About Us

We are building a national healthcare access platform that unifies patient intake, eligibility routing, membership programs, and multi-clinic operations into one integrated system. Our organization includes multiple ventures and multiple dental clinics working together to create a seamless, affordable pathway for patients to get the care they need.

We have a strong architectural blueprint in place.

We now need a fractional COO / Systems Integrator who can turn that blueprint into a predictable, scalable operating system.

This is not a clinic manager role.

This is a control-plane operations role focused on systems, workflows, dashboards, automation, and cross-team alignment.

What You Will Build

As our fractional COO / Systems Integrator, you will:

Build a unified operating model across several interconnected business units
Develop dashboards, KPIs, and reporting rhythms for organizational alignment
Create automated workflows for intake, eligibility routing, and scheduling
Translate high-level architecture into SOPs, workflows, and accountability maps
Coordinate cross-functional execution with contractors and internal teams
Prepare and operationalize our first regional pilot launch in Hamilton, Ontario
Reduce founder dependency by establishing a mature operating cadence

Who You Are

You thrive in building clarity from complexity and creating systems that scale.

You likely have:

5+ years experience as a fractional COO, Head of Operations, RevOps Leader, Systems Architect, or similar
Demonstrated ability to unify multiple brands, business units, or systems
Experience designing and implementing dashboards and KPI frameworks
Comfort with automation tools (Make, n8n, Zapier, Airtable/Sheets, Retool, etc.)
Strong process design and documentation skills
A calm, precise, sequencing-focused approach to execution
A track record of reducing or eliminating founder involvement in day-to-day operations

What Success Looks Like (Your First 90 Days)

By Day 30

You understand our architecture and operational objectives
A draft Command Center (KPIs, dashboards, reporting) is live
Existing workflows are mapped and clarified

By Day 60

Intake-to-booking and membership workflows are operational
Cross-team operating cadence is established
Pilot launch requirements and sequence are defined

By Day 90

The founder is removed from most daily operational loops
The Hamilton pilot is fully prepared for execution
You have delivered a clear roadmap for scaling operations nationally

Commitment & Compensation

Fractional: 20–30 hours per week
Term: 3–6 months with potential extension
Compensation: Competitive and based on experience

Remote position, Canada preferred but not required.

How to Apply

Please answer the following four questions in your application (required):

Describe the most complex multi-system operation you’ve integrated.
What changed after your work?
Give an example of how you removed a founder from day-to-day operations.
What systems or processes made that possible?
Share one dashboard, automation, or workflow you personally designed.
What made it effective?
Describe your typical first 30 days when joining a new operational environment.

Applications without these answers will not be considered.

NeedToLead

Open Positions

Fractional COO / Systems Integrator - Dental Access Ecosystem (Remote, Canada Preferred)