Remote Operating System Developer Jobs in San Jose, CA

Tia is building a new model of healthcare for women: one that expands access, improves outcomes, and creates a better experience for both patients and providers.

Our "Whole Woman, Whole Life" care model integrates primary care, gynecology, mental health, dermatology, and wellness across in-person and virtual settings. By treating women as whole people, not separate conditions or life stages, Tia is setting a new standard for preventive care that is higher quality, lower cost, and built for every stage of a woman's life.

Tia is looking for a hands-on, execution-oriented VP of Clinical Operations to help scale our multi-state clinical business across brick-and-mortar clinics, virtual care, and future market expansion. This leader will translate strategy into clear operating plans, disciplined execution, and measurable improvements across access, quality, patient experience, provider experience, and financial performance.

You will build and lead Tia's core clinical operating system, including capacity planning, clinic operations, scheduling design, provider templates, visit throughput, patient flow, staffing models, workflow standardization, and performance management. This role requires someone who can anticipate operational needs, identify risks early, diagnose root causes at the site and workflow level, and create the systems, standards, and accountability needed to deliver consistently across markets.

This is a player-coach role for a leader who can operate at both altitude and depth. You will coach operational leaders, build scalable models, partner closely with executives and clinical leaders, and step directly into the operating details when needed, including clinic assessments, schedule reviews, workflow audits, staffing analysis, KPI reviews, and corrective action planning.

This role is ideal for a strong multi-site healthcare operator who has walked into complex or inconsistent operations, identified what was broken, built repeatable processes, and held teams accountable to measurable improvement.

Manager: Chief Medical Officer

Location: This is a remote role with meaningful travel required. LA-based candidates are strongly preferred given the concentration of clinics in the Los Angeles market. The role will require regular presence in LA clinics, along with approximately monthly travel to another Tia market, including New York, San Francisco, or Arizona. Expected travel is approximately 25–35%, though this may vary based on business needs.

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• Lead day-to-day and long-term operations across Tia's brick-and-mortar clinics, virtual care model, markets, and service lines to achieve access, volume, quality, patient experience, provider experience, and EBITDA goals.
• Build the foundational operating infrastructure needed to scale a multi-state, multi-site clinical business, including consistent processes, performance rhythms, accountability structures, and operational standards across both in-person and virtual care.
• Translate strategic priorities into clear operating plans, including scheduling models, visit templates, staffing plans, workflows, capacity plans, and performance expectations.
• Build scalable operating models that improve access, efficiency, quality, and margin without compromising the patient or provider experience.
• Drive cross-functional execution across Clinical, Product, Marketing, Finance, RCM, People, and other teams needed to deliver strong operational performance.

• Build and enforce repeatable operating playbooks across clinics and care modalities, including scheduling design, provider templates, staffing models, patient flow, visit throughput, escalation paths, and daily/weekly management routines.
• Conduct clinic and market operating assessments to understand where processes are inconsistent, where execution is breaking down, and what standards, training, tools, or accountability mechanisms are needed.
• Identify variation across markets and clinics, determine where standardization is needed, and lead teams through practical implementation.
• Create workflows, SOPs, dashboards, and management routines that make expectations clear and execution measurable.
• Ensure clinic and market teams understand not just what needs to change, but why it matters, how to execute it, and how success will be measured.

• Lead the design and ongoing optimization of scheduling models, provider templates, visit types, staffing plans, and care team workflows.
• Use data to assess patient demand, provider supply, template utilization, access, visit volume, slot loss, no-shows, throughput, and staffing efficiency.
• Identify bottlenecks in patient flow, scheduling, staffing, provider utilization, and visit operations, then build practical solutions that improve performance.
• Partner with clinical leaders to ensure operating models support high-quality care delivery, appropriate provider workload, strong patient access, and sustainable business performance.

