VP of Commercial Operations - USA (Eastern or Central USA timezones)

AI overview

Lead US commercial strategy for Diagnexia, driving the transition to a tech-enabled digital pathology platform while managing a dispersed commercial team for growth.

 Location & Travel

  • Successful candidates will be based in Eastern or Central USA time zones only given timezone challenges) 
  • Regular collaboration across our global teams particularly in European / Canadian & Eastern US or Central US  time-zones
  • Domestic client visits/ travel (USA/ Canada) required & limited international (EU travel) as required. 
  • Occasional out-of-hours support for urgent compliance needs as part of our international environment.


Eligibility to work in USA

  • Unfortunately, we cannot offer USA work permits or USA visa sponsorship
  • Candidates will already hold the right work in the USA at the time of application.


🏢 About us


Deciphex is a leading digital pathology company developing AI-powered diagnostic systems for medical laboratories. With clinical services operations spanning the EU, UK, US, and Canada (offices in Dublin, Exeter, Oxford, Toronto, and Chicago), Deciphex delivers innovative solutions for pathology workflow optimization and AI-assisted diagnostics to healthcare providers, pharmaceutical companies, and research institutions.


Specifically, Deciphex has developed two digital pathology software platforms

(1) Patholytix which enables study based pathology review for preclinical studies and clinical trials and 

(2) Diagnexia a tech-enabled clinical pathology diagnostic service, delivered by our network of clinical pathologists. Deciphex has recently expanded its Diagnexia service into the US market. 


Read more about Deciphex here and more about our incredible team on our Careers Page here 



About this Role

  • The Vice President,  Commercial Operations will lead our  Diagnexia US commercial strategy and execution for North America -i.e. inclusive of Canada.
  • You will be driving revenue growth while transitioning the business from traditional anatomic pathology services to a technology enabled, AI augmented digital pathology platform.
  • This role is suited to a senior commercial  sales leader with deep anatomic pathology experience.
  • You're someone who understands US diagnostic laboratory economics and is motivated by building, scaling and leading through change.
  • This opportunity will particularly appeal to someone who feels constrained by large corporate structures and wants genuine autonomy, strategic influence and the chance to lead a market defining transformation at pace.


What you’ll help us achieve; 

  • The role leads North America inclusive of Canada. You will own and lead the US commercial strategy for Diagnexia translating market insight into actionable growth plans across services and platform adoption.  
  • You will scale and develop the US commercial organisation, growing the sales/ commercial team from its current footprint to support aggressive expansion over the next 12 to 24 months, while retaining and motivating high performing existing team members.
  • You will lead the evolution of the US offering from traditional diagnostic services to a technology enabled delivery model. This involves partnering closely with product, operations and clinical leadership to ensure commercial feasibility and customer adoption. 
  • You will act as the primary commercial bridge between the US market and Dublin based leadership, providing clear feedback on customer needs, regulatory realities and competitive dynamics.
  • You will manage key enterprise relationships and strategic partners, ensuring long term value creation and sustainable revenue growth.
  • You will be responsible for forecasting, pipeline management, commercial performance and contribution to overall company strategy.
  • You’ll manage a dispersed US Commercial team including line management of team members, identification of resourcing needs, hiring, motivating and developing teams to improve customer engagement and delivery etc. 
  • Training required for the role may include ISMS, GLP, DocuSign and GDPR awareness


Required Skills and Experience:

  • You will bring significant national USA experience in anatomic pathology or diagnostic laboratory environments.  
  • Alternatively recent experience working with digital pathology platforms, AI enabled diagnostics or technology led healthcare services 
  • Experience in a large regional / national reference lab / diagnostic service
  • Direct clinical services provision experience (e.g. clinical / CMO level engagement)
  • You will have strong working knowledge of US diagnostic revenue models, including technical and professional component billing, reimbursement structures and margin drivers.
  • You will have led or contributed to complex, transformational commercial initiatives that required customers to change workflows or service delivery models, ideally within diagnostics, digital health or advanced laboratory services.
  • You will have experience leading and developing commercial teams, with a hands on, accountable leadership style.
  • Coaching ability - able to coach direct sales teams to navigate complex / large regional and national accounts to create long term relationships and accelerated adoption of our clinical reporting services 
  • You will be comfortable operating in a growth stage, venture backed environments, balancing ambition with pragmatism, and contributing actively to strategy rather than executing a fixed playbook.


Desirable Skills and Experience

  • Experience managing partner or vendor based delivery models, including clinical networks


What are the benefits of working with Diagnexia 

  • 💰 A competitive, senior level salary with performance based increases, reviewed annually against clearly defined outcomes and organizational impact
  • 🏥 Healthcare cover, supporting sustained performance in a demanding, fast moving environment
  • 🌴 Competitive annual leave - senior leaders model healthy boundaries
  • 🎯 Work with real clinical consequence, where senior expertise directly influences patient outcomes, standards and decision making
  • 🌍 A high caliber, senior peer group operating at pace. Challenge is welcomed, standards are uncompromising, and leadership is earned through contribution rather than title, within a scaling startup environment
  • 🚀 Ownership of complex, high impact initiatives with genuine autonomy, visibility at executive level, and accountability for outcomes
  • 📈 Direct, frequent feedback from experienced leaders. Scope, influence and reward expand as we grow & you deliver
  • 🤝 A collaborative, multicultural leadership culture that values candour, intellectual rigour and shared accountability, over consensus or hierarchy


Diagnexia  is an equal opportunities employer and we are committed to the principle of equality. All qualified applicants will be considered for employment without regard to age, race,  religious beliefs, political views, gender identity, affectional or sexual orientation, national origin, family or marital status (including pregnancy), disability, membership of the travelling community or any other classification protected by applicable law.


A copy of our Privacy Policy can be viewed here 



Perks & Benefits Extracted with AI

  • Health Insurance: Healthcare cover, supporting sustained performance in a demanding, fast moving environment
  • Collaborative leadership culture: A collaborative, multicultural leadership culture that values candour, intellectual rigour and shared accountability, over consensus or hierarchy
  • Paid Time Off: Competitive annual leave - senior leaders model healthy boundaries
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