MSO Operations Lead

MSO Operations Lead

SF · NYC

About RoVR


RoVR builds the autonomous system of execution for healthcare: AI that runs clinics end to end, acts across every system they depend on, and improves with every outcome. Healthcare is one of the most complex real-world environments for autonomous intelligence, demanding continuous coordination, reasoning, and decision-making under uncertainty. We’re pushing the frontiers of agentic systems, long-horizon reasoning, memory, and reinforcement learning to build AI that pursues goals, recovers from failures, and learns from experience. We’re building the foundation for a future where entire healthcare systems operate, adapt, and improve autonomously.

Why RoVR

At RoVR, we’re on a mission to turn practices into AI-Native, Self-Optimizing Learning Health Clinics. At RoVR, we are building a multimodal, agentic operating system to launch, manage, and scale A-LHCs nationwide. We collaborate with large health organizations as well as local physician groups, modernizing legacy operations to launch these next-generation clinics.

Central to this vision are at RoVR, autonomous agents that orchestrate and optimize clinical, administrative, and patient engagement processes. By alleviating repetitive tasks, RoVRs free providers and admins to focus on proactive decision-making guided by actionable insights, laying the groundwork for a more responsive, outcome-driven healthcare ecosystem.

By uniting clinical and operational intelligence in one cohesive platform, we're building the infrastructure for a Learning Health System that can collaborate with and empower clinicians to redefine the patient experience and transform health outcomes.

Based in the heart of NYC and backed by leading venture capital firms/visionary healthcare leaders, RoVR is on a mission to transform the future of healthcare. We are seeking mission-driven engineers, designers, and operators to join our team and help us build the foundational operating system that will drive medicine for the next century.

The Role

We are looking for a product builder to own how patients experience RoVR. From finding a provider and booking a first visit to understanding next steps and staying connected between appointments, you would make complex care feel understandable and manageable.

You would also shape how patients interact with agents: when an agent should take initiative, what it should explain, when it should ask for confirmation, and how a person takes over. These decisions are central to the product.

The work combines product judgment, interaction design, and experimentation. You will spend time with patients and care teams, turn observations into prototypes, and work with engineers to ship and evaluate them. You will be accountable for whether people can understand the experience, complete what they came to do, and get the help they need.

Responsibilities

  • Own patient journeys across onboarding, provider discovery, scheduling, intake, communication, and ongoing care.

  • Study how patients and care teams use the product. Turn confusion, abandoned tasks, and repeated requests for help into concrete improvements.

  • Design interactions across the patient portal, chat, and voice. Define how agents communicate progress, handle uncertainty, request consent, and hand work to people.

  • Turn ideas into flows, prototypes, and clear product behavior. Work closely with engineering, design, and clinical operations to carry them through launch.

  • Run experiments with explicit hypotheses and success criteria. Measure task completion, patient understanding, effort, and follow-through.

  • Build experience evaluations with realistic patient scenarios, including interruptions, misunderstood requests, changing preferences, and failed actions. Use them to assess changes before and after release.

  • Make accessibility, health literacy, language needs, and patient control part of the product from the beginning.

Minimum qualifications

  • You have shipped a consumer product or service and can explain the decisions you made, what happened after launch, and what you changed.

  • Strong product judgment and interaction design instincts. You can make a complex process easier without hiding information people need.

  • Ability to turn an idea into a testable prototype using design tools, AI tools, or lightweight code. A software engineering background is not required.

  • Experience speaking directly with users and combining those observations with behavioral data to decide what to build.

  • Clear writing. You can define product behavior precisely and write language that helps someone understand what happens next.

  • A practical understanding of AI capabilities and limitations, including how unpredictable behavior affects the experience.

  • Ownership from problem discovery through launch and iteration.

Preferred qualifications

  • Experience building consumer healthcare products or services that involve sensitive information and consequential decisions.

  • Experience designing conversational, voice, or agent-based experiences.

