• Own full P&L responsibility for a $100M+ business, including revenue growth, margin expansion, and operating leverage • Set and execute annual and multi-year operating plans aligned with company strategy • Drive performance across LTV, retention, cohort quality, and contribution margin • Establish rigorous KPI frameworks, operating cadences, and accountability mechanisms • Lead the full DTC growth engine across acquisition, onboarding, engagement, and long-term retention • Partner with Marketing, Analytics, and Product to optimize CAC efficiency, payback, and scale • Oversee pricing, packaging, and monetization strategy across metabolic health and primary care offerings • Identify and scale new programs, service lines, and revenue opportunities • Oversee clinical operations in close partnership with Medical Leadership • Ensure consistent, high-quality, evidence-based care delivery across a national footprint • Balance clinical excellence, patient experience, scalability, and cost efficiency • Maintain compliance with all state, federal, and payer requirements • Partner with Product and Engineering to set and execute roadmap priorities tied to business and clinical outcomes • Champion an integrated patient journey across metabolic health and primary care • Use outcomes data, patient feedback, and operational insights to drive continuous improvement • Ensure strong clinical-product-ops alignment as the platform scales • Lead and develop a senior, cross-functional leadership team across Operations, Clinical, Marketing, Product, CX, and Analytics • Build organizational structure, processes, and talent density appropriate for a $100M+ platform • Foster a culture of ownership, execution, and high standards • Drive change management and organizational maturity as the business scales • Serve as a core operating partner to the Founder & CEO • Translate strategy into executable operating plans and measurable outcomes • Present performance, risks, and opportunities to the Board and executive leadership • Anticipate growth constraints and proactively address operational and clinical bottlenecks