Head of Operations at Gabbi in New York, NY

We are on a mission to decrease delayed diagnosis amongst women, starting with breast cancer. Gabbi is the first digital health solution that accurately & inclusively predicts a woman's risk for breast cancer and equips her to take action with community support. We empower women to understand their bodies and proactively seek the care they need through the first-ever consumer-facing breast cancer risk model that assesses a woman’s lifetime risk for breast cancer.

About Gabbi

Breast cancer touches nearly all of us — personally, through someone we love, or through our communities. By age 50, many women will have been close to someone diagnosed, or faced that diagnosis themselves. In 2026, women should not be dying of breast cancer. At Gabbi, we are on a mission to make late-stage breast cancer obsolete.

Early detection is everything. Women diagnosed at stage 0 or stage 1 have a 99% survival rate; women diagnosed at stage 4 have an approximately 30% survival rate.

The challenge is that too many women don't know their risk — so they don't know what care they need or when to seek it. Gabbi changes that. We start with a comprehensive, evidence-based risk assessment that helps women understand their individualized risk. From there, we provide a personalized action plan and real-time care navigation, supported by our clinical breast specialists, to help women access the right care at the right time.

At Gabbi, we save lives.

We are on a mission to make all late stage breast cancer obsolete. We have created a breast cancer risk assessment and early detection solution that offers immediate and accurate results for women of all ages and all ethnicities without the dependence on a medical professional.

We are looking for an individual to catapult our business and help us successfully scale.

Who You Are

• You've done this before — ideally as Head of Ops, VP Ops, Director of Ops or a similar operating role at other startups or practices.
• You're comfortable in a lean team, wearing many hats, with no large staff to delegate to yet.
• You're strong with data and build models, dashboards, and KPI frameworks yourself.
• You know healthcare operations: health system partnerships, multi-state clinician licensing and credentialing, and commercial-payer revenue cycle.
• You automate first, using AI and tools to replace manual work instead of adding headcount.
• You want to build, not just manage, and you're energized by an early-stage company where the org chart isn't drawn yet.

In this role, you will be responsible for:

You will build and run the operations to scale Gabbi to a $100M a year business over the next 4 years. You will own day-to-day operations, partner go-lives, and the processes, data, and automation that grows patient volume without growing headcount at the same pace. This includes achieving clinical and operational excellence that better serves clients, strengthens practices, positions Gabbi as an employer of choice and achieves strong financial performance. You are responsible for ensuring all of our partnerships deliver upon their clinical and financial performance objectives, make decisions in alignment with Gabbi’s mission, vision and values, and develop strong leaders to build and maintain effective and productive teams within the organization. You are effective at communicating and gaining support for Gabbi corporate initiatives across the company and board, own the operating budget and unit economics, and co-own revenue targets with the CEO.

Key Responsibilities:

Business Operations

• Partner with the CEO on investor, board, and internal reporting to ensure we are hitting our ambitious goals.
• Own quarterly OKRs and planning, holding the team accountable to set OKRs, run weekly standups and quarterly retrospectives
• Build and maintain KPI dashboards, determine the key indicators for this business, lead with KPI-driven management style, ensuring deep buy-in amongst the Team and set reporting cadence that give the CEO and Team real-time visibility into the business
• Work with CEO and leadership team on budgeting, financial performance, and goal achievement
• Develop scalable operations to support our expansion and growth, prioritizing and sequencing improvements to drive optimization and execution
• Ensure compliance with all MSO/PC requirements, keep all of our registrations up to date, manage all medical practice locations & addresses, adhering to any local, state and/or federal employment laws
• Manage and track all contracts and MSAs with vendors to ensure maximization of rebates/discounts, compliance and get ahead of renewals
• Support, and if necessary, help remediate compliance with relevant healthcare, state regulations and brand standards, including adverse event documentation and case management
• Ensure HIPAA and patient-data compliance across our tools and vendors by maintaining clear processes and procedures and training staff to follow them

Partnership Management & Growth

• Develop processes, SOPs, and infrastructure to drive consistent growth and profitability with our referral partners, health systems, and practices
• Partner with leadership to determine the strategy, process, rollout, execution and monitoring of new initiatives
• Develop, rollout, execute and report on success of initiatives, strategies and playbooks to drive topline, rationalize costs and enhance growth
• Convert Gabbi strategies into tactical executable frameworks to implement
• Identify issues and improvement opportunities and develop tactical solutions that can be implemented and executed
• Own the handoff from sales to implementation, and troubleshoot when a go-live stalls
• Own execution of health system go-lives end to end — site rollouts, setup, staffing coordination — from signed contract to fully ramped site

Leadership and Team Development

• Maintain and uphold Mission, Vision and Values of Gabbi, Inc.
• Build the SOPs, playbooks, and systems that let the company scale without the CEO in every decision
• Partner with the technical team on tooling and process needs as volume grows
• Lead recruitment, hiring, onboarding, ongoing mentorship, and talent retention of all new hires

Compensation and Benefits:

This is an incredible opportunity to join a venture backed, early stage startup as employee #6 reporting directly to the CEO. This is the chance to own the foundational processes within the organization with a clear path to Chief Operating Officer as the company grows. Your goal is to help us bring Gabbi’s vision to every woman…we can’t do it without you!

Competitive market salary of $170k-$210K based on experience and equity compensation. Competitive healthcare coverage including medical and dental. Hybrid work environment with the expectation to be in the office in Manhattan 3 times a week.

Equal Employment Opportunity

The responsibilities and duties of this position described here are representative of those an employee must perform. This is not a comprehensive list and other duties may be assigned.

We are an Equal Employment Opportunity ("EEO") Employer. It has been and will continue to be a fundamental policy of Gabbi not to discriminate on the basis of race, color, creed, religion, gender, gender identity, pregnancy, marital status, partnership status, domestic violence victim status, sexual orientation, age, national origin, alienage or citizenship status, veteran or military status, disability, medical condition, genetic information, caregiver status, unemployment status or any other characteristic prohibited by federal, state and/or local laws. This policy applies to all aspects of employment, including hiring, promotion, demotion, compensation, training, working conditions, transfer, job assignments, benefits, layoff, and termination.