Business Operations Lead

About the role

You will own the design and execution of high-leverage, cross-functional initiatives that sit between existing teams and drive measurable business outcomes. You will translate ambiguous strategic problems into concrete, shipped results by coordinating stakeholders and defining clear paths from idea to implementation. This role requires extreme ownership over projects that span product, GTM, care transformation, and finance with the goal of scaling core business operations. You will build the source-of-truth frameworks and processes that allow Ambience to operate efficiently across its fastest-growing customer segments. The position is structured for rapid growth, giving you increasing scope and responsibility as you prove your ability to deliver durable systems. You will partner closely with executive leadership to raise the bar for execution rigor while maintaining candor, positivity, and deep thought. Because the problems you solve directly impact patient care and clinician experience, you are expected to act with high integrity and a strong sense of mission.

Key facts

What you'll do

• Drive end-to-end execution on high-leverage, cross-functional initiatives, owning scoping, stakeholder alignment, implementation, measurement, and handoff with reusable playbooks.
• Redesign implementation workflows to lift site go-live throughput using the same team capacity, creating scalable processes and clear operational handoffs.
• Define pricing and packaging strategy, including SKU and tier design, pilot programs with customers, and measurement of close-rate impact on revenue.
• Build cross-functional product launch playbooks that cover user rollout, enablement materials, and client education from Alpha through Beta to GA.
• Stand up initial RevOps infrastructure, including pipe-to-revenue models, rep performance dashboards, ROI frameworks, and standardized stage definitions.
• Launch finance tooling minimum viable products such as license management and automated monthly true-ups to improve accuracy and efficiency.
• Deliver project dashboards, KPI specifications, short playbooks, and regular update cadences for every initiative to maintain transparency and alignment.
• Partner with Product, GTM, Care Transformation, and Finance to ensure initiatives are tightly integrated with company priorities and operating cadences.
• Convert vague, high-leverage problems into clearly defined workstreams with owners, timelines, and success metrics.
• Establish simple, durable mechanisms such as SLAs, cadences, and dashboards to replace ad hoc processes and reduce ongoing operational drag.
• Act as the primary owner for cross-functional execution, removing blockers and aligning teams to maintain steady progress.
• Translate data and stakeholder input into recommendations, then drive alignment and execution to realize measurable outcomes.
• Maintain a sharp focus on throughput, quality, and predictability so that go-live and rollout efforts become repeatable at scale.
• Document playbooks and operating procedures so that initiatives can be owned and sustained by the broader business over time.

Early Success Indicators (First 3 to 6 Months)

• A clear project portfolio is scoped and prioritized with the hiring manager, with 1-2 initiatives already in active execution.
• A repeatable project framework is in place, including dashboards, KPI specs, stakeholder update cadences, and handoff documentation.
• Initial deliverables on at least one high-priority workstream, such as implementation throughput, pricing, or RevOps discovery, are producing measurable results.
• Cross-functional partners across Product, GTM, Care Transformation, and Finance view the BizOps function as a reliable, high-output execution partner.
• Early operating cadences and playbooks are documented and ready for transition to permanent owners.

Requirements

• 4-8 years in top-tier consulting, BizOps, strategy, or founder/operator roles with clear 0→1 delivery in complex, ambiguous environments.
• Demonstrated wins owning cross-functional initiatives such as pricing, segmentation, rollout throughput, or RevOps/GTM programs in previous roles.
• Strong analytical capability with high comfort using Excel and Sheets, reading SQL or BI tool outputs, and backing recommendations with rigorous data.
• Excellent executive communication skills, including the ability to write crisp memos, make clear asks, and manage stakeholders tightly.
• High learning slope evidenced by the ability to pick up new domains quickly while maintaining low ego and high ownership.
• Systems thinking that enables you to turn messy, undefined processes into simple, durable mechanisms including cadences, SLAs, and dashboards.
• Experience operating in regulated environments or with healthcare compliance considerations is a strict requirement for this role.
• Hands-on familiarity with modern data stacks as a consumer or partner, such as Snowflake, dbt, and Sigma, is required.
• Prior experience building operating cadences in high-growth SaaS startups is mandatory.
• Demonstrated history of working with CRM and RevOps tooling in live environments.
• Ability to manage multiple priorities and stakeholders while maintaining rigorous follow-through and ownership.
• Comfort working with distributed, remote teams across US time zones using asynchronous communication norms.

Nice to have

• Previous experience in healthcare or other regulated industries beyond general compliance.
• Deep hands-on experience with modern data stack components including Snowflake, dbt, and Sigma as a practitioner or partner.
• A track record of building operating cadences in fast-scaling SaaS organizations.
• Direct experience with CRM and RevOps toolsets, including configuration and reporting.

Practical notes

This is a full-time remote position based in the United States. The role reports to senior leadership and requires reliable, consistent availability during US business hours. No travel is required, and no visa sponsorship is provided at this time.