• Establish clear operating standards, site-level performance baselines, SOPs, workflows, dashboards, and accountability mechanisms across markets and clinical operations teams.
• Maintain a real-time view of business performance across membership, visit volume, provider utilization, template adherence, slot loss, no-shows, staffing, throughput, patient experience, provider experience, revenue performance, and unit economics.
• Lead weekly business reviews, monthly operating reports, quarterly planning, and regular performance check-ins.
• Identify operational risks, diagnose root causes at the site and workflow level, build corrective action plans, assign clear owners, and follow through until performance improves.
• Create a culture of operational discipline where issues are surfaced early, decisions are grounded in data, and follow-through is expected.

• Lead and develop operational leaders and teams, setting clear expectations, building accountability, and ensuring strong execution across day-to-day operations and high-priority initiatives.
• Own operational performance across markets and care modalities, including access, scheduling, staffing, workflows, throughput, KPIs, patient experience, provider experience, and business performance.
• Step into the details regularly, including reviewing provider schedules, auditing workflows, evaluating capacity, identifying bottlenecks, assessing clinic performance, refining KPIs, and pressure-testing operational assumptions.
• Hold operational leaders accountable for consistent execution, including coaching underperformance, resetting expectations, inspecting follow-through, and making leadership changes when needed.
• Work closely with clinical leaders to translate clinical priorities into executable operating plans, workflows, staffing models, provider templates, performance expectations, and accountability rhythms that can be implemented consistently across markets.
• Build strong partnerships with market teams, clinical leaders, and corporate functions to ensure consistent, high-quality execution across both virtual and brick-and-mortar care delivery.
• Represent Operations with clarity and authority in executive, cross-functional, and Board-facing conversations.

• 10+ years of healthcare operations leadership experience, including direct ownership of multi-site, market, regional, or field operations.
• Deep experience leading ambulatory, urgent care, primary care, women's health, multispecialty, virtual care, brick-and-mortar, or hybrid care operations across multiple sites, regions, or markets.
• Demonstrated experience walking into inconsistent or underperforming clinical operations, diagnosing site-level gaps, and building repeatable workflows, SOPs, staffing models, scheduling standards, and accountability systems.
• Strong understanding of outpatient economics, including access, provider templates, visit throughput, patient flow, care team workflows, staffing models, utilization, revenue performance, cost structure, and margin.
• Proven ability to improve access, capacity, scheduling, provider utilization, patient flow, visit throughput, staffing efficiency, patient experience, provider experience, revenue performance, and margin.
• Strong operational design skills, with experience building scalable workflows, dashboards, performance systems, operating rhythms, playbooks, and accountability mechanisms.
• Experience building and leading operating cadences, including weekly business reviews, site performance reviews, dashboards, action plans, and follow-up mechanisms.
• Experience directly managing operational leaders, including setting expectations, inspecting execution, coaching underperformance, and holding teams accountable to measurable results.
• Ability and willingness to operate in the weeds, including reviewing provider templates, auditing schedules, assessing clinic workflows, analyzing operational data, and identifying root causes behind performance gaps.
• Highly analytical and data-driven, with strong Excel fluency required; SQL and BI tools preferred.
• Clear, credible communication with executives, clinical leaders, market teams, and Board-level stakeholders, with the ability to translate operational complexity into clear decisions, tradeoffs, and action plans.
• Ability to influence cross-functionally, build trust with clinicians and corporate leaders, and drive accountability even when teams do not directly report into Operations.
• Comfort operating in a high-growth, high-ambiguity, high-expectation healthcare environment where processes need to be built, clarified, standardized, and reinforced.
• Strong patient-centered mindset, with a belief that better operations should improve outcomes, not just margins.

Tia is committed to pay equity and pay transparency. Compensation for this role will be determined based on job-related factors, including experience, skills, qualifications, location, business needs, and market conditions.

The expected base salary range for this role is $250,000 to $300,000, depending on experience, skills, qualifications, location, and business needs. This role is also eligible for a cash bonus of up to 30% and a meaningful equity stake in the company.

Benefits include:

• Unlimited vacation
• Free Tia membership
• Competitive stock option package
• $300 one-time work-from-home stipend
• $50/month phone and internet reimbursement
• Medical, dental, and vision benefits
• 401(k) program
• Top-of-the-line 13" MacBook Pro
• Travel stipend for team off-sites

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