Strategic Operations Lead

Berry Street•New York, NY

8d•Onsite

About The Position

Berry Street is building a new model for metabolic healthcare, providing medical nutrition therapy and GLP-1 prescribing covered by insurance. They are developing the product, operations, and clinical infrastructure to improve access and usability of high-quality care. The company is experiencing strong growth and is seeking a Strategic Operations Lead to help scale their operations. This role is for a hands-on operator generalist who can identify problems, create solutions, implement them, and maintain them. The ideal candidate will be a builder who can automate manual processes and create systems from scratch. They will report directly to the GM, US.

Requirements

2-5 years in fast-paced, scrappy environments: early-stage startups, BizOps or Strategy & Ops, or an operator seat where you were expected to figure it out
You geek out on AI. You follow new model releases and tooling closely, try things the week they come out, and have opinions about what's real and what's hype
You ship code. You use Claude Code, Codex, and similar tools to build and deploy real internal tools, integrations, and automations yourself, without waiting in an engineering queue
A track record of building things that work, not just planning them: real examples of manual processes you replaced with systems you built and kept running
Comfort with data: SQL, BI tools like Metabase, and working directly with APIs
Comfort with ambiguity and limited resources; you'd rather ship something useful this week than wait for the perfect setup
Strong judgment and communication; you can get clinical, operational, and technical people aligned and moving
AI-led, not AI-assisted. We're not looking for someone who uses AI tools to move a spreadsheet faster. We're looking for someone who looks at an operational process and asks how it should be rebuilt from the ground up with autonomous systems doing work that wasn't possible two quarters ago. You've shipped something in this space, you have opinions about where it's going, and you're already building for that future. When a new model or tool drops, you've tried it by the end of the week and come back with ideas for what it could do here.
A product brain. You think about the people on the other end of the workflow, whether that's a provider getting credentialed or a patient waiting on a prior authorization, not just the system. You push back when a process doesn't make sense and offer better alternatives. You need to understand the "why."
An ownership mindset. You take a project from "vague idea" to "shipped and working" without needing someone to hand-hold you through the middle. You flag problems early, drive decisions, and follow through.
A bias for speed. You understand the difference between moving fast and cutting corners, and you know when a situation calls for one or the other. In healthcare operations, that judgment matters.

Nice To Haves

Experience in digital health, provider operations, credentialing, payer enrollment, or revenue cycle is a plus

Responsibilities

Take operational problems from messy and manual to automated and reliable, across provider operations, patient experience, and the systems in between
Build, ship, and maintain the tools and workflows you create, end to end
Partner with leadership, Product, and Engineering on how we scale, bringing a point of view grounded in what you've seen on the ground
Create visibility where it's missing, so problems surface early and decisions get made on data
Jump into whatever matters most right now, and leave behind a system rather than a workaround