The operational nerve centre between frontline clinical teams and leadership. Serves as the single point of accountability for the performance, quality, and health of the entire Ops-Clinical vertical. Acts as senior layer above OD leads — each OD lead manages 12 doctors of optometry. Directly enables the Head of Operations to make fast, informed decisions through structured daily reporting and real-time system health visibility. Critical role as the venture scales from 20 → 100 → 300 employees and expands from US clinics into EU and global markets
Responsibilities
Daily & Weekly Reporting Responsibilities
Own and deliver a structured daily performance report to the Head of Operations covering:
Overall Ops-Clinical vertical health — green / amber / red status
Ownership of key KPIs such as Conversion rate
Error log: type, frequency, and origin of errors flagged in the day
Escalation summary: cases escalated, resolution time, and outstanding issues
System health check: any platform issues, downtime, latency, or tooling failures reported by OD Leads
OD Lead team status: attendance, capacity gaps, cover arrangements
Any critical incidents or patient-safety-adjacent flags
Maintain a live operational dashboard or tracker accessible to the Head of Operations at any time
Prepare weekly trend reports highlighting patterns in quality, errors, throughput, and team performance
Flag risks proactively — do not wait for the daily report cycle if something critical emerges
Quality & Accuracy Oversight
Set and maintain quality standards for OD review outputs across all 6+ OD Lead teams
Conduct regular calibration sessions with OD Leads to ensure consistency in review decisions across the full OD pool
Track error rates at OD, OD Lead, and team levels — identify patterns and drive root cause analysis
Own the quality audit process — define audit cadence, scoring rubrics, and feedback loops
Ensure human-in-the-loop decisions meet the clinical accuracy benchmarks required by premium US ophthalmology clinic partners
Work with product and clinical advisory teams to update quality standards as the AI model evolves
Build and maintain a zero-tolerance escalation protocol for patient-safety-adjacent errors
Team Performance & Coaching
Directly line-manage and develop 6+ OD Leads — hold daily/ weekly 1:1s, set performance goals, and run quarterly reviews
Coach OD Leads on how to manage their teams of 12 ODs effectively — build their capability as people managers
Identify high performers and create visibility pathways for them within the organisation
Manage underperformance swiftly and constructively — support OD Leads in managing their own team issues
Build a culture of clinical excellence, accountability, and continuous improvement across the 72+ OD workforce
Partner with the L&D Leader on onboarding programs, role-specific training, and upskilling for ODs and OD Leads
Workflow & Process Improvement
Own the end-to-end workflow of the Ops-Clinical vertical — from case ingestion to OD review to output delivery
Identify bottlenecks, inefficiencies, and failure points and drive fixes
Work with the product and engineering teams to improve tooling, reduce friction, and increase OD throughput without sacrificing quality
Document and maintain SOPs for all OD and OD Lead workflows - ensure SOPs are updated as processes evolve
Lead process adaptation ahead of EU market expansion - factor in regulatory, clinical, and operational differences
Continuously track and improve key efficiency metrics: average review time, throughput per OD, queue clearance rate
Escalation Handling
Serve as the final internal escalation point before the Head of Operations for all Ops-Clinical issues
Own escalation triage — assess severity, assign ownership, and drive resolution within defined SLAs
Maintain an escalation log with root cause notes and resolution outcomes
Conduct post-mortems on significant escalations and share learnings with OD Leads to prevent recurrence
Coordinate with customer success and clinic-facing teams when escalations have external clinic impact
Qualifications
10+ years of experience in clinical operations, healthcare operations, or a customer facing environment
Prior experience managing team leads or supervisors — not just individual contributors
Strong analytical mindset — comfortable reading operational data, spotting trends, and translating them into action
Excellent written communication — daily reports to leadership must be crisp, structured, and decision-enabling
Experience working in fast-scaling teams where processes are being built and broken simultaneously
High ownership mentality — this role requires someone who treats the verticals performance as a personal responsibility
Familiarity with clinical workflows, optometry, or ophthalmic diagnostics is a strong advantage
Bonus: experience in AI-assisted clinical tools, healthtech, or B2B SaaS platforms serving medical providers
Bonus: exposure to multi-market operations or US, EU healthcare regulatory context
What Makes This Role Unique
You are the operational backbone of a product that sits at the intersection of AI and clinical care
Direct line to the Head of Operations — your daily report shapes the decisions of the leadership team
Oversee a team of 72+ qualified Doctors of Optometry — rare leadership scale at this stage of a venture
Opportunity to define clinical ops function scales globally
ZEISS-backed credibility with the pace and autonomy of a true startup
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