COO - 64524627339

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Role: COO

Priority Location: South Africa / Latin America / Philippines

Working Hours:  9:00 AM – 5:00 PM EST 

Salary Range: Market related

Type of contract: Independent Contractor 

Type of job: Remote

About the Role: The COO is the senior operating executive of the business. This person will turn company strategy into a disciplined operating plan, integrate the work of existing functional leaders, and build the systems required for the next stage of Growth.
 

This is not a chief project tracker, a caretaker of the current business, or a consultant who produces recommendations for others to implement. The COO must be able to run the current company and design the next version of it. The role requires decisive judgment, financial and operational fluency, comfort with incomplete information, and the ability to convert repeated effort into durable infrastructure.

Key Responsibilities:
1. The company operating system

• Translate company strategy into a limited set of annual and quarterly priorities with clear owners, milestones, metrics, decision points, and completion standards.

• Establish the leadership cadence, operating scorecard, decision framework, escalation rules, and accountability mechanisms that keep priorities visible and moving.

• Ensure that meetings produce decisions and commitments, that commitments have one accountable owner, and that unresolved issues remain visible until they are actually closed.

• Separate urgent problems from important constraints. Prevent the company from confusing activity with progress.

Qualifications:

• Operating leadership at scale: Substantial experience leading multiple operating functions in healthcare, health technology, insurance-based services, or another regulated, people-intensive organization.
• Builder evidence: A record of personally designing and implementing operating systems, not only optimizing mature ones or sponsoring work performed by consultants and vendors.
• Financial fluency: Meaningful accountability for a P&L, operating budget, revenue performance, margin, or comparable financial outcomes.
• Healthcare operating depth: Working fluency in insurance-based healthcare operations, including revenue cycle, credentialing, payer dependencies, and the operational realities of supporting clinicians.
• Executive judgment: A record of making difficult decisions with incomplete information, setting priorities under pressure, and correcting course without defensiveness.
• Leadership strength: Experience managing senior leaders, addressing underperformance directly, and building teams that operate independently.
• Data and AI fluency: The ability to use operating data, work effectively with technical leaders, define requirements and acceptance criteria, and drive adoption of automation or AI-enabled workflows.
• Founder partnership: The confidence to disagree directly and constructively with a strong founder, then commit fully once a decision is made.
• Communication: Clear, direct, low-ego communication across clinical, technical, financial, and operating teams.