Growth Strategy & Operations

About Us

We are fixing US healthcare by building an AI-native physical care platform, starting with home health.

Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today.

By reshaping the cost structure of this industry, we unlock its growth.

We’ve built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans and ex-MBB strategists to build a new type of healthcare company: one that delivers care at the speed of an AI company.

Our physical care platform already operates with 30pp higher gross margins than traditional home health providers. With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry. If we served this entire $140B market, instead of $10B in EBITDA, we’d drive $60B.

We're starting with home health, then expanding to all delivered care. Our mission is “any care, any where”.

Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars taken out of the healthcare system. If we succeed, so does US healthcare.

About the Role

We're standing up a high-leverage Growth team with a simple mandate: expand Adaptive into new regions, states, and lines of business, and build the muscle that lets us do it repeatedly.

This team will be responsible for figuring out where we grow, how we win, and then actually making it happen — from market screening and prioritization to on-the-ground execution with operations, clinical leaders, and product/AI. Think of it as a blend of:

• Strategy (market selection, entry thesis, business cases)

• Ops (playbook design, process build, KPI tracking)

• GTM (executing acquisitions and de novo entries, building local demand, accelerating growth flywheels)

You'll be one of the earliest members of this team, working directly with company leadership as well as on-the-ground clinicians and operators to shape our growth strategy and build the playbooks we'll use to launch every new region and product for years to come.

This role is designed for you if you have a low ego, love solving problems that matter, and are ready to build an industry-changing company. It will provide a platform to quickly develop into a leader within the Growth org or a regional GM / P&L owner.

What You'll Do

You'll own high-impact, ambiguous problems end-to-end:

1. Choose what markets we enter and when

• Analyze growth markets across patient demand, payor mix, clinician supply, competition, and regulatory dynamics

• Build business cases and sharp, simple models to recommend which metros and states we should enter, and in what sequence

• Pressure-test theses with leadership and external advisors

2. Design how we enter and win

• Partner with Ops, Clinical, and Product to design "Day -90 → Day 0 → Day 365" playbooks for new regions

• Translate our playbook into market-specific strategies (e.g., which roles to hire and how many, which health systems to target)

• Identify and shape opportunities across de novo launches, acquisitions, and partnerships

3. Turn strategy into reality

• Run point on market entries — own the implementation of our playbook in each new market

• Build the weekly operating rhythm: dashboards, KPIs, and routines that keep teams aligned and accountable

• Get in the field and quarterback operations to make sure plans work in the real world

4. Build the systems that let us scale

• Codify what works into reusable playbooks and tooling so we can expand rapidly and efficiently

• Partner with our AI and engineering teams to surface growth insights and inform the product roadmap

• Help shape the Growth org itself — how we staff, what we measure, and how we work with the rest of the company

Who You Are

We're looking for high-ceiling, low-ego builders. This is a startup and every day brings its own adventure. If you err to action and are looking for early ownership, this is the place for you.

Must-have experience

• 4+ years of experience at MBB or in high-velocity strategy and operations roles at highly operational businesses (e.g., PE growth-thesis portcos; managed marketplaces like DoorDash, Uber, or Instacart; or high-growth businesses with working capital requirements like Ramp or Rippling)

• Proven ability to break down complex, ambiguous problems and drive them to clear, measurable outcomes

• Strong analytical toolkit — comfort with large datasets and deriving the "so what"

• Experience working cross-functionally with operators, product/engineering, and senior leadership

How you work

• Owner mindset: you'd rather be accountable for results than write a slide recommending that someone else do it

• Bias to action: you hate bureaucracy and want to move fast

• Clear communicator: you can go from a messy problem to a crisp memo

• Comfort with ambiguity: you don't need a perfect brief; you can help create it

• Low ego: this is a startup — you want to get scrappy

Nice-to-haves

• Reps on growth strategy and operations projects

• Experience in healthcare services, managed marketplaces, or tech-enabled operations

• Familiarity with AI-enabled products or operations environments

What We Offer

• Opportunity for growth in a fast-growing company

• Collaborative team valuing innovation and problem-solving

• Competitive salary and equity compensation

• Flexible time off policy—we expect most employees to take at least 3 weeks of vacation per year

• In-office lunches, dinners, and snacks to fuel your focus and well-being

• 401(k) retirement plan with employer contribution

• Comprehensive health insurance, dental, and commuter benefits

Location

This role is in-person 3-5 days a week in our New York City office