Fractional COO / Vice President of Operations

About the Role:

Neura is seeking a high-velocity, execution-oriented Fractional VP of Operations (with option to convert to full-time) to instill operational rigor, drive cross-functional alignment, and accelerate company-wide execution.

This leader will enforce accountability across OKRs, KPIs, and strategic initiatives, bring improved structure to licensing, credentialing, contracting, supply/demand forecasting, and clinic expansion efforts. This person will manage our Senior Operations Manager (focused on direct-to-consumer clinical operations), B2B Director of Operations, Provider Recruiter, and Head of Payor Contracting. This leader will create significant leverage for our CEO, who will focus externally on Business Development, along with managing Finance, Product/Tech, and HR.

While working to coach, mentor, and organize the work of the existing team (upleveling talent where needed), this individual is not afraid to roll up their sleeves and dive into critical operational data, allowing Neura to exceed goals and core metrics. This leader will fully own KPI’s like patient Net Promoter Score, time to appointment, provider utilization, and visit volume targets.

The mandate is simple: increase predictability, clarity, and velocity. Create predictability around visit volume targets while maintaining patient and provider delight.

Responsibilities:

Drive Operational Visibility and Daily Performance Improvement

• Prioritize clear operational KPIs that provide daily visibility into clinical performance and growth drivers.
• Own dashboards that track key metrics including visit volume, provider capacity, conversion rates, and revenue by channel.
• Identify operational bottlenecks and areas of underperformance and work with teams to implement corrective actions.
• Create clear reporting that highlights daily and weekly areas for improvement across clinical operations.
• Partner with leadership to define the core metrics that drive revenue growth and patient access.
• Implement a regular cadence of KPI reviews to ensure leadership is focused on the metrics that most directly impact growth.

Outcome: Leadership has real-time visibility into operational performance and the areas that require immediate improvement.

Own Licensing, Credentialing, and Multi-State Expansion Operations

• Centralize provider licensure, credentialing, and clinic expansion workflows across the organization.
• Build and maintain a master timeline for state expansion including ownership, regulatory requirements, and key deadlines.
• Track progress across states and ensure proactive follow-up to prevent delays in market launches.
• Identify and remove operational bottlenecks that slow down credentialing, licensure, or expansion readiness.
• Partner with clinical leadership and regulatory teams to ensure compliance and operational readiness for new markets.

Outcome: Expansion efforts are transparent, actively managed, and launched on or ahead of schedule.

Build and Implement an Execution System for Clinical Operations

• Implement and manage a centralized system to track clinical operations initiatives, projects, and priorities.
• Ensure all clinical initiatives have clear ownership, defined timelines, and measurable outcomes.
• Establish consistent status reporting across clinical operations projects.
• Create structured processes for surfacing blockers and driving cross‑functional resolution.
• Implement a predictable weekly operating cadence to ensure consistent execution and accountability.

Outcome: No clinical initiative lacks ownership, visibility, or a clear path to completion.

Requirements:

Leadership & Operational Experience

• 10+ years of experience in healthcare operations, with significant experience leading clinical operations in a multi‑state or rapidly scaling healthcare organization.
• Prior experience in a senior leadership role such as Head of Operations, VP of Operations, Director of Clinical Operations, or equivalent.
• Demonstrated ability to build and scale operational systems in high‑growth healthcare or digital health environments.
• Experience managing cross‑functional initiatives involving clinical teams, regulatory operations, product, and growth teams.

Healthcare Operations Expertise

• Deep familiarity with provider licensing, credentialing, and multi‑state healthcare expansion.
• Experience overseeing operational infrastructure that supports clinical capacity, patient access, and provider productivity.
• Strong understanding of telehealth or technology‑enabled care delivery models preferred.
• Ability to design and implement processes that improve speed‑to‑market, clinical quality, and operational efficiency.

Execution & Systems Building

• Proven track record of implementing operating systems, project management frameworks, and KPI dashboards that improve execution and accountability.
• Strong experience translating operational data into clear priorities and measurable performance improvements.
• Ability to identify operational bottlenecks and implement systems that improve execution velocity across teams.

Leadership Presence

• Comfortable driving accountability across senior leaders and cross‑functional teams.
• Strong decision‑making and problem‑solving capabilities in fast‑paced environments.
• Ability to balance strategic thinking with hands‑on operational execution.

Growth Mindset

• Ambition and capability to grow into a Chief Operating Officer role as the organization scales.
• Interest in helping build the company’s long‑term operating infrastructure and leadership systems.
• High ownership mentality with a bias toward action and measurable results.

Preferred Qualifications:

• Experience scaling digital health, telehealth, or tech‑enabled healthcare services.
• Background supporting multi‑state clinic expansion or healthcare network growth.
• Experience building operational dashboards and performance management systems tied to revenue or growth outcomes.

Compensation:

• Compensation Range: $92 per hour - $129 per hour (a salary will be offered if this role converts to full time)
• Schedule: Fractional (15–25 hrs/week to start) with option to convert to full‑time
• Benefits: For full time employees - comprehensive health coverage, equity options, flex time off, L&D stipend - details found here

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