About this opportunity
N-21.ai lists this Chief Operating Officer (COO) opportunity in northern, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Global Operations (India Delivery Hub) Base + Bonus + Equity
As COO, you will be the execution backbone of the company, working closely with the CEO to:
Build scalable operations
Drive revenue and client outcomes
Operationalize AI-led healthcare delivery
This is a 0 → 1 → scale role with direct impact on company trajectory. This is not a "maintenance COO" role. This is a build-and-scale mandate. We’re looking for a high-ownership operator who can translate vision into scalable, compliant, revenue-generating execution.
Company Overview:
We are building a category-defining Agentic AI platform transforming healthcare outcomes across Medicare Advantage and value-based care. Our mission is to deploy autonomous AI agents that directly improve clinical, financial, and operational performance for payers and providers.
Core Mandate:
Design and scale U.S. + India delivery model
Establish OKRs, dashboards, and execution cadence
Build onboarding & implementation playbooks
Oversee risk adjustment operations (MA/ACA/Medicaid)
Ensure CMS compliance & audit readiness
Integrate AI + human workflows
Partner with Product & CTO
Convert services into scalable, repeatable products
Align roadmap with client outcomes & revenue goals
Support enterprise deal execution
Drive ROI- led value propositions
Own client expansion, retention, and delivery excellence
Hire and scale high-performance teams
Optimize cost, quality, and turnaround time
Oversee clinical, claims & EMR data pipelines
Drive adoption of AI in operations with measurable impact
Improve unit economics & gross margins
Build board-level reporting & operational visibility
Key Responsibilities:
Build & Scale Operations
Revenue & GTM Execution
Build India Delivery Engine
Data, AI & Operational Excellence
What We're Looking For:
12–20+ years in Healthcare / SaaS / AI-led businesses
Proven track record of scaling operations in high-growth environments
Strong understanding of risk adjustment (preferred but valuable)
Experience managing global delivery models (U.S. + India)
Operator mindset: you build, execute, and scale—not just strategize
Compensation & Equity:
Competitive Base + Performance Bonus Meaningful Equity / ESOPs Opportunity to create outsized impact in a high-growth AI startup
#J-18808-Ljbffr
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.