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Posted August 01, 2026

Business Operations

David Joseph & Company
San Francisco, CA, US Full Time
140000USD - 220000USD per year

Job Description

Job Description

San Francisco, CA · On-site · Full-time Compensation: $140,000–$220,000 + 0.2%–0.6% equity

About the Company

Our client automates patient recruitment for clinical trials using AI agents that coordinate across SMS, voice, and email. Clinical-trial delays cost $600K–$8M per day; the platform helps research sites close that gap. It's already working with 7 of the top 15 research-site networks in the country, battle-tested across 500K+ patient interactions, 190+ sites, and 300+ trials, and is well-backed by a top-tier venture firm and strategic healthcare investors.

Founded 2019 · 1–10 people (Seed) · Industry: Healthcare AI

The Role

A high-ownership Business Operations seat reporting directly to the CEO, owning customer deployments end to end and building operational processes from scratch as the company scales. Balances tactical execution with strategic thinking about delivering complex AI systems reliably.

Requirements
  • 2–6 years of startup, consulting, or banking ops experience
  • A top-10–15 school background
  • High agency — operates without a playbook
  • SF in-person only
Nice to Haves
  • Experience at MBB consulting firms
  • Experience at top investment banks or PE/VC
  • Experience at FAANG or Mag-7 companies
  • A consulting or banking pivot
  • An early-stage founder or founding-ops hire
  • Demonstrated high agency and slope
Why Join
  • Direct CEO ownership: a high-ownership seat owning customer deployments end to end, from onboarding to optimization
  • Real traction, serious backing: well-backed and already live with 7 of the top 15 research-site networks
  • Build the playbook: greenfield operations work, plus 0.2%–0.6% equity at the seed stage
Details
  • Location — San Francisco, CA
  • Work policy — On-site
  • Compensation — $140,000–$220,000 + 0.2%–0.6% equity
  • Visa sponsorship — Not available; case-by-case for exceptional candidates
  • Employment type — Full-time

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