Job Description

About Monarch

Monarch partners with OB/GYNs to launch and support membership-based practices that deliver personalized, proactive, and comprehensive women’s healthcare. We are an early-stage company currently supporting our first practice, with ambitious plans to redefine women’s health through a scalable, high-touch service model.

We’re building a platform that empowers physicians to focus on care — not payer paperwork — while giving women access to the kind of healthcare experience they deserve. As we grow, we’re looking for mission-driven leaders who thrive in early-stage environments and want to shape the future of healthcare.

Position Overview

We are seeking an experienced and strategic SVP, Operations to join Monarch as a key leader. In this role, you will design, implement, and oversee scalable operational processes to support the growth and success of our business. You are responsible for designing services systems to deliver a successful product. This includes operations tied to physician acquisition, member sales and onboarding, and ongoing support to participating practices and members. Your expertise will not only ensure efficient day-to-day operations but also play a critical role in shaping Monarch’s product and service offerings.

The ideal candidate will bring operational expertise from a high-growth environment, a deep understanding of scalable systems, and a passion for women’s healthcare.

Key Responsibilities

Architect the Operating Platform

• Design and build the systems that support scalable growth: staffing models, workflows, SOPs, tooling, and performance metrics.
• Drive repeatable processes across key functions — practice transitions, member onboarding, ongoing support — with increasing leverage over time.
• Balance standardization vs. customization and centralization vs. local autonomy to support operational complexity with simplicity.

Own Margin-Accretive Scale

• Drive operating margin performance through cost-effective service delivery and process optimization.
• Ensure practice launches and ongoing support are not just smooth, but economically efficient and scalable.
• Build dashboards and reporting systems to monitor unit economics, capacity, and performance at scale.

Lead Core Operational Functions

• Oversee end-to-end practice onboarding, ensuring each physician’s transition into the Monarch model is seamless and effective.
• Build and manage member support systems that deliver a premium experience without linear increases in cost.
• Develop centralized back-office services to reduce operational burden on clinical teams.

Integrate Technology and Automation

• Identify and implement tools and systems to automate manual workflows, improve efficiency, and reduce cost.
• Collaborate with product and engineering to define and prioritize internal tooling that supports scale.

Be a Strategic Partner

• Serve as a key advisor to the CEO and executive team, helping evaluate the operational implications of product, GTM, and service decisions.
• Work cross-functionally to ensure strategy, product, and operations are aligned and mutually reinforcing.

Qualifications

• Proven operator with 10+ years in operations leadership roles, ideally in healthcare, MSOs, or franchise businesses.
• Track record of designing scalable systems — workflows, staffing models, SOPs, tooling — in fast-growing, multi-unit or service-based environments.
• Strong financial acumen with experience driving margin expansion through process optimization and resource leverage.
• Strategic thinker who can connect vision to execution and use data to guide operational decisions.
• Skilled at building and leading cross-functional teams, especially in ambiguous, early-stage environments.
• Comfortable working with tech and product teams to implement tools that support automation and scale.

The target base salary range for this position is $180,000-$250,000 , and is part of a competitive total rewards package including stock options. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. 

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