# Chief of Staff to COO, Business Operations Lead

**Company:** [Hike Medical](https://hotfix.jobs/companies/hike-medical)
**Location:** San Francisco, CA
**Role:** Business Operations
**Salary:** $125k – $175k/yr
**Experience:** 5+ years
**Skills:** Kpi Systems, Dashboards, Unit Economics, Cogs Analysis, Contribution Margin, S&Op, Factory Economics, Yield Analysis, Throughput, Capacity Utilization, Capex Analysis, Program Management, Cross-Functional Initiatives, Operating Model, Make/Buy Analysis
**Posted:** 2026-04-10

> Strategic right hand to COO managing executive cadence, metrics-driven performance culture, operational rollouts, and partnerships in scaling AI-healthcare manufacturing company. Requires 5+ years experience with manufacturing/supply chain exposure and systems thinking.

## Job Description

## What We're Looking For
- 5–10 years total experience, with at least 2–3 years of direct exposure to manufacturing, supply chain, or industrial operations
- Has worked inside a company actively going through scale — not just a mature, stable operation
- Ideally has served as the right hand to a GM, COO, or CEO before — knows how to operate in that leverage role
- Fluency in unit economics, COGS structure, and contribution margin analysis
- Experience running S&OP or analogous cross-functional planning processes
- Understands factory economics: yield, throughput, capacity utilization, capex payback
- Proven ability to structure ambiguous problems into a rigorous framework and drive to a decision
- Experience designing and implementing leading and lagging indicator systems
- Strong executive presence — equally effective with operators on the floor and founders in the boardroom

## Primary Responsibilities
- **Management Cadence**: Develop and operate the company's executive operating rhythm — planning cycles, reviews, and decision-making forums
- **Metrics & Truth-Telling**: Apolitically drive performance culture through data, dashboards, and honest analysis — with both numbers and anecdotes
- **Program Management**: Lead large-scale operational rollouts, cross-functional initiatives, and crisis response
- **Partnership Ownership**: Own select partner and supplier relationships end-to-end
- **Operating Model**: Build and maintain the company operating model; own make/buy/partner analysis and investment cases
- **Systems Design**: Design and run company-wide and operations-wide KPI systems from definition through weekly and monthly review cadence

## What You'll Get
- Competitive cash compensation + equity
- Full medical, dental, and vision coverage
- $15K relocation bonus if needed
- Daily collaboration with the founding team and senior leadership
- Free custom insoles

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