Head of Operations

Company Ventures•New York, NY

105d•$150,000 - $170,000

About The Position

Leland Care is building a unified system of record for aging, combining information about seniors’ health and lives so AI can surface risks, gaps, and opportunities while trusted human advocates help families act. The company has a multi-year funding runway and plans to launch pilots in 2026 with providers; it is also in active conversations with major US health systems. The Founding Head of Operations will be the company’s operating backbone, translating strategy into execution and building the infrastructure and processes needed for a regulated healthcare company to move quickly and reliably. This is a high-ownership, 0-to-1 role with minimal process, spanning CEO support and special projects, compliance and billing infrastructure, revenue-cycle operations, and analytics and reporting. The role will define how the company runs and own operational outcomes end to end.

Requirements

Hands-on clinical billing experience, personally running Medicare, Medicaid, or commercial billing.
Experience with clinical documentation, credentialing, and denials, with knowledge of common operational failures and compliance needs.
Ability to operate as a generalist while going deep in areas such as fundraising workstreams and claims workflows.
High agency and the ability to make progress without perfect requirements or conditions.
Ability to thrive in ambiguity and fast-moving environments with clear goals and substantial autonomy.
Ability to identify broken processes or missing systems and build solutions.
Low ego, high output, and interest in the intensity and ownership of an early-stage company.

Responsibilities

Run special projects end to end and act as a force multiplier to the CEO.
Drive hiring and onboarding.
Support fundraising and board preparation.
Own cross-functional workstreams that keep the company moving.
Establish compliance and billing infrastructure, including HIPAA, BAAs, OIG review, SOC 2, entity and TIN setup, Medicare enrollment, consent and copay workflows, and audit-ready documentation.
Run day-to-day revenue-cycle operations, including time tracking, claims submission and acceptance, denials, and days to cash.
Turn delivered navigation services into clean, collected revenue.
Build the reporting and analytics backbone to track outcomes and leading indicators.
Run the weekly operating cadence and provide the team and board with a clear picture of performance.
Make high-leverage operational decisions and build processes and systems as the company scales.