Chief of Staff

Kinstead•New York City, NY

13d•Onsite

About The Position

Kinstead helps nurse practitioners launch and run independent practices by replacing fragmented, manual healthcare infrastructure with a unified system. The company is scaling its practices and technology platform, and is hiring a third operator to work directly with the CEO and COO and manage an operations specialist. The Chief of Staff will run the systems that keep Kinstead practices operating, take on the company’s most important problem each month, and support nurse practitioners when issues arise. The role’s focus changes as the company grows. It is hands-on and execution-oriented, with responsibility for fixing operational problems rather than only recommending solutions. The role is expected to spend approximately 50% of its time on systems and operations, including vendor management, credentialing and licensure, and revenue operations and reporting; 30% on the founders’ most pressing problem of the month; and 20% on customer success and escalations. In the first 90 days, the hire will take ownership of vendor escalations and NP operations questions, build operational tracking and self-service systems, and establish a monthly operating report and weekly operations review. This role is designed for someone interested in founding a company and offers exposure to healthcare operations, scaling a two-sided business, fundraising, board preparation, and building with AI. As Kinstead evolves, the role may expand into new areas or transition into another role that fits the company’s needs and the employee’s strengths. Kinstead says it will support the employee when they are ready to start a company.

Requirements

Approximately 2 years of experience in management consulting or investment banking, followed by 2–3 years at a Series A or B startup; healthcare experience is preferred.
Experience fixing a broken process directly and keeping it running over time, rather than only recommending a solution.
Strong execution and attention to detail; comfortable with long hours and high standards.
Fluency with AI tools and sound judgment in evaluating their outputs.
Comfort with ambiguity and a role that changes as the company grows.
Interest in starting a company in the next few years, after first learning how to build one.

Nice To Haves

Startup experience in healthcare.

Responsibilities

Manage RCM, credentialing, front desk, and phone vendors using scorecards and SLAs, and handle vendor escalations.
Track nurse practitioner licenses, payer enrollment, and expiring credentials across states.
Build and run monthly business reporting on practice growth, revenue, spending, and runway.
Take ownership of the founders’ highest-priority problem of the month and drive it through completion.
Own the nurse practitioner experience when issues arise, including questions about the EHR and payout calculations.
Address root causes of recurring customer questions and relay feedback to the product team.
In the first 30 days, take vendor escalations and NP operations questions off the founders’ plates, observe existing work, and map how time is spent.
By days 31–60, build vendor scorecards, a credentialing and licensure tracker, and self-service answers to common NP questions.
By days 61–90, deliver the first monthly operating report, run the weekly operations review, and complete a major founder project.
Manage the operations specialist.