establish vendor management, procurement, and contract administration processes for hardware (robotics), cloud infrastructure, and clinical data partnerships.

       Serve as a key member of the executive leadership team and participate in Board meetings as needed.

 

Required Qualifications

       12+ years of progressive operating experience, with at least 5 years in a COO, VP of Operations, or equivalent role at a venture-backed technology or healthcare company.

       Demonstrated success scaling operations through Series B/C stages, ideally with experience managing multi-entity or venture studio structures.

       Deep understanding of healthcare industry dynamics, including regulatory environments (FDA, HIPAA), hospital system procurement cycles, and clinical workflow adoption.

       Experience managing P&L responsibility of $20M+ and building shared services infrastructure from scratch.

       Track record of standing up operational frameworks for companies with 20–75 employees scaling to 100+.

       Strong executive presence with the ability to represent the company to investors, board members, and strategic partners.

       MBA or equivalent advanced degree preferred.

 

Preferred Qualifications

       Prior experience in a venture studio, incubator, or multi-subsidiary holding company structure.

       Background in AI/ML, robotics, or medical device companies.

       Experience working with hospital C-suites and health system procurement.

       Familiarity with IP licensing structures and intercompany transfer pricing.

 

Compensation

Ranges are calibrated for a post-Series B healthcare AI company with a $200–$400M post-money valuation. Equity structured as ISOs with standard 4-year vesting and 1-year cliff.

Benefits & Perks

Health, 401k, PTO, Equity

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