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Head of Operations / COO (Remote)
Head of Operations / COO (Remote)Maximus • Charleston, SC, US
Head of Operations / COO (Remote)

Head of Operations / COO (Remote)

Maximus • Charleston, SC, US
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Head of Operations / COO (Chief Operating Officer)

Maximus is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize their health, wellness, and hormones. Maximus has achieved profitability, 8-figure ARR, and is doubling year over year - with a strong cash position. We have raised $15M from top Silicon Valley VCs such as Founders Fund and 8VC as well as leading angel investors / operators from companies like Bulletproof, Tinder, Coinbase, Daily Stoic, & Shopify.

We're seeking a Head of Operations / COO (Chief Operating Officer) to join our Senior Leadership Team and own the operational backbone of Maximus including pharmacy supply chain, clinical operations, customer experience, and company infrastructure.

This role is for an operator who thrives on building systems, scaling teams, and driving measurable business outcomes. You'll partner closely with the CEO and rest of the leadership team to translate strategy into execution, ensure cross-functional alignment, and help the company scale efficiently and compliantly.

Key Responsibilities

Oversee the end-to-end supply chain from pharmacy sourcing and compounding partnerships to logistics and fulfillment.

Manage relationships with compounding pharmacies, manufacturers, and labs.

Drive cost efficiency and operational reliability while ensuring compliance with pharmacy and state board regulations.

Lead clinical operations in partnership with the Medical Director and Head of Clinical Operations.

Oversee provider scheduling, documentation standards, utilization, and quality metrics.

Ensure MSO / PC workflows are compliant and tightly integrated with operational systems.

Build scalable processes that maintain patient safety and clinical excellence.

Manage the customer support organization and external BPO partners.

Improve CSAT / NPS, time-to-resolution, and renewal rates through data and automation.

Implement QA, training, and escalation protocols to enhance service consistency.

Translate patient feedback into actionable insights for product and operations.

Partner with the CEO and Head of Finance on operating metrics, forecasting, and quarterly planning.

Support board and investor communications with clear, data-driven reporting.

Collaborate with Product, Marketing, and Engineering to align execution against growth targets.

Lead company-wide initiatives that improve efficiency, margin, and customer experience.

Partner with the Head of Finance or People Lead on headcount planning, recruiting, and performance management.

Coordinate with external counsel on regulatory compliance across pharmacy, telehealth, and corporate entities.

Reinforce a culture grounded in Merit, Excellence, and Intelligence (MEI).

Qualifications

10+ years of experience in operations, finance, or general management, with recent experience in a high-growth, venture-backed digital health, telehealth, or consumer wellness company.

Proven track record building and scaling multi-function operational teams (supply chain, CX, or clinical).

Demonstrated leadership of cross-functional teams of 30+ employees, including at least 5 direct functional leads across key verticals (Ops, CS, Finance, People, Clinical).

Strong command of financial and operational metrics; comfort with P&L ownership.

Exceptional communication and stakeholder-management skills.

Experience owning end-to-end operations in a regulated industry (healthcare, pharmacy, diagnostics etc.) with complex compliance frameworks

Experience managing multi-state or multi-site operations (e.g., fulfillment centers, clinics, pharmacies, or distributed virtual care teams).

Proven track record of scaling operations from $10M ? $50M+ ARR or comparable P&L growth.

Familiarity with PC / MSO structures, licensure, HIPAA, and FDA / state board compliance.

Bonus : Experience with pharmacy acquisition or compounding operations (USP 797 / 800, 503A / 503B)

Strong analytical orientation; builds decisions around data, not anecdotes.

Capable of translating strategy into measurable KPIs, tracking progress through a weekly / monthly cadence.

World-Class Benefits

Full Suite : Medical, Dental, Vision, Life Insurance

Flexible vacation / time-off policies

Liquidity of options whenever available

Extended options exercise window for loyal employees (3 months for every year of service; e.g. 1 year for 4+ year employees)

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Coo • Charleston, SC, US

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