Strategy & Operations Lead

About Gaia

Gaia’s vision is to fundamentally change our relationship with medicine. We have created a personalized drug delivery platform that turns the daily chore of taking medication into a monthly ritual. For chronic medications where missed doses can have serious or potentially life‑threatening health implications, Gaia makes taking medication perfectly, simple. Our platform replaces the mental burden of adherence to give us more time, energy, and attention for what matters. We believe treatment should work not only in the body, but in the context of our lives.

We are initially targeting hormone replacement therapy (HRT) for perimenopause and menopause. Every woman will experience menopause, and more than 80 % experience symptoms that damage physiology, quality of life, and longevity. The current delivery modes for HRT are subpar. The HRT market is rapidly growing following new FDA guidelines in 2026, and Gaia has partnered with leading OB‑GYNs who have validated that our platform will become the preferred way for women to receive hormone treatment.

We are assembling our founding team in San Francisco to reimagine how medicine fits into our lives.

About the Role

We’re looking for a high‑horsepower generalist operator to work closely with our founder and CEO across some of the most important problems in the company. Your immediate focus will be the successful launch of our hormone therapy offering, with broad ownership across pharmacy build‑out, operations and supply chain, fundraising, and the growth and marketing work required to bring the product to market. The scope will evolve as the company does, allowing you to move between strategy and execution, build new functions, and step into whatever matters most.

What You’ll Own

• Drive Gaia’s first commercial launch from plan through execution.
• Build and run critical pieces of our pharmacy, operations, and supply‑chain infrastructure.
• Help develop and execute our go‑to‑market and growth strategy.
• Partner closely with the CEO on company priorities, financial analysis, strategic decisions, and execution.
• Turn ambiguous company priorities into clear plans, decisions, owners, and timelines.
• Use data to understand what is happening, identify what matters, and make better decisions.
• Work across product, clinical, pharma/R&D, finance, marketing, and external partners to keep critical work moving.
• Build teams and processes where needed, while staying close enough to the work to execute directly.
• Evaluate when to build internally, hire, outsource, or solve a problem yourself.
• Surface risks early, make hard calls, and keep important work moving.
• Take ownership of important company problems that don’t yet have an obvious home.

What You’ll Bring

• 5–15 years in demanding operating environments (quality of experience matters more than exact years).
• Track record of building companies, products, operations, or major initiatives from 0 → 1.
• Genuine depth across multiple parts of a business; operations, finance, and growth/marketing are especially useful.
• Strong analytical and financial judgment; ability to use data to understand problems, build execution plans, and make decisions.
• First‑principles thinking and the ability to recognize useful patterns without blindly applying past playbooks.
• Bias toward action, an instinct for the most efficient path to “done,” and exceptional dependability.
• Confidence to disagree, push back, argue constructively, change your mind when evidence warrants it, and commit once a decision is made.
• Low ego, high learning rate, and the judgment to know when to learn, delegate, or seek expertise.
• Exceptional written and verbal communication skills and the ability to keep complicated, cross‑functional work organized.
• Ambition to take on increasingly consequential ownership as Gaia grows.

Additional Experience We Value

• Experience in healthcare, biotech, medical devices, hardware, or another regulated environment where quality matters and mistakes have real consequences.
• Experience across operations, finance, supply chain, manufacturing, product, project management, or growth.
• An engineering or other technical foundation paired with a career that expanded into broader business and operating roles.
• Experience as both an individual contributor and a manager of people and processes.
• Experience building teams and operating infrastructure from the ground up.
• Experience inside an exceptionally well‑run organization, coupled with the judgment to know which lessons are useful in an early‑stage company and which aren’t.

Compensation

The annual salary range for this role is $140,000 – $220,000, determined based on qualifications and experience. The total compensation package also includes generous equity in Gaia.

Benefits

• Comprehensive medical, dental, and vision insurance with HSA and FSA options
• One Medical membership, 24/7 virtual care, and mental health support
• Generous paid time off, company holidays, and sick time
• Life and disability insurance
• 401(k) retirement plan
• Pre‑tax commuter benefits for transit and parking