Chief Operating Officer

Dozee • Houston, TX

11d • Hybrid

About The Position

The COO, US is the senior-most operator in the US business and owns the P&L end-to-end. Reporting to the Global CEO, this role is equal parts execution and leadership — building the SOPs, systems, cadence, and team that convert early SNF traction into a scaled, repeatable commercial engine. This is a player-coach seat, not a traditional Fortune 500 COO role. You will be in the weeds of a SNF deployment one day, closing a multi-facility chain deal the next, and building a repeatable go-to-market the week after. Ideal for someone who wants to build an institution — not inherit one.

Requirements

• 12+ years in operator, commercial leadership, or general management roles in a B2B business, with at least one tour running a full P&L at the business unit, regional, or divisional level.
• Deep fluency in revenue operations — forecasting, pipeline management, quota design, pricing, deal desk, and commercial KPIs.
• Scaled a business where success depends on repeatable deployments across dozens or hundreds of customer sites — training frontline users, managing on-site rollout, driving adoption.
• Stood up SOPs, dashboards, and operating cadence from scratch in a scaling company. You have built an operating rhythm, not inherited it.
• Worked daily with teams in a 10+ hour time-zone split for 18+ months. India is our primary engineering and product hub — this is non-negotiable.
• Track record of adapting fast to new verticals, domains, and regulatory environments.

Responsibilities

• Own US revenue, gross margin, contribution margin, and EBITDA against the Annual Operating Plan. Build forecast discipline, monthly operating reviews, and a culture of hitting commitments. Own unit economics: customer CAC and LTV, deployment cost, per-facility margin, payback period.
• Partner with the Head of Sales to scale enterprise SNF chain deals and regional expansion. Build the pricing, contracting, RFP response, and revenue realization motion for the US market. Drive pipeline accountability, quota design, territory planning, and commercial KPIs.
• Ensure every SNF deployment meets clinical quality, nurse adoption, and SLA commitments. Institutionalize SOPs for installation, nurse training, clinical escalation, and customer success. Drive adoption metrics: alerts reviewed, percent of residents monitored, clinical actions taken, rehospitalization impact.
• Directly manage the Heads of Sales, Operations, Clinical Operations, and Revenue Operations. Hire, develop, and raise the bar on talent as the US business scales. Act as the voice of the US business in global leadership forums.
• Partner daily with India-based Engineering, Product, Finance, HR, and Supply Chain teams. Translate US market realities into the global product roadmap. Run effective cross-time-zone execution with clean hand-offs and feedback loops.
• Own post-sale customer relationships across all SNF accounts — from single-facility pilots to multi-site enterprise chains — ensuring high retention, expansion, and NPS. Build and institutionalize a structured account management playbook: QBRs, clinical outcome reviews, escalation protocols, and renewal cadence. Drive net revenue retention by identifying upsell and cross-sell opportunities within the existing customer base, including additional wards, modules, and adjacent use cases. Serve as the executive sponsor for strategic accounts, maintaining senior relationships with SNF administrators, Directors of Nursing, and corporate operations leads. Translate customer feedback and usage patterns into actionable insights for Product, Clinical, and Commercial teams to improve retention and product-market fit.
• Ensure Dozee's US operations — commercial, clinical, and data — remain fully compliant with applicable federal and state regulations, including HIPAA, CMS conditions of participation, and Medicare Part B RPM billing requirements. Partner with Legal and Finance to maintain compliant contracting, business associate agreements (BAAs), and billing practices across all SNF accounts. Stay current on evolving RPM reimbursement policy, CMS rule changes, and state-level telehealth and licensure requirements; translate regulatory developments into operational and commercial implications. Build internal compliance SOPs for data privacy, incident reporting, and clinical documentation to meet the standards of SNF accreditation bodies and payer audits. Liaise with external legal counsel, compliance advisors, and industry bodies to proactively manage regulatory risk as the US business scales.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed