Chief Operating Officer

Alliance to Cure Cavernous Malformation; United States; Remote; USD 125,000 - 145,000; Full time

Benefits offered by this job

Medical/Dental/Vision

Retirement benefits

Paid time off

Fully remote within US

Schedule flexibility

Occasional travel

Job summary

Alliance to Cure Cavernous Malformation seeks an accomplished Chief Operating Officer to strengthen operations and scale impact for patients, researchers, and donors. You will own finance, people operations, governance, contracts, technology, and risk while partnering with the CEO to shape strategy and ensure credible execution.

This fully remote role supports a small, high-impact team across the United States, with occasional travel for meetings.

Qualifications

• Eight or more years in nonprofit operations, administration, or business management with organization-wide responsibility.
• Experience leading and developing senior professionals and programs through clear goals, coaching, and accountability.
• Working knowledge of nonprofit finance, including budgets, restricted funds, audits, and Form 990, with ability to oversee a bookkeeping partner.
• Sound judgment in governance, risk, contracts, and when legal review is needed.
• Record of building practical systems, templates, and technology standards for a small, remote organization.
• Clear writing and discretion with confidential information; prudent use of AI to improve productivity.

Responsibilities

• Develop the senior directors responsible for patient affairs, clinical programs, and development, guiding teams to higher impact; oversee a team of six with three direct reports.
• Turn organizational priorities into clear plans with owners, dates, decisions, KPIs, and reporting for the CEO and board.
• Own people operations and the systems supporting a healthy remote culture, including HR/payroll partner and multi-state administration.
• Lead budgeting and financial planning, oversee outsourced bookkeeping, strengthen controls, and coordinate audits and Form 990.
• Protect trust through governance, compliance, contracts, privacy, cybersecurity, and risk management, including subsidiary separation.
• Build scalable systems for contracts, risks, projects, and knowledge; lead operations for biennial meetings and staff retreat.

Skills

Nonprofit operations leadership

Governance & risk management

Financial oversight

Strategic planning

Remote team leadership

AI productivity tools judgment

Clear writing

Job description

Help build the organization that will accelerate progress to a cure

Alliance to Cure Cavernous Malformation is seeking a Chief Operating Officer to strengthen and grow the strong, trusted organization needed to drive a cure and improve lives for everyone affected by cavernous malformation. Your leadership will help our research, patient support, clinical, advocacy, and fundraising work move faster and better serve people.

We are a small but powerful team doing incredible work for our size, including : supporting patients and families, advancing research, managing a patient registry and biobank, funding a research portfolio, and advancing a drug candidate toward clinical development. Our distributed team manages this work with an annual budget of approximately $1.9 million.

As the CEO’s operational partner, you will create the systems and accountability that help talented people do their best work and strengthen our pursuit of a permanent cure that is available, accessible, and affordable for all.

The opportunity

This is a hands-on leadership role for someone who enjoys building as much as managing. Some core systems need stronger structure; others still need to be created. You will bring clarity to priorities and help the CEO, board, staff, volunteers, and partners work together effectively.

You will develop the senior leaders responsible for patient affairs, clinical programs, and development while owning internal operations, including finance, people operations, governance, compliance, contracts, technology, and risk.

Working closely with the CEO, you will establish priorities, improve systems, engage outside expertise, and help shape how the organization operates as it grows.

How we work

Our values describe the kind of leader who will succeed here. We think big and act big in the urgent pursuit of a cure. We earn trust through integrity, transparency, discretion, and follow-through. We champion each other and keep patients and families as our North Star. We seize opportunities by listening widely and connecting science, patients, and partners in ways that move the work forward.

What you will lead and accomplish

• Develop the senior directors responsible for patient affairs, clinical programs, and development, helping their teams and programs deliver even greater impact for the people and communities we serve. The position oversees a team of six, including three direct reports.
• Turn organizational priorities into clear plans, owners, dates, decisions, key performance indicators, and useful reporting for the CEO and board.
• Own people operations and the systems supporting a healthy remote culture, including our external human-resources and payroll partner, multi-state administration, hiring, onboarding, performance, and compensation.
• Lead budgeting and financial planning, oversee the outsourced bookkeeping partnership, strengthen internal controls, and coordinate an accurate audit and Form 990 process.
• Protect the trust of patients, donors, researchers, staff, and partners through sound governance, compliance, contracts, privacy, cybersecurity, and risk practices, including clear separation between the Alliance and its wholly owned subsidiary focused on disease-specific drug development.
• Build scalable systems for managing contracts, organizational risks, shared projects, and operational knowledge, and lead operations for our biennial scientific and patient meeting and staff retreat.

Who will thrive in this role

The strongest candidate will be an experienced nonprofit operator who combines strategic judgment with a willingness to remain hands-on and make complex organizations easier to run.

• Eight or more years in nonprofit operations, administration, or business management, including at least three years with organization-wide responsibility.
• Experience leading and developing senior professionals and programs through clear goals, useful coaching, and consistent accountability.
• Working knowledge of nonprofit finance, including budgets, restricted funds, audits, and Form 990, with the ability to oversee a bookkeeping partner and read financial statements critically.
• Sound judgment in governance, risk, contracts, and when legal review is needed.
• A record of building practical systems, templates, and technology standards that make a small, remote organization easier to run.
• Clear, concise writing; discretion with confidential information; and practical judgment about how and when to use AI tools appropriately to improve productivity.

You may not bring every qualification listed, and that is okay. If you have substantial experience in several of the role’s core areas, strong leadership judgment, and the ability to learn quickly, we encourage you to apply.

Experience that would be helpful

• Work in rare disease, patient advocacy, research funding, or another science-focused nonprofit.
• Experience with a parent-subsidiary structure and cost allocation between related entities.

What you do not need

You do not need to be a CPA or attorney, have regulated drug-development, GxP, or FDA-submission experience, or have led a large team. Success in a small organization with limited infrastructure may be more relevant than experience supported by separate finance, HR, and IT departments.

Ready to make a difference?

If you are energized by the opportunity to strengthen a growing organization, develop talented people, and help accelerate progress toward a cure, we would be excited to hear from you.

Compensation and work environment

• Salary range of $125,000 to $145,000, depending on experience, plus a telecommuting stipend.
• Medical, dental, and vision coverage available; retirement benefits with 3% employer contribution; and paid time off.
• A fully remote position within the United States, with some schedule flexibility.
• Occasional travel for annual scientific and patient meetings, staff retreat, and professional conferences.
• A small, experienced team whose work reaches patients and families living with a serious diagnosis.