About the Role

HealthEx is building the infrastructure layer for consumer-permissioned health data - think Plaid, but for health records. We connect individuals to their clinical data across TEFCA, FHIR, and QHIN networks, and power AI experiences at companies like Anthropic, Microsoft and Salesforce. We are looking for an AI Operations Lead / Chief of Staff to work directly with the CEO across three equal functions: building and deploying AI solutions internally, driving cross-functional strategic execution, and supporting product and commercial initiatives as we scale.

What You'll Do

Chief of Staff / strategic execution & operations

• Partner with the CEO on company priorities, strategic planning, and high-stakes decisions

• Drive execution of cross-functional initiatives that don't have a clear home

• Prepare board decks, investor updates, and internal strategy memos

• Identify bottlenecks and implement scalable processes across the company

• Define and track key operational and commercial metrics across the company

• Act as a communication bridge across engineering, clinical, and business teams - translating requirements clearly and without losing fidelity

• Coordinate and support CEO communications and external-facing materials

Build and deploy internal AI solutions

• Identify, prioritize, design, and build AI-powered workflows for the activities above – using Claude, Claude Code, and agentic tooling

• Write code when needed, and orchestrate AI agents when that's faster

• Ensure AI solutions are deployed safely, effectively, and in compliance with HIPAA and applicable healthcare data regulations - with appropriate guardrails, evaluation frameworks, and monitoring in place

Product and growth support

• Contribute ideas and insights to product strategy for new strategic efforts, drawing on your AI expertise

• Help define go-to-market and pilot strategies with strategic healthcare partners

• Contribute to hiring plans and organizational design as we scale

What We're Looking For

Required:

• 4-8 years of experience in startups, product, operations, engineering, or similar roles

• Code writing ability - you can build, not just direct

• Fluency with Claude and LLMs, including agentic tooling (Claude Code, Cowork)

• Proven ability to manage complex projects across multiple stakeholders

• Strong cross-functional communication skills across technical and non-technical audiences

• Structured thinking and comfort operating in ambiguity

• Bay Area based 

Strong plus:

• Healthcare or health tech experience

• Familiarity with FHIR, TEFCA, or health data interoperability

• Experience in HIPAA-regulated or other regulated data environments

• MCP or API integration experience

• Prior startup or operator role

What we value most:

• You do and build things. You don't just advise on them or wait for direction.

• You learn domains quickly - clinical workflows, TEFCA nuance, enterprise sales motion - whatever the problem requires

• You bring new thinking. We want someone earlier in their career who sees possibilities the rest of us might miss.

• You communicate crisply across technical and non-technical audiences, in writing and in person

• You're energized by a fast-moving environment with real stakes

This role is for doers and builders who can also zoom out. If your instinct when you see a manual process is to automate it, we want to talk to you.

About HealthEx

HealthEx is powering a new era of consumer-driven healthcare by enabling individuals to seamlessly access and share their health records in a secure, transparent, and consented manner. As the leading platform in this space, HealthEx links identity, consent, and real-time records access, building the secure trust layer for individuals and their health data.

We're backed by General Catalyst and have active AI platform partnerships with Anthropic, Microsoft Copilot Health, Salesforce Agentforce Health, and Meta.