Director of People & Operations

Counsel Health
New York, NY
About The Role

Location: New York City, NY or Boston, MA (flexible hybrid)

Counsel Health is seeking a founding Director of People & Operations to build our human resources and internal operational infrastructure from 0 to 1. We are looking for a rare hybrid: a strategic leader who can design a long-term people strategy, and a relentless operator who isn't afraid to manage the "nitty-gritty" of physician licensing and 1099 onboarding.

You will be the primary architect of our corporate culture, compliance frameworks, and clinician-facing operations. This role is pivotal in ensuring that as we scale, our internal systems remain as robust and high-quality as the care we provide.

What You’ll Do

  • Own and run core People Operations activities, including payroll processing, HRIS management, etc.
  • Serve as a first-line point of contact for employees, handling complex employee 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 closely 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, partnering with leadership as needed. Establish all 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.
  • Partnering closely with Clinician Ops and Talent Leadership to ensure the seamless transition from candidate to employee is flawless, and that onboarding remains optimized.
  • Audit existing workflows to identify gaps before they become problems; you’ll be the one to say, "We need a system for this," and then go build it.

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.
  • You embrace the “0 to 1” mindset and thrive in ambiguity and enjoy the challenge of turning a blank slate into a well-oiled machine. You have experience taking a company from 20 to 150+ employees/clinicians, ideally more than once.
  • The ability to communicate with extreme professionalism and empathy. You’ll be a leader with internal and external facing responsibilities, necessitating excellent written and verbal communication skills.
  • Extremely detail-oriented and meticulous, and an understanding of licensing and compliance with 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 the nuances of health-tech, clinician contracting (1099 vs. W2), and the regulatory landscape of digital health.

What we offer

  • Impact: Be at the forefront and contribute to groundbreaking, AI-driven healthcare experiences, directly interface with execs at the world's leading tech & healthcare orgs
  • Growth: Significant opportunities for broad ownership and professional development within our rapidly scaling startup
  • Compensation: Competitive salary + equity
  • Benefits: Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave

Our Values

  • Patients come first. We are clinicians 1st, technologists 2nd. We act with patient trust/safety at the center of every decision.
  • Innovate with optimism. We are optimistic as we build the future of care delivery from first principles. Challenge the status quo when needed, no sacred cows.
  • Right answer wins. Debate openly and pick the strongest path. We optimize for the company, not functions. We win and lose as a team.
  • Simplicity over complexity. We choose clear, elegant solutions and avoid adding complexity that does not serve patients or the team.
  • Do fewer things, well. We focus, and hold ourselves to the highest bar and pursue excellence in those areas.

About Counsel

Counsel’s mission is to multiply the world's healthcare capacity. We believe in a future in which every person has a personalized, AI-enabled doctor always in their pocket. To accomplish this, we’re building the first fully-vertical, AI-native medical group from the ground up. We’ve redesigned the entire clinical stack with custom AI tools that make our in-house physicians 10x faster and smarter. [learn more on our blog]

Since our founding in 2023, we have formed partnerships with leading healthcare organizations and are on track to serve hundreds of thousands of patients on our platform within the next year. We have raised over $35M from a16z, Google Ventures, Pear VC and other top-tier VC firms.

Our team combines deep expertise in medicine (Harvard, Mt. Sinai, Mass General, UCSF) and technology (Google, DeepMind, NVIDIA, MIT, Stripe) — and we’re looking for exceptional people to join us as we scale.

Join us as we build the future of AI in healthcare!

Recruitment Fraud Notice

Counsel Health only communicates with candidates using official @
counselhealth.com email addresses. We will never ask for payment or financial information during the interview process. If you receive suspicious outreach claiming to be from Counsel Health, please contact us at [email protected] .

Posted 2026-04-03

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