Director of Business Operations, NorCal

Indigo; San Francisco (CA); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Medical insurance through Blue Shield

Dental and vision insurance

Unlimited PTO

Lunch in the office

Competitive equity package

High-trust, low-ego culture

Job summary

Indigo seeks an experienced operating leader to own Northern California growth, set the strategy, build the team and operating model, and drive results. You will balance high-level market strategy with hands-on problem solving alongside physicians and frontline teams to scale our healthcare platform.

You will architect AI-native workflows, decide where automation or human judgment is needed, and shape the organization for rapid, sustainable growth in California.

Qualifications

• 7–12 years of operating experience in relevant settings.
• Background in healthcare startups, consulting, private equity, or other high-growth operating roles.

Responsibilities

• Own growth, operations, and overall performance for Northern California.
• Develop the regional strategy and translate it into clear operating plans.
• Design AI-native operational workflows across the physician journey.
• Determine which processes should be automated, AI-assisted, or human-led.
• Work directly with physicians to understand pain points and improve practice performance.
• Identify and execute opportunities to launch new markets, add physicians, and grow existing practices.
• Partner with product, engineering, and central operations teams to turn operational needs into scalable tools.

Skills

Operating experience

Healthcare startups

Management consulting

Private-equity operating roles

High-growth environments

Job description

About Us

We are a small team that cares about deep thinking, speed, craftsmanship, and putting customers first. Our mission is to build the best care experience in healthcare, on a 30 year horizon.

We help physicians achieve independence by making it easier to start, operate, and grow their practices. We believe the future of healthcare will be driven by individual physicians, not by large bureaucratic systems. Lowering the barrier to practice ownership lets doctors deliver better care for everyone.

The founding team brings deep expertise across medicine, product, operations, and engineering, including more than 30 years of experience running independent practices across urgent care centers, surgical centers, and beyond. We have built 0-to-1 products at Meta, Dropbox, Instagram, Coda, and Nomad, and have founded companies with valuations exceeding $1B and more than 100M MAU.

Highlights

• We have strong product market fit. $15M+ ARR in under 15 months.
• We are profitable and funded by top tier healthcare investors.
• We are about 30 people today and rapidly growing across the company.
• You will fit in here if you want to own a product, a process, or a function and take it from 1 to 100.

The Role

You will own Northern California and build it from roughly $10M in ARR into a billion-dollar revenue business.

This is a true GM role. You will set the strategy, make the key bets, build the team and operating model, and own the results. You will decide where we grow, what we prioritize, and what needs to change as the business scales.

You need to be equally comfortable operating at 10,000 feet and one inch. At 10,000 feet, you will shape the market strategy, identify the biggest growth opportunities, and design the organization and operating model for scale. At one inch, you will work directly with physicians and frontline teams to solve problems, fix broken processes, unblock growth, and improve the experience.

A major part of the role is building AI-native operations from the ground up. You will rethink how the business should run, not just automate what already exists. That means using technology to drive speed, consistency, and scale, while knowing where human judgment, trust, and hands‑on support are essential.

Responsibilities

• Own growth, operations, and overall performance for Northern California.
• Develop the regional strategy and translate it into clear operating plans.
• Design AI-native operational workflows across the physician journey.
• Determine which processes should be automated, AI-assisted, or human-led.
• Work directly with physicians to understand pain points and improve practice performance.
• Identify and execute opportunities to launch new markets, add physicians, and grow existing practices.
• Partner with product, engineering, and central operations teams to turn operational needs into scalable tools.

You Might Be a Fit If

• You have 7–12 years of operating experience.
• Your background may include healthcare startups, management consulting, private-equity operating roles, or other high-growth operating environments.
• You have owned a market, business unit, operational function, or significant business outcome.
• You can move seamlessly between strategy and hands‑on execution.
• You understand how to redesign operations around AI rather than simply add technology to existing processes.
• You have strong judgment about where automation creates leverage and where human involvement creates a better experience.
• You are a self‑starter who can develop a plan and execute it end to end.
• You are comfortable solving complex problems with limited structure or information.
• You have a roll‑up-your‑sleeves approach and are willing to work directly with teams and customers.
• You move quickly, hold a high bar for quality, and take full ownership of results.
• You are a thoughtful, low-ego teammate. We want to play long‑term games with long‑term people.

What We Offer

• Medical insurance through Blue Shield of California, with multiple PPO and HMO options
• Dental and vision insurance
• Unlimited PTO
• Lunch in the office
• Competitive equity package
• A high-trust, low-ego, high-ownership culture where people move fast, and take real responsibility

Equal Opportunity Employer

We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability, or any other characteristic protected by law.