Director, People Operations

Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re committed to changing that paradigm. We’ve assembled a team of clinicians, AI engineers, and product experts to build advanced AI solutions that will directly bend the cost curve for all patients across the healthcare ecosystem. Collectively, we’re building best-in-class AI software to provide our customers with co‑pilot tools, AI agents, and other cutting‑edge solutions to reduce administrative burden and reduce healthcare costs.

We’re a high‑growth, venture‑backed startup based in NYC and are actively scaling our company.

* This position requires current authorization to work in the United States. Unfortunately, we are not in a position to sponsor work visas at this time.

As Director of People Operations, you’ll be tasked with building out Alaffia’s HR function as we scale from a Series A company to a growth stage company. This is a high‑impact, high‑visibility role that partners directly with the founders and functional leaders to ensure we have the systems, standards, and management capability required to scale responsibly and perform at a high level.

This role is ideal for someone who enjoys rolling up their sleeves and collaborating with others for meaningful work that will impact every employee.

You will be responsible for building and operationalizing our core people systems (performance management, promotion frameworks, compensation structures, payroll and benefits processes, compliance, and reporting). A major focus of this role will be strengthening our management layer and fostering a culture of accountability and high performance. That includes designing manager training programs, coaching leaders through performance conversations, and ensuring expectations are clear and consistently upheld across the organization.

You will also serve as a trusted advisor on employee matters, navigating sensitive situations with sound judgment while ensuring we remain compliant with state and federal requirements as we scale. This role will partner closely with external brokers, 401(k) providers, insurance carriers, payroll partners, and legal counsel when necessary, and will act as the internal subject matter expert on benefits, payroll troubleshooting, and employee‑related questions.

If you’re motivated by building the systems that help teams win — turning data and structure into leverage for both people and business performance — and want to shape a company where employees are deeply supported to do their best work, this is your opportunity.

• Scalable People Infrastructure:
  Build and continuously improve scalable systems and processes across HR operations, payroll, benefits, compliance, and people analytics. Ensure our infrastructure evolves as we grow in a structured, proactive, and built to last way.
• Employee Lifecycle & Automation:
  Lead and drive automation across the full employee lifecycle, including onboarding, performance management, feedback, engagement, and leadership development. Ensure these programs are structured, measurable, and aligned to a culture of high performance.
• Performance Management & Accountability:
  Design and operationalize performance frameworks, promotion processes, and feedback systems that reinforce clarity, ownership, and consistent standards. Strengthen documentation practices and ensure performance conversations are handled effectively and fairly.
• Management Development &
  
  Coaching:
  
  Elevate our management layer by designing structured training programs and coaching managers to build strong, accountable, and effective teams. Provide tools and frameworks that enable managers to lead with confidence and clarity.
• Organizational Design & Workforce Planning:
  Partner closely with departmental leaders, the Executive Leadership Team, and Finance on org design, team structures, headcount planning, and workforce strategy to support sustainable, disciplined growth.
• Talent Strategy & Retention:
  Design and execute strategies to attract, retain, and grow top talent in alignment with Alaffia’s…