Manager/Director Core Operations

Craniometrix is building the care infrastructure that makes living with dementia easier.

When families get the right non-clinical coaching and support, everything changes: hospitalizations drop by up to 30%, patients stay home longer, and quality of life improves measurably. Medicare recently started paying for that coaching, which created the opening for us to build something that preserves dignity and changes lives at scale.

We launched our care navigation service in July 2025, hit $8M ARR in our first year, and closed a $15M Series A to become the navigation infrastructure for dementia — and that’s just the beginning.

This is mission work and we treat it that way. We’re building for the families and patients who need it most, and we’re building a place where compassion shows up in how we serve customers and how we treat each other. 

Equally, mission work requires a lot of us – success for our patients requires rolling up your sleeves & consistent effort. 

We’re growing fast, the clinical and economic foundation is strong, and there’s a ton left to build.If you want real agency, real scope, and the chance to help define how this category gets built, we’d love to connect.

About the Role

We are seeking a Manager / Director of Core Operations to own the operating infrastructure that keeps our care delivery engine running. As enrollment volume and billed activity grow, the systems, processes, and models behind them have to grow too. This is the person who builds and owns that backbone.

You will be the connective tissue of the Operations leadership team — sitting alongside the Manager/Director of Enrollment and the Director of Care Navigation, and owning the shared infrastructure none of them should have to build alone: our billing and finance operations, our core operational systems, and the capacity planning that keeps staffing matched to patient demand. You won’t line-manage the enrollment or care navigation teams; you’ll be the peer who makes their work possible by owning the machinery underneath it.

We’re open across the Manager to Director range. If you’re an early-career builder ready for your first operations leadership seat, this is a role with real upside. If you’re already operating at the Director level, it’s a chance to own the system end to end. We’ll calibrate level, scope, and compensation to your experience.

This role is ideal for someone who thrives in providing clarity to ambiguity, gets energy from building systems from a blank page, and wants hands-on exposure to scaling a high-growth healthcare startup. Reporting to the VP of Operations, you will partner directly with leadership to keep operations compliant, efficient, and ready to scale — then build the infrastructure that makes it real.

What You’ll Do

Billing & Finance Operations

• Own the integrity and throughput of our  revenue cycle — claim accuracy, reconciliation, denial management, and days-to-bill.
• Stand up billing operations for new service lines as they come online, designing the process and controls before volume arrives rather than after.
• Build and maintain the controls and dashboards that make billing performance visible, owning the operational execution and the numbers end to end.
• Own the operational finance processes for ensuring partners and vendors are paid accurately and on time. 

Core Systems

• Own the core operational systems the team runs on day to day — cal.com, DialPad, the Ops team Notion — including configuration, discipline, and the roadmap for what to build, adopt, or retire.
• Design the data flows and handoff workflows connecting enrollment, care navigation, and billing so nothing falls through the cracks.
• Select, implement, and operationalize new tooling that earns its place in the stack, continuously testing what’s working.

Capacity Planning

• Build and own the model that matches staffed capacity to patient demand across enrollment and care navigation.
• Own the program-routing logic that will place patients into the right pathway for both care fit and sustainable economics.
• Connect headcount decisions to demand so the team staffs ahead of growth, not behind it.

Process, Compliance & Cross-Functional Collaboration

• Design the SOPs, decision trees, and controls that keep operations compliant as we scale.
• Work closely with Enrollment, Care Navigation, and Product to ensure the operating system supports the whole delivery motion, not just one function.
• As a trusted operational leader, own standing up new systems and processes as needed to support new business lines or functions.

You’ll Love This Role If

You see leverage where others see tasks. You’re motivated by the fact that the system you build multiplies everyone else’s output. A clean process that makes the whole team faster is more satisfying to you than any single win.

A blank page is the appeal. You thrive in fast-paced, early-stage ambiguity and would rather design the operating model from scratch than inherit someone else’s.

You think in systems and sweat the details. You love taking a good process and making it better, and you know the details dictate whether people use the framework or ignore it.

You treat compliance as design, not paperwork. In a regulated environment, you build the rules in from the start rather than bolting them on later.

What We’re Looking For

Experience and skills

• A strong history of achievement (top schools, top companies, high impact projects) 
• 4 to 8+ years of total experience, with a strong preference for a consulting background plus time in an operations, or finance-operations function at a high-growth healthcare or vertical SaaS company.
• A track record of building or meaningfully scaling operational infrastructure — systems, processes, and models — not just operating within someone else’s.
• Strong analytical horsepower: you reason from the numbers, build models others can use, and translate ambiguity into structured frameworks.
• Hands-on fluency building capacity models, reconciliations, and operational dashboards; comfort with the systems and tooling that run an ops function.
• Excellent written and verbal communication, with the ability to make a complex system legible to a cross-functional team.

Preferred qualifications

• Experience building operations in healthcare, value-based care, or a regulated vertical.
• Familiarity with Medicare-reimbursed care models (GUIDE, PIN, CCM/PCM) and the billing and compliance requirements for these models.
• Track record of designing revenue-cycle processes, capacity models, or compliance controls from scratch.
• Experience standing up or scaling operations at an early-stage or fast-growing company.