General Manager (GM)

LifeMD•New York, NY

About The Position

We are seeking an exceptional General Manager of Metabolic Health & Primary Care to lead and scale a $100M+ revenue, direct-to-consumer healthcare brand delivering longitudinal metabolic health, weight loss and virtual primary care services. This is a true end-to-end GM role with full accountability for P&L performance, operational execution, clinical quality, and sustainable growth. The GM will oversee a complex, multi-state clinical and operational footprint and will be responsible for driving profitability, retention, and patient outcomes at scale. This role is best suited for a seasoned healthcare operator with experience leading large, subscription-based or longitudinal care businesses in regulated environments.

Requirements

12+ years of senior operating experience in healthcare, health tech, or complex consumer services
Direct ownership of a $100M+ P&L or equivalent business unit
Proven experience scaling subscription-based, longitudinal, or chronic care models
Strong command of healthcare unit economics, retention, and cohort analytics
Demonstrated ability to lead large, cross-functional organizations

Nice To Haves

Experience in metabolic health, obesity medicine, chronic disease management, or primary care
Background in telehealth, virtual care, or multi-state clinical operations
Track record of improving profitability, retention, and patient outcomes at scale
Experience partnering closely with founders, Boards, or PE/VC sponsors
True owner-operator mindset with deep accountability for results
Highly analytical, data-driven, and execution-focused
Strong clinical judgment balanced with commercial pragmatism
Clear, decisive leader who scales people, systems, and culture
Comfortable operating in regulated, high-growth environments

Responsibilities

P&L and Business Performance:
Own full P&L responsibility for a $100M+ business, including revenue growth, margin expansion, and operating leverage
Set and execute annual and multi-year operating plans aligned with company strategy
Drive performance across LTV, retention, cohort quality, and contribution margin
Establish rigorous KPI frameworks, operating cadences, and accountability mechanisms
Growth, Retention & Revenue Operations:
Lead the full DTC growth engine across acquisition, onboarding, engagement, and long-term retention
Partner with Marketing, Analytics, and Product to optimize CAC efficiency, payback, and scale
Oversee pricing, packaging, and monetization strategy across metabolic health and primary care offerings
Identify and scale new programs, service lines, and revenue opportunities
Clinical Operations & Care Delivery:
Oversee clinical operations in close partnership with Medical Leadership
Ensure consistent, high-quality, evidence-based care delivery across a national footprint
Balance clinical excellence, patient experience, scalability, and cost efficiency
Maintain compliance with all state, federal, and payer requirements
Product & Patient Experience:
Partner with Product and Engineering to set and execute roadmap priorities tied to business and clinical outcomes
Champion an integrated patient journey across metabolic health and primary care
Use outcomes data, patient feedback, and operational insights to drive continuous improvement
Ensure strong clinical-product-ops alignment as the platform scales
Leadership & Organizational Scale:
Lead and develop a senior, cross-functional leadership team across Operations, Clinical, Marketing, Product, CX, and Analytics
Build organizational structure, processes, and talent density appropriate for a $100M+ platform
Foster a culture of ownership, execution, and high standards
Drive change management and organizational maturity as the business scales
Strategic Partnership with CEO & Board:
Serve as a core operating partner to the Founder & CEO
Translate strategy into executable operating plans and measurable outcomes
Present performance, risks, and opportunities to the Board and executive leadership
Anticipate growth constraints and proactively address operational and clinical bottlenecks