SY
Hiring from
United States
Work type
Hybrid
Posted
Sep 24, 2026
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Role description

As founding COO, you build the operational backbone of Synaipse. Our physician co-founders own product and clinical strategy; you own go-to-market, partnerships, finance, and the systems that let a small team execute beyond its size. You report directly to the CEO.

You're not inheriting processes. The first enterprise contract, the sales playbook, vendor relationships, the hiring rubric — you build them from scratch and own them long-term.

What you will do

  • Go-to-market strategy and execution: identify target customer segments, build the sales pipeline, and close deals with independent practices, surgical groups, and health systems.
  • Strategic partnerships with EHR vendors, payer organizations, medical societies, and healthcare technology platforms.
  • Financial planning and operations: budgeting, forecasting, fundraising support, and unit economics.
  • Operational infrastructure: the processes, tools, and workflows that let a small team execute at enterprise scale.
  • Team building: recruit, hire, and develop the founding team across sales, customer success, and operations.

Qualified applicants have done this

  • 8+ years in operations, strategy, or business development, with 3+ years in a leadership role at a high-growth startup or healthcare company.
  • Taken a B2B SaaS or healthcare product to market, ideally from early stage through initial revenue milestones.
  • Deep understanding of the healthcare landscape: payer dynamics, practice operations, physician-owned credentialing workflows, or revenue cycle management.
  • Built and led cross-functional teams in fast-paced, resource-constrained environments.
  • Strong financial acumen, with P&L ownership, fundraising, and investor relations.
  • Bias toward action: you'd rather ship an 80% solution today than a perfect one next quarter.

Compensation

  • Competitive base salary commensurate with experience.
  • Meaningful founding-stage equity.
  • Health, dental, and vision insurance.
  • Remote-first with optional hybrid at 1819 Innovation Hub, Cincinnati.

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