Chief of Staff

Overview

Location:

Rhode Island & Massachusetts (Hybrid)

Type:
Full-Time

Reports to:

Chief Executive Officer

About Arches

Arches is a physician-led, value-based care platform focused on rebuilding and sustaining independent primary care. We operate a multi-site medical group in Rhode Island () and are launching a risk-bearing Independent Physician Association (IPA) in Massachusetts (), supported by a proprietary analytics and workflow software platform.

Our work spans practice turnaround, network growth, payer contracting, population health, and technology development — all with the goal of enabling physicians to remain independent while delivering higher-quality, more affordable care.

The Chief of Staff is a senior, highly trusted partner to the CEO and executive team, responsible for driving execution across the organization’s most important strategic and operational priorities.

This is a hands-on, execution-oriented leadership role suited for someone who thrives in fast-moving, ambiguous environments and can operate seamlessly across strategy, operations, analytics, and stakeholder management. The Chief of Staff will act as a force multiplier for the CEO — translating strategy into action, ensuring cross-functional alignment, and owning high-impact initiatives that cut across clinical operations, network development, and technology.

Executive & Organizational Leadership

• Serve as a strategic advisor and execution partner to the CEO
• Drive follow-through on CEO priorities across clinical, operational, and technical teams
• Coordinate executive-level initiatives and ensure alignment across the leadership team
• Prepare materials for board meetings, partner discussions, and key external stakeholders
• Identify risks, bottlenecks, and opportunities; proactively propose solutions

Medical Group Operations (Rhode Island)

• Support operational performance and turnaround initiatives across access, staffing models, care teams, and patient flow
• Analyze operational and financial performance including panel size, visits, staffing ratios, and revenue capture
• Partner with practice leadership to execute growth initiatives including clinician onboarding and panel expansion
• Support structured problem-solving at both the practice and enterprise level

IPA & Network Development (Massachusetts)

• Lead or support onboarding of independent practices into the IPA
• Assist with network strategy, practice readiness assessments, and preparation for risk-based contracts
• Help develop operating playbooks and standardized processes for value-based participation
• Participate in meetings with physician leaders, payers, vendors, and strategic partners
• Act as a bridge between clinical, operational, and technical teams
• Help define product requirements, workflows, and data needs for population health and operational tools
• Support testing, refinement, and deployment of analytics dashboards and automation tools
• Translate frontline operational needs into actionable product and data requirements
• Lead high-priority, cross-functional initiatives as the organization evolves
• Develop business cases, financial models, and operational analyses to inform decision-making
• Support payer contracting strategy, partnership development, and growth planning
• Take ownership of time-sensitive or ambiguous initiatives requiring senior-level judgment

• 3+ years of experience in healthcare operations, strategy, consulting, or value-based care organizations
• MPH, MBA or similar advanced degree
• Deep understanding of healthcare delivery and provider-side operations; physician background not required
• Strong analytical and problem-solving skills with comfort using financial and operational data
• Ability to move fluidly between strategy and execution
• Excellent written and verbal communication skills
• High level of judgment, discretion, and accountability
• Comfort working independently in a lean, entrepreneurial startup environment

This role offers a rare opportunity to sit at the center of a growing, physician-led value-based care platform — shaping strategy, driving execution, and helping build durable infrastructure for independent primary care. The Chief of Staff will have direct exposure to executive decision-making and the opportunity to make a visible, lasting impact on the organization’s trajectory.

To apply send cover letter and resume to