VP, Operations

Title: VP, Operations

*This role may be leveled at VP or SVP depending on experience, scope, and impact.

Manager:  Chief Clinical Officer/Chief Operating Officer

Location: Remote with preference for a candidate located in one of Tia’s major markets: SF, LA, NY or Phoenix

About Tia

Tia is on a mission to transform healthcare for women by increasing access to and improving the experience of key preventive healthcare services. Known as the best and only way to both transform outcomes and reduce cost, Tia’s preventive care model focuses on integrating key services across primary care, mental health, gynecology, dermatology and other wellness services. Tia is trailblazing a new paradigm for women’s healthcare that treats women as whole people vs. parts or life stages.  Blending in-person and virtual care services, Tia’s “Whole Woman, Whole Life” care model is a unique and “life-long” model for women’s care. By making women’s health higher quality and lower cost, Tia makes women healthier, providers happier, and the business of care delivery stronger — setting a new standard of care for women everywhere.

Role Summary

Tia is looking for a sharp, data-obsessed operator who knows how to turn strategy into repeatable, scalable, margin-positive execution across a multi-state/multi-site clinical business. This leader will serve as the CCO/COO’s execution engine, translating strategic ideas and operating targets into operational reality with focus, clear priorities, and disciplined follow through. We have no shortage of vision; what we need is an operator who knows how to sequence, synthesize, and dive —  and who is as comfortable setting enterprise-wide expectations as they are rolling up their sleeves in the details. 

The VP, Operations will build and lead the core clinical operating system of the business:  capacity planning, clinical operations, visit + scheduling design, visit throughput and patient flow. They’ll see around corners and anticipate the next nine months of operational needs. This person thrives where complexity meets speed — translating top-level goals into clear operational plans, measuring what matters, and ensuring teams deliver.

This is a player-coach role for someone who thrives in the details, moves fast, doesn’t wait to be asked, and takes pride in getting results. They roll up their sleeves, pressure-test assumptions, build and refine operational models, and hold teams accountable with clarity and empathy. They love a good experiment, move fast with data, and never lose the plot: patient outcomes and business performance must rise together.

This role requires strong executive presence, the ability to influence across clinical and corporate teams, a strong desire and ability to build relationships with clinicians and comfort presenting to the leadership team and Board.

Key Responsibilities

Operational Leadership & Execution

• Lead day-to-day and long-term operations across all clinics, markets, and care modalities to achieve volume, access, quality, and EBITDA goals.
• Rapidly translate strategic direction into operational reality — including scheduling models, visit templates, staff allocation, workflows, and performance expectations.
• Own critical operational mandates (e.g., build the design and system Tia needs to hit appointments completed per day targets) and drive end-to-end implementation across markets, clinicians, systems, and workflows.
• Build scalable operating models that improve access, efficiency, and margin without compromising patient experience.
• Drive execution on cross-functional initiatives tied to revenue, cost, quality, and patient experience – ensuring every team knows their targets and delivers on time.

Prioritization, Alignment & Organizational Discipline

• Set expectations, operating standards, and performance baselines for operations, clinic leadership, and cross-functional partners.
• Maintain a clear, real-time picture of business performance across membership, visit volume, utilization, staffing, service throughput, patient experience, and unit economics.
• Establish and run the operating cadence: weekly business reviews, monthly operating reports, quarterly planning, and performance check-ins.
• Proactively identify operational risks and root causes, escalate with crisp recommendations, and lead the org toward rapid resolution.
• Drive continuous improvement: simplify processes, eliminate waste, and iterate operational models to improve margin and quality.
• Hold teams accountable through clarity, transparency, and consistent follow-through.
• Operate through a lens that quality + operational efficiency must both be true.

Forward-Looking Operational Strategy

• Anticipate operational needs 6-12 months ahead — capacity constraints, payer shifts, staffing requirements, workflow redesigns, clinical throughput challenges, etc to better inform the decisions we make today
• Build, test, and refine operational models that support growth, quality, and financial targets.
• Identify bottlenecks before they become crises and lead the organization toward proactive solutions.

Player-Coach Leadership

• Step into the details when needed: audit workflows, review schedules, evaluate throughput, refine KPIs, and validate assumptions in real time.
• Coach and develop operational leaders while personally owning high-stakes deliverables.
• Build strong, trusting partnerships with Clinical Leadership, Marketing, Product, Finance, RCM, and People to ensure end-to-end alignment on operational performance.
• Serve as the COO’s operational proxy, representing Operations with authority and clarity cross-functionally and in and Board-facing forums.
• Collaborate with market and clinic leadership to ensure consistent, high-quality operations across all sites and modalities.
• Drive a culture of accountability, clear communication, and results across all operational teams.

