AI-Native Operations Lead

About Us

Policybot is building the data infrastructure that powers how healthcare decisions are made. We normalize and structure complex payer policies to enable clearer coverage decisions, faster patient access, and smarter product strategy. We’re a small, mission-driven team working at the intersection of healthcare, data infrastructure, and AI.

What You’ll Do

You’ll wear many hats and work closely with the cofounders and engineers to keep the engine running and scale up operations. This role is ideal for someone entrepreneurial, highly organized, and excited to make an outsized impact in a small, fast-moving startup.

Key responsibilities may include:

Product Research & Analysis (50%)

  • Research and translate unstructured payer coverage rules and data into product requirements

  • Meet with customers to understand their requirements, communicate product releases, and troubleshoot issues

  • Research new regulations and their impact on Policybot and its customers

Bug Triage & Workflow Organization (15%)

  • Build systems and processes to track and organize incoming bugs and feature requests

  • Coordinate priorities between product and engineering

AI Tooling & Code Automation (30%)

  • Use AI agents (ChatGPT/Codex, Claude, etc.) to automate our operational processes

  • Help prototype internal tools to streamline repetitive tasks, such as automating the reporting and triaging of bugs and product requirements

Ops-as-Needed (5%)

  • Take on miscellaneous tasks across customer success, process-building, and data wrangling as they arise

  • Monitor changes shaping the insurance landscape and identify any broader market trends

Who You Are

  • A generalist and quick study. You’re comfortable moving between tasks, tools, and domains

  • You think in spreadsheets, to-do lists, Gantt charts, and flow diagrams

  • Curious about healthcare, excited by startups, and serious about execution

  • Detail-oriented organizer who can take chaos and turn it into operational systems

  • Your output has significantly increased in the last year due to your use of AI agents

  • When it comes to making decisions on speed vs quality you have a framework to prioritize and make hard tradeoffs

  • When there’s no obvious answer to a problem or question, you are motivated to roll up your sleeves and figure it out

Must-Haves:

  • Based in NYC or Boston area (in-person meetings required occasionally)

  • Subject matter expert in payer policies, medical billing, prior authorization, claim edits, payer contracting, pharmacy benefits and related topics

  • Comfort with spreadsheets, GitHub, docs, and AI agents

  • 5+ years of operations experience in healthcare (payer, provider, digital health, RCM, etc.)

  • 2+ years working at a software technology company

  • 1+ years of management experience

Nice-to-Haves:

  • Programming or scripting experience (Bash, SQL, Python)

  • Experience with Snowflake


Why Join Policybot

  • Work directly with experienced co-founders and gain exposure across all parts of the company

  • Be an early operator with real influence on how the company grows and scales over the next few years

  • The operations team is core to Policybot, this role will have significant growth opportunities

Benefits

  • Equity

  • 401K (employer matching up to 3.5%)

  • Health insurance stipend

  • Learning stipend

  • Wellness stipend

  • Unlimited PTO

Have questions? Email us at hello@policybot.app.

Summary

Lead operations by researching and translating payer coverage rules into product requirements and supporting customers. Build systems to triage bugs and coordinate priorities, while using AI agents to automate processes and prototype internal tools. Requires healthcare operations experience and subject matter expertise in payer policies.

Responsibilities

Research and translate payer coverage rules into product requirements; meet with customers; track and organize bugs and feature requests; use AI agents to automate operational processes and prototype internal tools; monitor insurance landscape trends

Qualifications

Subject matter expert in payer policies, medical billing, prior authorization, claim edits, payer contracting, pharmacy benefits and related topics; 5+ years of operations experience in healthcare; 2+ years working at a software technology company; 1+ years of management experience

Experience requirements

5+ years of operations experience in healthcare (payer, provider, digital health, RCM, etc.); 2+ years working at a software technology company; 1+ years of management experience

Benefits

Equity; 401K (employer matching up to 3.5%); Health insurance stipend; Learning stipend; Wellness stipend; Unlimited PTO