General Manager - Home Healthcare

ABOUT THE COMPANY

• We are fixing US healthcare by building an AI-native physical care platform, starting with home health. Home health is
• a $140B industry generating less than $10B in EBITDA — roughly 40% of revenue is consumed by pure administrative
• waste. We automate that waste with AI, creating a fundamentally different cost structure that lets us rapidly take market
• share by serving the 30% of patients who go untreated today.
• Every dollar of revenue we generate removes two dollars from the healthcare system. If we succeed, so does US
• healthcare.
• Our platform operates at materially higher gross margins than traditional home health providers. We pay clinicians
• more, strip out their admin burden, and unlock scale economics that have eluded this fragmented industry for decades.
• We are backed by world-class investors — Felicis, Bain Capital Ventures, BoxGroup, and Optum Ventures — and
• scaling nationally through organic growth and acquisition.

THE OPPORTUNITY

• We are hiring General Managers to own and operate individual markets as we scale nationally. This is a P&L
• ownership role. You will run your market — a metropolitan area or MSA — as your own business. You own the
• census, the margin, the team, the clinical quality, and the growth trajectory.
• Some GMs will take over existing operations and transform them. Others will stand up new markets from scratch,
• including post-acquisition integrations. All will operate with the intensity, ownership, and judgment of a founder running
• a business backed by a growth-stage platform and top-tier investors. All GMs receive a robust onboarding program to
• learn the industry and the business before stepping into the seat.

WHAT THE GM OWNS

Market P&L

• Full accountability for revenue, census growth, gross margin, and unit economics
• Drive census growth in partnership with Sales — translate referral pipeline into admitted, scheduled, and served

patients

• Leverage data and AI-driven tooling for daily resource allocation decisions that convert top-line growth into

bottom-line results

Operations

• Run daily execution across scheduling, staffing, clinical compliance, and service delivery
• Single point of accountability for compliance, survey readiness, and clinical quality in your market
• Partner cross-functionally with centralized Technology, Compliance, and Operations — you own local outcomes

Team

• Hire, develop, and lead your market's operations team — Schedulers, Patient Care Coordinators, Clinical

Managers, Sales Reps, and field clinicians

• Build bench strength ahead of volume; sequence hiring and training to support growth, not just maintain current operations
• Set clear expectations, coach through structured routines, and make the hard calls on performance

Platform

• Serve as the critical feedback loop between field operations and our AI/product teams
• Be the voice of your market to leadership: what's working, what's not, and what you need to win

WHO YOU ARE

• You are a high-ceiling, low-ego operator who wants to own a real business and a real team — not a workstream or a
• slide deck. You have run complex, people-heavy operations before and you are looking for a role where performance is
• rewarded with real upside and increasing scope.

Must-Have Experience

• People leadership — you know how to lead others, set a high bar, and build trust through clear expectations and

direct feedback

• Operational execution at intensity — you have built and managed operational systems across complex,

multi-stakeholder environments

• Team building at scale — you have hired, onboarded, and scaled teams in operationally intensive environments

and can cite specific sourcing strategies, hiring mistakes, and resulting process changes

• Performance management — you have made difficult calls: coaching plans, demotions, terminations. You act

decisively and can walk through the judgment behind each decision

• Data-driven problem solving — you are comfortable with data, can build a simple model quickly, and always get

to the "so what"

How You Operate

• Owner, not advisor. You want to be on the hook for the P&L — and you are energized by that accountability
• Builder, not maintainer. You are energized by standing up new markets, fixing broken operations, and scaling

what works

• Intensity is your default. You manage multiple competing priorities without getting overwhelmed
• Systems over heroics. You solve problems by building process and infrastructure, not individual effort that does

not scale

• People leader. You set a clear standard, give direct feedback, and build trust across all levels
• Low ego, high standards. No task is beneath you if it helps the team win

Nice-to-Haves

• Experience in PE-backed operating companies or multi-site service businesses
• Experience managing through rapid growth, post-acquisition integrations, or turnarounds
• Military experience
• Multi-site or multi-market operational leadership
• Familiarity with AI-enabled operations or real-time operational instrumentation

What We Don't Require

• Home health or healthcare experience is not required. Strong operators from logistics, field services, staffing, or
• marketplace businesses translate well. Operational execution capability is what matters.
• COMPENSATION & GROWTH

• Competitive base + annual performance bonus tied directly to your market's P&L outcomes across

compliance, census growth, operational execution, and patient satisfaction

• Equity participation — you are building enterprise value, and your compensation reflects that
• Comprehensive benefits including medical, dental, and 401(k) matching
• Clear growth path — top-performing GMs take on multi-market responsibility and step into regional and

platform-level leadership as we scale