People & Business Operations Lead

Joyful Health • New York, NY

6d • Hybrid

About The Position

Building the financial operating system for healthcare, and bringing the joy back to healthcare by fixing the financial chaos behind it.

The healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems.

This financial uncertainty leaves practices struggling to stay afloat, while valuable revenue slips through the cracks.
Joyful Health is building the AI-powered financial operating system for healthcare practices. Our mission is to bring the joy back to running a private practice by simplifying financial operations so providers can focus on patient care. We spent 10 months working as fractional CFOs for a dozen practices, doing this work side by side with providers as we developed our product.

We just closed a funding round led by world-class investors and angels including the founders of MongoDB & KAYAK.

Role Description
Joyful Health is a small, fast-moving startup, and we’re looking for a Senior Manager, People & Business Operations to join our Operations team as a foundational hire.

This is a broad, hands-on role with a clear center of gravity: supporting our people, enablement, and day-to-day operating rhythm as we scale. You’ll be the right hand to our Head of Operations, helping bring structure, warmth, and momentum to how our team onboards, learns, collaborates, and shows up to work each day.

Because we’re early, this role touches many parts of the business: onboarding, enablement, HR and vendor systems, employee experience, light recruiting support, and general operations. We’re not looking for someone who’s done everything before, but for someone who has strong experience in some of these areas and is excited to jump in wherever needed.

This role is ideal for someone who enjoys being close to the work, takes pride in making things run smoothly, and wants to help shape how a company operates from the inside out.

This role is full-time. We’re looking for someone NYC-based who is open to coming into the office 3 days a week.

Requirements

• You’re excited by early-stage environments – You enjoy wearing multiple hats and helping build structure where none exists yet.
• You have experience in building 0-1 for people ops, enablement, or operations –
• 4–7+ years in operations, people ops, enablement, or a similar role
• Experience at a startup or small, fast-growing company is strongly preferred
• Experience wearing multiple hats and adapting quickly to changing priorities
• You have a "figure it out" mentality – You’re comfortable living in ambiguity and when faced with a new challenge, your first instinct is to dive in and find a way to make it work - even if you've never done it before
• You’re highly organized and execution-oriented – You can manage multiple workstreams, timelines, and stakeholders with ease, and you’re comfortable using and learning new tools to create clear, well-structured documentation that helps teams learn and scale.
• You’re comfortable facilitating and communicating – You can confidently lead onboarding sessions, run meetings, and communicate clearly with teammates at all levels.
• You care deeply about employee experience – You notice the small things that make work feel supportive, clear, and human.

Responsibilities

• Own and evolve new hire onboarding: Coordinate onboarding logistics, lead and/or support onboarding sessions, and continuously improve the new hire experience as we grow.
• Build and maintain our enablement & knowledge base: Help design, organize, and maintain onboarding and training content in Notion — including playbooks, team documentation, and internal resources.
• Partner closely with the Head of Operations: Act as a trusted execution partner across people operations, enablement, and internal initiatives — helping turn ideas into reality.
• Support people operations & employee experience execution: Assist with new benefits rollout (e.g., health insurance implementation), wellness perks, office benefits, and day-to-day people ops needs.
• Assist with vendor coordination and internal spend: Help coordinate people-related vendors and tools, including renewals and basic spend tracking.
• Help teams collaborate effectively: Learn how our product works and how teams interact, then help improve rituals, communication, and cross-team coordination.
• Support light recruiting and hiring coordination: Assist with interview scheduling, general sourcing, candidate experience, and onboarding handoff as we grow the team.
• Pitch in across operations as needed: This is a small team — you’ll occasionally help wherever there’s a gap, whether that’s internal projects, process cleanup, or special initiatives.

Benefits

• Meaningful Impact You’ll be tackling one of the most complex challenges in healthcare—helping practices thrive in a chaotic financial landscape. Your work will directly contribute to solving one of the most hair on fire problems for providers, ensuring that they can focus on what they do best: caring for patients.
• Autonomy & Ownership As an early team member, you’ll have significant autonomy and the chance to shape our company from the ground up. You’ll have ownership over your work and the freedom to challenge the status quo in an environment that values initiative and creativity.
• Growth & Learning We’re a small, ambitious team with big goals, which means you’ll be constantly learning and growing. You’ll take on new challenges, expand your skill set, and have direct access to experienced founders and advisors who are invested in your development. We also offer stipends for professional development courses & books (that we often will partake in together!) so we can all continuously grow.
• Competitive Compensation & Equity We believe that our team is our most valuable asset. We offer competitive compensation packages, strong equity, and the opportunity to share in the success of Joyful Health. We want you to feel supported, both financially and professionally, as we grow together.
• Be Your Best Self We provide the benefits you need to stay happy and healthy, including comprehensive healthcare benefits, unlimited PTO (with a minimum of 10 days off a year), and flexibility so you can take care of yourself. We also organize regular team off-sites and events to ensure that even as we tackle big problems we enjoy the journey.

What This Job Offers

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