Business Operations Manager

Role Type: Full-time

Location: San Francisco, CA (Hybrid)

Reports to: Founders

We’re building towards a future where hospital operations are safe, autonomous, more fair, and more cost-effective.

We’re scaling fast, and hiring our first Business Operations Manager, someone who becomes the backbone of everything internal at Vitalize. This is a rare role for an early-career generalist who wants massive scope, direct founder exposure, and the chance to build the internal engine of a high-growth startup.

If you love creating order out of chaos, building systems from scratch, automating everything that feels repetitive, and keeping a fast-moving team running smoothly — this is the role.

The Role

We’re looking for an Operations Manager to take full ownership of internal operations across the company. You’ll build structure, streamline processes, and ensure the team can move fast without breaking things.

You’ll run point on recruiting ops, people ops, internal workflows, vendor management, finance ops, office management, and day-to-day logistics. You’ll be the first person we trust to make sure nothing slips — freeing up our team to focus on product, research, customer success, and company growth.

You’ll also play a huge role in shaping our team culture, elevating the employee experience, and designing processes that scale from 20 employees to 50+.

This role is ideal for someone early in their career who wants to learn every function of a startup, work directly with founders, and build systems that become the backbone of a company.

What You’ll Do

People Operations & Recruiting Ops

• Own end-to-end onboarding and offboarding (equipment, access, documentation, introductions).

• Build structured, repeatable processes for recruiting operations.

• Maintain and improve HR systems, employee records, and internal policies.

• Own Gusto payroll workflows and help drive compensation process improvements.

• Ensure a high-quality, thoughtful employee experience at every touchpoint.

Finance, Procurement & Administrative Ops

• Lead Brex operations including expenses, vendor payments, and card administration.

• Track all vendors, renewals, contracts, and negotiate where needed.

• Partner with finance on monthly reporting and operational spend visibility.

• Identify, build, and automate recurring workflows using AI tools, Zapier, and internal integrations.

Office & Facilities Management

• Manage day-to-day office operations, supplies, and team support needs.

• Plan team events, celebrations, offsites, and culture-building moments.

• Lead the full San Francisco office move

Executive & Team Support

• Coordinate domestic/international travel for founders and team.

• Manage scheduling, organization, and administrative workflows as needed.

• Build automated systems that reduce repetitive tasks and increase team velocity.

• Step into any function on short notice and figure things out.

What We're Looking For

• Exceptionally organized — the type who manages multiple streams without dropping details.

• Someone who sees inefficiencies and immediately redesigns the process.

• Deeply comfortable with modern tools: Notion, Slack, AI agents, automations, workflows.

• Experience with Gusto, Ashby, Brex, or similar platforms is a plus.

• Proactive, scrappy, and ownership-driven — you don’t wait for permission.

• Excited to operate in a fast-moving startup with shifting priorities and high standards.

• Someone who wants to touch every part of the business and grow quickly.

Why This Role Matters

You will shape the foundation of how our company runs internally. You will directly free up founder bandwidth and raise the bar for the entire employee experience. Your work will enable us to grow faster, operate more efficiently, and build a best-in-class internal culture.