Business Operations Lead

About the role

Joining Joyful Health means being part of a mission to fix one of the most broken systems in healthcare. You'll be tackling one of the most complex challenges in healthcare—helping practices thrive in a chaotic financial landscape. Your work will directly contribute to solving one of the most pressing problems for providers, ensuring they can focus on what they do best: caring for patients.

Responsibilities

• Build out and own our post-sales CRM: Stand up a real system of record for customer operations so the team has one source of truth on every account.
• Design our ticketing infrastructure: Own the email ticketing system and Airtable ticketing workflows, and shape how work flows through the team as we scale.
• Create the connective tissue between our ops data, our tooling, and how the team makes decisions. (Fair warning: reporting will live in a few different hands across ops — but you'll set the standard.)
• Optimize workflows and tooling across ops: Be the unofficial ops automation czar — spotting friction, building automations, and continuously sharpening how the team operates.
• Manage the systems behind onboarding and invoicing: Own the infrastructure that supports a smooth customer onboarding and billing experience.
• Lead on AI and automation: Over time, become the person the rest of the ops org turns to for AI-powered workflows and automation.

Requirements

You're deeply aligned with Joyful Health's mission — You're motivated by fixing broken systems in healthcare and want to see your work show up in how practices actually run.

• 4+ years of experience in a systems-heavy role — Ideally at a startup, or in consulting or finance, where you've had to build process and tooling from scratch rather than inherit it.
• You think in systems — You instinctively map workflows, spot where the friction is, and can design a clean path from messy inputs to reliable outputs.
• You're fluent in modern ops tooling — CRMs, ticketing systems, Airtable, BI/reporting tools, and the automation layer that glues them together. Bonus points if you've already been building with AI tools.
• You're excited to build from zero — You see a blank page as an opportunity, not a problem.
• You're comfortable making calls with incomplete information and iterating as you learn.
• You're low-ego and collaborative — You love partnering across functions, take feedback well, and are willing to do whatever helps the company and its customers succeed.

Qualifications

We're looking for someone NYC-based who is open to coming into the office 3 days a week.

Benefits

We offer competitive compensation packages, strong equity, and the opportunity to share in the success of Joyful Health. We also provide comprehensive healthcare benefits, unlimited PTO (with a minimum of 10 days off a year), and flexibility so you can take care of yourself. We organize regular team off-sites and events to ensure that even as we tackle big problems, we enjoy the journey.

Pay

$140,000–$160,000 base + meaningful early-stage equity.

Schedule

Full-time, with the option to come into the office 3 days a week.