Special Projects Lead

Adaptive Home Health / Fira Health•New York, NY

About The Position

We are fixing US healthcare by building an AI-native physical care platform, starting with home health. Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today. We've built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans and strategists to build a new type of healthcare company: one that delivers care at the speed of an AI company. Our physical care platform already operates with 30pp higher gross margins than traditional home health providers. With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry. We're starting with home health, then expanding to all delivered care. Our mission is "any care, any where". Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars taken out of the healthcare system. If we succeed, so does US healthcare. The Opportunity — Operational Ownership We're building an AI operating system that automates the entire back office of home health—collapsing 20+ traditional roles into 2. To win, we need someone who owns the operational stack: the complex, high-leverage workflows where automation meets the real world of patient care. You will own critical operational domains end-to-end, get deep into the workflows that drive care delivery and revenue, and work directly with product and engineering to ensure we build the right solutions. Think of it as a blend of: Operational strategy (decide which workflows to optimize and in what sequence—these choices determine how fast we scale and which patients we can serve) Workflow mastery (map real processes step-by-step, find the leverage points where better systems change the economics of care delivery) Cross-functional translation (bridge the gap between operators, clinicians, and engineers—turn messy real-world complexity into crisp requirements that ship) You'll be one of the earliest operational leaders at the company, working directly with the founders, engineering, and operations to build the systems that power care delivery across the USA. This role is an operations track that also supports people still figuring out what they want to grow into—strategic finance, product leadership, P&L ownership, or a COO-style path depending on where you spike. This role is designed for you if you have a low ego, love solving problems that matter, and are ready to build an industry-changing company.

Requirements

2–4 years in management consulting, investment banking/private equity, product operations, or similar analytically rigorous environments (e.g., MBB, high-velocity startups, complex operational systems, workflow automation companies)
Proven track record of owning and executing complex projects involving multiple stakeholders and workstreams—you can articulate the load-bearing decisions and why they mattered
Analytical depth: comfort with Claude Code, SQL, Excel modeling, and self-serving data analysis to guide decisions
Exceptional written and verbal communication—able to synthesize complex topics clearly and concisely
Owner mindset: you want to be accountable for outcomes end-to-end—you unblock yourself, escalate when necessary, and iterate quickly
Operationally curious: you love getting into the weeds of how work actually happens—you ask about exceptions, handoffs, and failure modes
Team builder: you attract talent, develop people, and create high-performing teams—you take as much pride in your team's growth as your own
Versatile generalist: you spike in at least one of workflow/system design, financial analysis, relationship management, or product thinking—and you pick up the rest fast
Clear communicator: you have precise, succinct written communication that moves people to action
Comfort with ambiguity: you can operate from zero-to-one and thrive in environments where the playbook doesn't exist yet
Low ego: this is a startup—you want to get scrappy

Nice To Haves

Experience in healthcare operations or technology—intake, clinical documentation, revenue cycle management
Experience leading initiatives involving operationally complex workflows (e.g., call centers, service delivery, logistics)
Background building or optimizing labor-intensive, process-driven systems where automation and human expertise work side by side
Technical fluency: you can confidently engage with engineers and understand concepts like APIs, schemas, latency, and security