Founding Operations Lead

HRB; San Francisco (CA); On-site; USD 120,000 - 180,000; Full time

Job summary

HRB in San Francisco is hiring a Founding Operations Lead to join the founding team in-person, five days a week. You will own the entire operations experience on the provider side—outreach, onboarding, and ongoing success—and increasingly on the patient side as we scale. You’ll wear several hats and shape how we operate to support pediatric care.

This role is not a 9-to-5 position. You will join an early-stage startup with unmatched career growth and the chance to make a massive impact on

Qualifications

• 2-5+ years of experience in management consulting, investment banking, early-stage startups, or a similar role.
• Are scrappy and resourceful — you figure things out fast, make progress without perfect information, and aren’t afraid to get your hands dirty.
• Are a systems thinker — you notice patterns in messy workflows and instinctively look for ways to streamline and scale them.
• Are deeply empathetic with strong EQ — you’re comfortable collaborating and empathizing with providers to help them succeed.
• Take ownership — you’re comfortable being proactive, taking ownership, and prioritizing progress over perfection.
• Feel comfortable with ambiguity — you thrive when things aren’t fully defined and you can shape what’s next.
• Are energized by a fast-moving environment — you can juggle multiple priorities, set your own pace, and don’t wait to be told what to do.

Responsibilities

• Lead provider onboarding end-to-end from outreach through signed agreement and onboarding.
• Develop a consistent outreach cadence to engage providers and keep them warm.
• Serve as the trusted point of contact for therapists and troubleshoot issues.
• Help providers build full caseloads with extra support where needed.
• Gather provider feedback to inform product improvements and onboarding changes.
• Refine and optimize the patient-provider matching process for fit and capacity.
• Build CRM and tracking for patient leads, statuses, and outcomes.
• Partner with offshore ops team to improve patient intake, insurance billing, and FAQs.

Job description

Location: San Francisco, CA (in-person only, relocation available)

The Company

They help speech, occupational, and physical therapists build their own private practices. They're AI-powered “business-in-a-box” handles everything from business setup and insurance to marketing and software, so therapists can focus on what they do best: helping children.

They're a small team in San Francisco backed by industry-leading investors who share their vision to reimagine the shape of pediatric care in the US. If you’re ready to build something big, you’re in the right place.

Role Overview

They're hiring our Founding Operations Lead to work in-person, 5 days/week, in San Francisco as a member of the founding team. The office is currently in the Mission.

This is not a 9-to-5 role. This is a chance to join an early-stage startup, work incredibly hard to build something massive, and get unmatched career growth and learning along the way. What they’re building matters — to families, to therapists, and to the kids waiting for care.

As the Founding Operations Lead, you will be employee #1 and build & own the entire operations experience — primarily on the provider side (from provider outreach to onboarding to ongoing success) and increasingly on the patient side as we scale. You will be wearing several different hats:

• Provider onboarding
  • Design, build, and own the end-to-end provider recruiting journey from initial outreach through signed agreement — what we say, show, and do at each stage.
  • Build and continuously refine the onboarding process: from form completion, to back-office setup (LLC/business license/EIN), to brand/logo/website design. Learn how to do it manually and then automate these over time.
  • Develop a consistent outreach and follow-up cadence to engage prospective providers and keep them warm.
  • Work directly with providers to solve problems in real time and ensure a smooth, supportive onboarding experience.
• Provider success
  • Serve as the trusted point of contact for thetherapists — helping troubleshoot issues & answer questions.
  • Help providers build full caseloads, leaning in with extra support where needed to ensure every therapist is thriving.
  • Gather provider feedback to inform product improvements, onboarding changes, and new support materials.
• Refine and optimize the patient-provider matching process ensuring the right balance of fit, strategy, and therapist capacity.
• Build our CRM and tracking on patient leads, statuses, and outcomes
• Partner with theoffshore ops team to help build better processes on patient intake, insurance billing, and patient FAQs.

You Might Be a Fit If You…

• Have 2-5+ years of experience in management consulting, investment banking, early-stage startups, or a similar role.
• Are scrappy and resourceful — you figure things out fast, make progress without perfect information, and aren’t afraid to get your hands dirty.
• Are a systems thinker — you notice patterns in messy workflows and instinctively look for ways to streamline and scale them.
• Are deeply empathetic with strong EQ — you’re comfortable collaborating and empathizing with providers to help them succeed
• Take ownership — you’re comfortable being proactive, taking ownership, and prioritizing progress over perfection.
• Feel comfortable with ambiguity — you thrive when things aren’t fully defined and you can shape what’s next.
• Are energized by a fast-moving environment — you can juggle multiple priorities, set your own pace, and don’t wait to be told what to do.

Why Join Us

• You will have unparalleled career growth: This will be an opportunity for unparalleled learning & career growth.
• You’ll be part of a fast-growing startup aiming big: You will be part of something huge. We work hard, take ownership, and push ourselves to make that possible.
• You will have a massive amount of impact: As our first full-time hire, you will have a remarkable amount of impact and ability to shape how we operate, scale, and succeed. Your fingerprints will be everywhere.
• You can help shape pediatric therapy for the better: We’re building solutions to help kids who desperately need care. You’ll help improve access to therapy for kids and empower providers with better systems, better support, better outcomes.