Director/VP of Strategy & Operations

About Haystack Health

Haystack Health is the first clinical trial platform for value-based care. We partner with health plans, ACOs, sponsors, and health systems to connect patients to clinical trials that improve outcomes, expand access, and reduce cost.

As a rapidly growing, category-defining company, Haystack operates at the intersection of healthcare delivery, payer strategy, and clinical research. Our model brings together payers, trial sponsors, providers, and research sites to unlock access to clinical trials at scale – fundamentally rethinking how patients are identified, engaged, and enrolled.

Position Summary

Haystack Health is seeking a Director/VP of Strategy & Operations to lead and scale core operations across our clinical trial programs.

This is a leadership role at an early-stage, category-defining company operating at the intersection of healthcare delivery, payer strategy, and clinical research. You will own performance across a complex, multi-step clinical operations funnel, driving measurable improvements in patient identification, engagement, and enrollment. You will operate at the intersection of analytics, operations, and execution: diagnosing performance, designing and implementing interventions, and building the systems and teams required to scale.

This is a cross-functional and hands-on leadership role – you will oversee day-to-day operations to understand workflows, identify bottlenecks, and support execution, while also translating these insights into scalable processes, team structures, and operating systems as we grow across clients and geographies. You will also collaborate closely with clinical, product, and commercial leaders to deliver outcomes for patients and partners, with significant opportunity for growth as the company scales.

Responsibilities

* Own and improve performance across the end-to-end clinical operations funnel, including patient identification, outreach, engagement, screening, and enrollment, with accountability for measurable outcomes

* Lead structured, data-driven analysis of operational performance to identify root causes of variation, prioritize opportunities, and design and implement high-impact interventions that improve engagement and enrollment rates

* Maintain close proximity to frontline operations to inform strategy, while establishing mechanisms (reporting, QA, performance management) that enable scalable oversight and continuous improvement

* Build and scale operational infrastructure, including workflows, playbooks, training programs, reporting systems, and team structures as the organization grows

* Partner closely with clinical, product, and commercial leaders to translate strategic priorities into operational plans and ensure effective cross-functional execution

* Represent the company as an operational leader in sales processes and partner engagements, helping articulate our model, operational approach, and expected outcomes

* Identify, evaluate, and implement technology and innovative approaches (e.g., AI-enabled outreach, automation, engagement strategies) to improve efficiency, scalability, and outcomes

* Support hiring, onboarding, and management of team members and team leads, and develop capacity models aligned with client growth

Qualifications

* Experience in one or more of the following: strategy consulting (healthcare exposure strongly preferred), health tech or tech-enabled services operations, clinical trial operations, or payer/member engagement

* Demonstrated ability to use data and analytics to diagnose operational performance, identify issues, and drive measurable improvements in complex workflows

* Proven experience building, implementing, and scaling operational processes, systems, or teams in dynamic environments

* Experience working cross-functionally with clinical, product, and/or commercial stakeholders, with the ability to translate strategy into execution

* Track record of ownership and accountability for outcomes, with a bias toward action and comfort operating in fast-paced, ambiguous environments

* Strong attention to detail and willingness to operate at both a strategic and highly granular level, including direct engagement with frontline operations

* Demonstrated curiosity, creativity, and openness to testing new approaches, including leveraging technology to improve operational performance

* Clinical background (e.g., MD, DO, RN, NP, PA) is a strong plus, though not required

* Exceptional academic background with a bachelor’s degree required; advanced degree (e.g., MBA, MPH, or related field) strongly preferred

Additional Information

This is a full-time, remote position. Compensation will be competitive and commensurate with experience, and includes equity participation and a comprehensive company-sponsored benefits package. Preference will be given to candidates who are available to work East Coast business hours to align with team operations.

We are an equal opportunity employer and are committed to building a diverse and inclusive team. All employment decisions are based on qualifications, merit, and business needs.