General Manager | San Antonio

Adaptive Innovations Inc; San Antonio (TX); On-site; USD 120,000 - 160,000; Full time

Job summary

Adaptive Innovations Inc. is hiring General Managers to own and operate individual markets for our AI-enabled Post Acute Care platform nationwide. You will lead a multi-disciplinary team, hit aggressive growth targets, and own the census, revenue, and quality in your market.

This role emphasizes run-a-business ownership with strong, data-driven decision making, working with centralized teams while delivering local outcomes. High ownership and strategic thinking are required.

Qualifications

• Proven ability to lead large, multi-disciplinary teams.
• Experience running high-output operations with discipline and urgency.
• Strong hiring, onboarding, and coaching track record.
• Ability to manage performance and make tough calls when needed.

Responsibilities

• Own the market P&L including revenue, census, margin and unit economics.
• Drive census and revenue growth in collaboration with Sales.
• Allocate resources daily using data and AI tools to maximize top-line and bottom-line impact.
• Run daily scheduling, staffing, compliance, and service delivery with dashboards and audits.
• Be the single point of accountability for compliance, survey readiness, and clinical quality.
• Partner with centralized Technology, Compliance, and Operations while owning local outcomes.

Skills

People leadership

Operational execution

Team building

Performance management

Job description

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.

By reshaping the cost structure of this industry, we unlock its growth.

We've built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with healthcare operators, ex-MBB strategists, and growth veterans to build a new type of healthcare company — one that delivers care at the speed of a technology company.

Our platform already operates at materially higher gross margins than traditional home health providers. We pay clinicians more, strip out their admin burden, and unlock the scale economics that have eluded this fragmented industry for decades. We're backed by world-class investors (Felicis, Bain Capital Ventures, BoxGroup, Optum Ventures) and scaling nationally through a combination of organic growth and acquisition.

Every dollar of revenue we generate removes two dollars from the healthcare system. If we succeed, so does US healthcare.

The Opportunity

We're hiring General Managers to own and operate individual markets as we scale our AI-enabled Post Acute Care platform 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. You operate with a broad mandate: hit your numbers, build your team, win your market.

This is a \"run a business, not a workstream\" role. Some GMs will take over existing operations and transform them. Others will stand up new markets from scratch, including post-acquisition integrations. All will be expected to 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 will be supported by central resources and given a robust onboarding program to learn the industry and the business before \"getting in the seat\".

Market P& L

• Full accountability for your market's financial performance — revenue, census growth, gross margin, and unit economics




• Drive census growth in partnership with Sales, translating referral pipeline into admitted, scheduled, and served patients




• Use data and AI-driven tooling to make 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 — dashboards, exception reports, audits, and real-time capacity management




• Single point of accountability for compliance, survey readiness, and clinical quality in your market




• Partner cross-functionally with centralized Technology, Compliance, & Operations — these functions support you, but you own the 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 when someone isn't meeting the bar

Platform

• Serve as the critical feedback loop between field operations and our AI/product teams — the workflows you run are the ones our engineers are automating




• Be the voice of your market to leadership: what's working, what's not, and what you need to win

Who You Are

You're 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've run complex, people-heavy operations before and you're looking for a role where performance is rewarded with real upside and increasing scope.

This is a blend between platform roll up and startup. Every day brings a new problem. If you err toward action, are hungry for early ownership, and are comfortable making decisions with 80% of the data, you'll thrive here.

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've built and managed operational systems across complex, multi-stakeholder environments.




• Team building at scale — you've hired, onboarded, and scaled teams in operationally intensive environments. You can cite specific sourcing strategies, hiring mistakes, and the process changes you made as a result




• Performance management — you've made difficult calls: coaching plans, demotions