Director of People & Operations
Posted on February 22, 2026 (3 months ago)
This job post is archived - the company is no longer hiring for this position.
Check out other job posts of this company here!About the role
Location: New York City, NY or Boston, MA (flexible hybrid)
Reports to: SVP, Finance and Operations
Counsel Health is seeking a founding Director of People & Operations to build human resources and internal operational infrastructure from 0 to 1. This role will design long-term people strategy and manage operational details like clinician licensing and 1099 onboarding. You will be the primary architect of corporate culture, compliance frameworks, and clinician-facing operations to ensure robust internal systems as the company scales.
What you'll do
- 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 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 transition from candidate to employee and optimized onboarding.
- Audit workflows to identify gaps and implement systems to address them.
What you'll bring
- 8-10+ years in HR/People Operations, with a proven track record of building departments from scratch in a startup environment.
- Experience with “0 to 1” growth and comfort thriving in ambiguity; experience scaling a company from ~20 to 150+ employees/clinicians is preferred.
- Exceptional communication skills with professionalism and empathy for internal and external facing responsibilities.
- Extremely detail-oriented with an understanding of licensing and compliance and a strong focus on accuracy and follow-through.
- Comfort using AI-powered tools and modern HR technology (ideally Rippling) to improve efficiency and workflows.
Bonus points for
- Familiarity with health-tech, clinician contracting (1099 vs. W2), and the regulatory landscape of digital health.
What we offer
- Impact: Contribute to AI-driven healthcare experiences and interface with execs at leading tech and healthcare organizations.
- Growth: Significant opportunities for broad ownership and professional development within a rapidly scaling startup.
- Compensation: Competitive salary plus equity.
- Benefits: Comprehensive healthcare, vision and dental, 401(k), unlimited PTO, and parental leave.
Our Values
- Patients come first.
We are clinicians first and technologists second, acting with patient trust and safety at the center of every decision. - Innovate with optimism.
We build the future of care delivery from first principles and challenge the status quo when needed. - Right answer wins.
Debate openly and pick the strongest path; optimize for the company and win and lose as a team. - Simplicity over complexity.
Choose clear, elegant solutions and avoid unnecessary complexity. - Do fewer things, well.
Focus and hold to a high bar, pursuing excellence in chosen areas.
About Counsel
Counsel’s mission is to multiply the world\'s healthcare capacity. The company is building a fully-vertical, AI-native medical group with custom AI tools that make in-house physicians faster and smarter. Since founding in 2023, Counsel has formed partnerships with leading healthcare organizations and is on track to serve hundreds of thousands of patients. The company has raised over $35M from a16z, Google Ventures, Pear VC and other investors. The team combines expertise in medicine and technology and is rapidly scaling.
Recruitment Fraud Notice
Counsel Health only communicates with candidates using official @counselhealth.com email addresses. They will never ask for payment or financial information during the interview process. If you receive suspicious outreach claiming to be from Counsel Health, contact [email protected].
How to apply
To apply, click the "Apply for this Job" button on this job page or visit: https://jobs.ashbyhq.com/counsel/ccad377a-a7ec-491f-b8e0-e9d999c4e7bc/application
Contact
For questions or to report suspicious outreach, email [email protected].