Director of People & Operations

Overview

Location:

New York City, NY or Boston, MA (flexible hybrid). Counsel Health is seeking a founding Director of People & Operations to build our human resources and internal operational infrastructure from 0 to 1. We are looking for a rare hybrid: a strategic leader who can design a long-term people strategy, and a relentless operator who can manage the "nitty-gritty" of physician licensing and 1099 onboarding.

You will be the primary architect of our corporate culture, compliance frameworks, and clinician-facing operations, ensuring internal systems remain robust as we scale and the care we provide remains high quality.

• Own and run core People Operations activities, including payroll processing and HRIS management.
• Serve as a first-line point of contact for employees, handling complex employee situations with professionalism, empathy, and discretion.
• Build, document, and continuously improve People processes to ensure consistency, compliance, and a great employee experience as the company scales.
• Partner with team leadership to design and execute people programs, including performance processes, manager enablement, and employee experience initiatives.
• Ensure compliance with employment laws and internal policies; establish HR policies, handbooks, and compliance protocols for a distributed, multi-state workforce.
• Collaborate cross-functionally with Finance, Legal, and leaders across the company on people-related initiatives.
• Partner with Clinician Ops and Talent Leadership to ensure a seamless candidate-to-employee transition and optimized onboarding.
• Audit existing workflows to identify gaps and build systems to address them.

• 8-10+ years in HR/People Operations, with a proven track record of building departments from scratch in a startup environment.
• Ability to navigate ambiguity and scale a team from around 20 to 150+ employees/clinicians, ideally more than once.
• Professional and empathetic communication, with excellent written and verbal skills.
• Extremely detail-oriented with a strong focus on licensing and compliance, accuracy, and follow-through.
• Experience with AI-powered tools and modern HR technology (ideally Rippling) to improve efficiency and workflows.

• Familiarity with health-tech nuances, clinician contracting (1099 vs. W2), and the regulatory landscape of digital health.

• Impact:
  Contribute to groundbreaking, AI-driven healthcare experiences and engage with executives at leading tech and healthcare organizations.
• Growth:
  Broad ownership and professional development within a rapidly scaling startup.
• Compensation:
  Competitive salary + equity.
• Benefits:
  Comprehensive healthcare, vision, dental, 401K, unlimited PTO, and parental leave.

• Patients come first. We are clinicians first, technologists second, with patient trust and safety at the center of every decision.
• Innovate with optimism. Build the future of care from first principles and challenge the status quo when needed.
• Right answer wins. Debate openly and choose the strongest path; we win and lose as a team.
• Simplicity over complexity. Favor clear, elegant solutions that serve patients and the team.
• Do fewer things, well. Focus and pursue excellence in the core areas.

Counsel’s mission is to multiply the world's healthcare capacity. We are building the first fully-vertical, AI-native medical group from the ground up, redesigning the clinical stack with AI tools to make in-house physicians faster and smarter. Since our founding in 2023, we have formed partnerships with leading healthcare organizations and are on track to serve hundreds of thousands of patients on our platform.

We have raised over $35M from a16z, Google Ventures, Pear VC, and other top-tier firms. Our team combines expertise in medicine and technology, and we’re looking for exceptional people to join us as we scale. Join us as we build the future of AI in healthcare.