Chief of Staff (Operations) at 32Co

At 32Co, we’re building the operating system for specialist healthcare - empowering general clinicians to deliver world-class care. Behind that mission sit high-performing teams across Design, Clinical Support, and Product.We’re looking for a Chief of Staff (Operations) to help shape, scale, and strengthen those teams. Your first major focus will be our Design team, the engine behind our orthodontic product. You’ll work with Nick (VP Operations), Rohan (Head of Design), and Hattie (Head of People) to ensure this team is structured, scalable, and thriving. From onboarding and capacity planning to performance, growth, and building an exceptional remote-first culture you’ll design and operationalise the systems that power this team at scale.Once that foundation is built, you’ll roam across 32Co, leading high-impact strategic and operational projects - from embedding AI and rethinking service design to supporting new market launches and vertical expansion.This is a high-trust, high-leverage role for someone who loves building order from complexity, scaling teams and systems, and helping world-class teams to do their best work.What you’ll do:• Design team enablement (initial focus)• Partner with leadership to ensure the design team has the capacity, structure, and support needed to deliver at scale.• Build and refine processes across workflows, feedback, recognition and performance, balancing speed with quality.• Drive engagement initiatives that strengthen team culture and connection in a remote-first setup.• Hold regular 1:1s to stay close to the pulse of the team, understanding their challenges, wins, development goals, and engagement levels.• Define and communicate clear progression pathways and development frameworks.• Deliver exceptional hiring & onboarding experiences in collaboration with our People and onboarding teams.• Be the connective tissue between the design team and cross-functional partners.• Play a leading role in embedding technology and AI where it can have the most impact.Broader projects (ongoing remit)• Own and deliver strategic projects that drive operational excellence across 32Co. • Design and implement new operating models as the company scales across products and geographies.• Embed automation and AI-driven systems into core operations.• Partner with leadership on operational roadmaps, metrics and scaling frameworks.• Identify inefficiencies and opportunities, turning insight into structured improvement projects.• Define your own remit. The right person will spot the next opportunity before we do.You’ll thrive in this role if you have…• Proven experience in scaling or transforming high-performing teams in a fast-paced, high-growth environment.• Exceptional operational and problem-solving skills, turning challenges and ambiguity into systems that deliver great outcomes.• Excellent communication and relationship-building skills across distributed teams.• High emotional intelligence and the ability to build trust, empathy, and engagement.Desirable• Experience working in a startup or scale-up environment.• Familiarity with automation and AI-driven tooling.• Prior experience scaling remote-first or globally distributed teams.You’ll thrive in this role if you are…• Organised and proactive. You build structure and spot problems before they arise.• Strategic and hands-on. You can zoom out to design systems and zoom in to make them real.• People-first. You genuinely care about how teams work and how people grow.• Action-oriented. You prefer shipping over talking and iteration over perfection.• A connector. You bridge gaps and keep teams aligned and engaged.• A builder. You enjoy creating scalable systems and then handing them over.• Great with pace and change. You thrive in ambiguity and help others do the same.• Driven by impact. You’re energised by rethinking how clinicians deliver specialist care on a global scale.Why join us: • See your work translate into real-world impact - you’ll have the chance to help change lives every day and meet the people whose care you’re improving.• Competitive salary based on experience• Build the Future of HealthTech; we’re tackling a multi-billion dollar challenge. Founded by an ex-Oxbridge doctor and former BCG consultant, with a proven track record of creating the world’s leading Haemophilia management app.• Join a company seed-funded by top VCs with a multicultural, ambitious, high calibre team.• Birthday day off - because no one should work on their birthday!• Team perks, including regular team lunches, quarterly socials and an annual retreat. Apply Now