General Manager

About the Role

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”.

What the GM Owns

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, terminations. You act decisively and can walk through the judgment behind each decision
• Data-driven problem solving — you have a strong analytical toolkit. You're comfortable with data, can build a simple model quickly, and always get to the "so what." You use data to diagnose root causes and drive organizational change, not just report on lagging indicators

How You Operate

• Owner, not purely an advisor. You want to be on the hook for the P&L — and you're energized by that accountability
• Builder, not maintainer. You're energized by standing up new markets, fixing broken operations, and scaling what works
• Intensity is your default. You manage multiple competing priorities without getting overwhelmed. You thrive in high-tempo operating environments
• Systems over heroics. You solve problems by building process and infrastructure, not through individual effort that doesn't scale
• People leader. You set a clear standard, give direct feedback, and build trust with everyone from field clinicians to executives
• Low ego, high standards. No task is beneath you if it helps the team win. You're in the field, not just in meetings

Nice-to-Haves

• Experience in PE-backed operating companies or multi-site service businesses
• Experience managing through rapid growth, post-acquisition integrations, or turnarounds
• Military experience
• Multi-site or multi-market operational leadership
• Familiarity with AI-enabled operations or real-time operational instrumentation

What We Don't Require

• Home health experience — operational execution capability is what matters
• Healthcare experience — strong operators from logistics, field services, staffing, or marketplace businesses translate well

Compensation and Growth

• Competitive base + annual performance bonus tied directly to your market's P&L outcomes across compliance, census growth, operational execution, and patient satisfaction
• Equity participation — you are building enterprise value, and your compensation reflects that
• Comprehensive benefits including medical, dental, and 401(k) matching
• Clear growth path — top-performing GMs take on multi-market responsibility and step into regional and platform-level leadership as we scale. We are building the leadership team that will run this company at $1B+ in revenue