  • Experience improving onboarding, activation, or ongoing engagement through measurable product changes.

  • Familiarity with accessibility, multilingual experiences, or designing for people with different levels of health and digital literacy.

Logistics

  • Location: San Francisco or New York, on-site.

  • Employment type: full-time.

  • Compensation: competitive salary and meaningful equity.

  • Visa sponsorship is available.

RoVR is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

The Role

We are looking for an operations leader to build and run the shared services that support practices operating on RoVR. You would own the day-to-day performance of non-clinical operations across practices, including patient access, staffing, administrative workflows, vendor coordination, and operational readiness.

A central part of the role is developing an operating model in which staff and AI agents work together effectively. You would define responsibilities, establish service standards, and ensure that work gets completed accurately, exceptions reach the right person, and practices receive consistent support.

Working closely with physician leadership, clinical operations, finance, product, and engineering, you would turn individual practice needs into repeatable processes that support expansion. Success means practices run more reliably, teams spend less time resolving avoidable problems, and operating performance improves as the network grows.

Responsibilities

  • Own daily operational performance across supported practices and shared services, including scheduling, referrals, intake, administrative support, and coordination with revenue-cycle teams.

  • Lead practice launches and onboarding, coordinating staffing, systems setup, vendor readiness, training, and credentialing and payer-enrollment workstreams.

  • Define how work is divided between practice staff, centralized teams, and AI agents. Establish clear ownership, service expectations, escalation paths, and coverage when automation cannot complete a task.

  • Build and manage operations teams, including hiring, onboarding, training, coaching, and performance management. Develop procedures that teams can follow consistently.

  • Own operating plans and staffing budgets. Work with Finance and practice leaders to understand labor costs, capacity, collections, and the economics of supporting each practice.

  • Establish operational dashboards and regular performance reviews. Track patient access, turnaround times, backlogs, schedule utilization, errors, rework, and cost per completed workflow.

  • Manage vendors and service partners across billing, technology, procurement, and facilities. Hold partners accountable for service quality, responsiveness, and cost.

  • Resolve operational issues across teams and systems. Investigate recurring problems and work with product and engineering to turn them into improvements in workflows and agent behavior.

  • Partner with clinical, compliance, and security leaders to maintain appropriate procedures, training, documentation, and controls as practices and services expand.

Minimum qualifications

  • Substantial experience leading healthcare operations, including direct responsibility for multiple ambulatory practices, an MSO, or centralized services supporting outpatient care.

  • A track record of improving operational performance, with measurable results in areas such as patient access, staffing efficiency, service quality, or practice economics.

  • Strong understanding of outpatient workflows, including scheduling, referrals, eligibility, authorizations, and the operational dependencies of billing and collections.

  • Experience building and managing teams, establishing accountability, and maintaining service quality through growth or organizational change.

  • Financial and analytical fluency, including managing budgets, developing staffing plans, interpreting operational data, and identifying the causes of performance gaps.

  • Experience implementing systems and process changes with frontline teams and sustaining adoption after launch.

  • Strong judgment and communication skills, with the ability to work effectively with physicians, practice managers, technical teams, and external partners.

  • Willingness to work directly on operational problems, make decisions with incomplete information, and remain accountable through resolution.

Preferred qualifications

  • Experience building an MSO, launching practices, or integrating new practices into a shared operating model.

  • Experience supporting specialty practices, particularly cardiology, endocrinology, or other settings involving longitudinal care.

  • Experience deploying EHRs, practice management systems, centralized patient access services, or revenue-cycle tools.

  • Experience introducing AI or automation into healthcare operations and measuring its effect on workload, quality, and cost.

  • Experience managing vendors, contracts, and service delivery across multiple locations.

Logistics

  • Location: San Francisco or New York, on-site.

  • Employment type: full-time.

  • Compensation: competitive salary and meaningful equity.

  • Visa sponsorship is available.

RoVR is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

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