Analytics, Metrics & Decision Support

• Oversee operational KPIs, dashboards, and predictive models tied to visit volume, capacity, staffing ratios, utilization, revenue, cost structure, and patient experience.
• Align operational forecasts with financial plans and ensure leadership has real-time insight into performance.
• Lead deep-dive analyses to determine root causes, identify opportunities, and guide decision-making.
• Partner with Strategic Finance to align operational forecasts with company financial plans.

Abilities & Skills

• Deep experience running fee-for-service primary care operations — understands visit throughput, provider templates, care team workflows, and the economics of outpatient care.
• Strong operational instincts; decisive operator who has scaled complex, multi-site care delivery models.
• Exceptional ability to prioritize, synthesize, and sequence ideas into a clear action plan.
• Executive presence and clarity of communication — concise, structured, direct.
• Ability to influence without ego, and hold teams accountable with empathy, firmness and respect.
• Strong operational design and process-building skills; comfort leading through ambiguity and scale.
• Ability to see around corners — anticipating operational needs before they surface.
• Strong player-coach: able to lead at altitude and also drop into the weeds to unblock and execute.
• High analytical horsepower; able to interrogate data, build models, and translate insights into action.
• Deep patient-oriented mindset –  understands that better operations must improve outcomes, not just margins
• Comfortable working in an environment with high ambiguity, high expectations, and high velocity. Not afraid to prototype, test and pivot.

Qualifications

• 12+ years of operations leadership in healthcare, with significant experience running fee-for-service primary care at scale.
• Proven track record of delivering operational, quality, and financial results in a multi-site or multi-market environment.
• Strong experience with scheduling optimization, throughput improvement, provider efficiency, and workflow redesign.
• Hands-on experience building operational models; proficiency with SQL, Excel required; BI tools (e.g., Tableau) a plus.
• Experience partnering with executive teams and presenting to Boards.
• Prior experience in high-growth, operationally complex healthcare environments strongly preferred.

Tia is committed to pay equity and pay transparency. 

Starting pay for qualified applicants will depend on a combination of job-related factors, which may include education, training, experience, location, business needs, or market demands. The expected salary range for this role is set forth below and this range may be modified in the future.

The base salary range is $200,000-$275,000 plus a performance based bonus

Benefits 

• Unlimited vacation
• Free Tia membership
• Competitive stock option package
• $300 one-time WFH stipend
• $50/month phone and internet reimbursement 
• Medical, dental, and vision benefits
• 401k program (no matching at this time)
• Top of the line 13" Macbook Pro 
• Travel stipend for team off-sites

Tia is building a world class team to reimagine women’s healthcare. We’re an interdisciplinary team of clinicians, researchers, designers, technologists and operators who have seen firsthand how broken the healthcare system is for women. We’re united by a powerful mission to enable every woman to achieve optimal health, as defined by herself, as well as a shared set of values and principles that define our business, products, and culture. 

Tia is building a culture of excellence — in people, process and product. This is our northstar value;

What is excellence, exactly?

Excellence about constantly elevating yourself, it is the process of constantly striving to perform to the best of your abilities, and identifying your top potential through constant learning, experimentation and evolution. Excellence is not about achieving perfection, as that insinuates a pinnacle. Instead, in our terms, excellence is about the pursuit of constant improvement. We’re looking for people who want to go on that hard journey of constantly setting new personal records, and organizational records.

We practice excellence at Tia by demonstrating the following types of behaviors: We chose (and actively choose) excellence as Tia’s highest order value because it crystalizes into one word several behaviors that we hold dear, specifically:

A drive to constantly improve through experimentation, reflection. and an insatiable growth mindset — said another way, we’re energized by the possibility of invention, innovation, and iteration

Being present in and grateful for the journey — not just the goal line. Perfection is static. Excellence is a process (more on this important distinction below)

Asking why, then why again — because accepting “this is just the way it is” is not good enough

Grit & perseverance — a maker mentality that involves “rolling up your sleeves”, but also deep care for oneself and for others

A commitment to uncovering talents to unlock “rock star” potential across every individual

Furthermore, excellence reflects the “bigness” and the “boldness” of Tia’s mission and vision — a world in which every woman can achieve optimal health, as defined by herself.

Said another way, Tia’s mission is NOT to make healthcare incrementally better for women. Instead, we’ve intentionally set out to create a fundamentally new paradigm for modern women’s healthcare that’s truly excellent. We believe that creating a company that operates in a culture of excellence will manifest in our product. Reaching this goal is not an overnight pursuit or a “one and done.” We have not and will not “get it right” with the first swing. Rather, this higher order goal is a moving target — one we have not and will not ever fully “achieve.” By design, we will never be “done” with this work, but instead, we will be continuously in pursuit of our mission. It is this continuous pursuit — the journey, not the finish line — that truly embodies excellence.