Director, Market Operations

Karoo Health
1dRemote

About The Position

The Director or Senior Director of Operations will own day-to-day execution across Karoo’s markets and lead the development and scaling of the tools, systems, and processes that enable reliable, high-quality care delivery. This role is responsible for ensuring that what we design—clinically, operationally, and technologically—actually works in the real world. The ideal candidate is a hands-on operator who thrives in early-stage environments, balances urgency with structure, and builds systems that scale. This role is critical to making Karoo’s care model real, reliable, and repeatable. You’ll ensure that patients receive high-quality care, providers experience operational ease, and the company can scale. Your work will directly impact outcomes, growth, and the sustainability of our value-based model.

Requirements

  • 6-8+ years of experience in healthcare operations, ideally digital health or value-based care environments.
  • Proven experience owning day-to-day execution across multiple markets or programs.
  • Strong systems thinker with hands-on experience building processes and operational tooling.
  • Comfortable operating in ambiguity and prioritizing ruthlessly in a fast-moving startup environment.
  • Collaborative leader who works effectively across clinical, product, and technical teams.
  • Data-driven, detail-oriented, and biased toward action.

Responsibilities

  • Market Operations & Execution
  • Own daily operational performance across active markets, ensuring smooth care delivery, provider satisfaction, and patient experience.
  • Serve as the primary operational escalation point for market-level issues, quickly diagnosing root causes and driving resolution.
  • Partner with Market Ops Managers to ensure consistent execution while allowing for thoughtful local variation.
  • Support market launches by coordinating operational readiness across clinical, staffing, workflows, and tooling.
  • Operational Systems & Tooling
  • Lead the design, implementation, and continuous improvement of the operational tools and systems that support care delivery (e.g., workflow management, care team tooling, reporting infrastructure).
  • Partner closely with Product and Clinical Operations to translate real-world operational needs into scalable technical solutions.
  • Ensure systems are intuitive for frontline teams and reduce administrative burden rather than adding complexity.
  • Identify gaps in tooling or process and prioritize fixes that improve reliability, efficiency, and scalability.
  • Process Design & Scalability
  • Build and maintain core operational processes, SOPs, and playbooks that enable consistent execution across markets.
  • Standardize where possible while preserving flexibility needed for early-stage iteration and market-specific requirements.
  • Continuously evaluate processes for efficiency, clarity, and scalability as patient volume and market count grow.
  • Drive process improvement initiatives using data, frontline feedback, and performance metrics.
  • Cross-Functional Coordination
  • Act as the connective tissue between Clinical Operations, Product, Market Ops, and central Operations teams.
  • Ensure alignment between clinical models, operational workflows, and system capabilities.
  • Translate strategic priorities into clear operational plans and timelines.
  • Provide structured feedback loops to leadership on what is working, what is breaking, and what needs investment.
  • Performance Management & Metrics
  • Define and monitor operational KPIs tied to care delivery, capacity, responsiveness, and market performance.
  • Use data to proactively identify risks, capacity constraints, and execution gaps.
  • Partner with Analytics to ensure operational reporting supports decision-making at both market and leadership levels.
  • Team Leadership
  • Build, lead, and develop a high-performing operations team, including Market Ops Managers and centralized ops roles.
  • Support hiring, onboarding, training, and performance management for operations staff.
  • Foster a culture of accountability, ownership, and continuous improvement.

Benefits

  • Competitive salary and equity
  • Fully-remote work environment available
  • Full benefits package
  • A collaborative and transparent company culture that values creativity and ownership
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