Chief of Staff — AI-Driven Operations & Strategy

Fathom; California; On-site; USD 180,000 - 240,000; Full time

Job summary

Fathom, a leading autonomous medical coding platform, is seeking a Chief of Staff to work directly with the CEO and extend the leadership team’s reach. This is an operator role: you’ll own the systems that keep the company running, drive the cadence of board and investor communications, and lead how we deploy AI agents across our operations.

You’ll sit close to major decisions and move them forward, coordinating multiple functions to scale effectively.

Qualifications

• 4–8 years in bizops/strategy or similar roles.
• Hands-on with AI tools and LLMs; built real workflows.
• Strong analytical skills; ability to model data in Excel.
• Excellent written communication for board memos and updates.
• Systems thinker with bias for action; able to implement processes.
• High judgment with sensitive information.
• Healthcare or enterprise SaaS experience is a plus.

Responsibilities

• Lead leadership cadence: staff meetings, OKRs, quarterly planning.
• Own operations backbone across GTM, finance and people.
• Manage HubSpot and internal tooling; ensure data quality and dashboards.
• Handle special projects such as diligence, RFPs, market analyses.
• Identify scaling issues and fix them before they become fires.
• Map workflows for AI agents and deploy them using Claude and HubSpot.
• Set governance on automation, review outputs, and measure impact.
• Serve as internal evangelist, enabling all functions to use AI agents.
• Draft investor updates, board decks, and communications; track commitments.

Skills

BizOps/Strategy

AI tooling experience

Analytical thinking

Excellent writing

Tools

Claude

HubSpot

Job description

Fathom, a leading autonomous medical coding platform, is seeking a Chief of Staff to work directly with the CEO and extend the leadership team’s reach. This is an operator role: you’ll own the systems that keep the company running, drive the cadence of board and investor communications, and lead how we deploy AI agents across our operations.

You’ll sit close to major decisions and move them forward, coordinating multiple functions to scale effectively.