Terrarium

Head of Operations

New York City

Sponsorship not specifiedDetected 9 days ago

RailsComplianceCadenceHIPAA

About the role

As the Founding Head of Operations, you are the operating backbone of the company.
One day you are running a special project or prepping the board, the next you are standing up our billing rails or fixing a broken process before it scales.
Compliance and billing rails: Stand up the infrastructure that makes us legitimate and reimbursable.

Run special projects end-to-end, drive hiring and onboarding, support fundraising and board prep, and own the dozens of cross-functional threads that keep the company moving.
You will own four things:
Force multiplier to the CEO: Run special projects end-to-end, drive hiring and onboarding, support fundraising and board prep, and own the dozens of cross-functional threads that keep the company moving.
Analytics and reporting: Build the reporting backbone. Track outcomes and leading indicators, run the weekly cadence, and give the team and the board a clear, honest picture of what is working.
Expect to make high-leverage operational decisions, move fast, and own outcomes end-to-end with minimal process.
Leland is building the first unified system of record for aging to help seniors live longer, healthier, and happier lives.
This turns fragmented information into proactive, coordinated support that extends healthy, independent years.

You are a generalist operator who goes deep.
You can run a fundraising workstream and a claims workflow in the same week and do both well.
You have hands-on clinical billing experience.
You have personally run Medicare, Medicaid, or commercial billing, documentation, credentialing, and denials, and know what breaks and how to stay compliant.

We have a multi-year funding runway and are launching pilots in 2026 with providers and already in active conversations with major US health systems.
The company is led by a Stanford GSB founder with experience scaling new businesses at Sword Health and Homebase.
You turn strategy into execution and you build the machine that lets a regulated healthcare company move fast without breaking.

You will define how the company runs.
Low ego, high output. You want the intensity and ownership that only exists at the earliest stage of a company.

This listing is sourced directly from Terrarium's careers page and normalized into a canonical job model.