Manager, Business Operations

Mural Health is a fast-growing clinical technology start-up that makes clinical trials easier for participants. Our mission is to eliminate any barriers participants or caregivers experience while being part of a clinical trial. Mural Health is looking to expand our team with a Business Operations Manager.

Who are you? You are a sharp, systems-minded operator who thrives at the intersection of strategy and execution. You love building structure where none exists, connecting dots across teams, and making a fast-growing company run more smoothly. You're equally comfortable in a spreadsheet, a leadership meeting, and a process design session — and you get energy from being the person who keeps everything moving.

Role Location: Remote - Eastern Timezone Preferred

Reports To: COO

You will:

Cross-Functional Project Management

• Lead and coordinate high-priority, cross-functional initiatives from scoping through execution, ensuring alignment across Clinical, Sales, Engineering, Product, and Finance.
• Act as a trusted project lead for COO-sponsored initiatives, translating strategy into structured workplans with clear owners, milestones, and accountability.
• Build project management standards and tooling that scale across the organization.

Process Mapping & Operational Efficiency

• Document, analyze, and redesign end-to-end business processes to eliminate bottlenecks and reduce operational friction.
• Partner with team leads to identify where handoffs break down and design cleaner workflows, SOPs, and decision frameworks.
• Champion a culture of continuous improvement — proactively surfacing inefficiencies and proposing solutions before they become problems.

Breaking Down Silos

• Serve as a connective tissue across departments — facilitating communication, surfacing misalignments early, and fostering a culture of shared context.
• Create forums, rituals, and documentation practices that keep distributed and cross-functional teams informed and rowing in the same direction.

Automation & Scaling

• Identify manual, repetitive workflows and drive automation initiatives using tools like Zapier, Make, or native integrations within our tech stack.
• Partner with individual functions to evaluate and implement operational tooling that removes friction and enables the company to scale without adding headcount linearly.
• Own the build-vs-buy evaluation for operational software and internal systems.

Data Integrity, KPI Tracking & Dashboards

• Own the integrity of operational and business data — establishing definitions, resolving discrepancies, and partnering with Data/Analytics to ensure single sources of truth.
• Build and maintain executive and team-level dashboards that provide real-time visibility into company health and performance.
• Define, track, and report on company-wide KPIs in partnership with functional leads; flag risks and trends proactively to the COO.

Company Operating Rhythm

• Own and continuously improve the company's operating cadence — including All Hands, leadership team meetings, OKR cycles and quarterly business reviews.
• Design agendas, pre-reads, and follow-up systems that make leadership meetings high-signal and decision-oriented.
• Maintain the company-wide calendar of key milestones, planning cycles, and strategic reviews.

Vendor Management

• Manage relationships with key operational vendors — from contract negotiation and onboarding to performance reviews and renewals.
• Maintain a vendor registry and evaluate vendor performance against SLAs; lead RFP processes for new vendor selection.
• Work closely with Legal and Finance to ensure vendor agreements are compliant, cost-effective, and aligned with company risk tolerances.

International Business Operations

• Support the operational requirements of our international expansion — including entity setup, compliance coordination, and cross-border workflow design.
• Partner with HR, Legal, and Finance to ensure our operating model scales across multiple geographies and regulatory environments.
• Serve as the operational point of contact for international team members and country-level initiatives.

Qualifications & Skills:

• 5–8 years of experience in business operations, strategy & operations, management consulting, or a Chief of Staff role — ideally at a high-growth startup or health tech company.
• Exceptional project management skills; you can run multiple complex initiatives simultaneously without dropping balls.
• Strong analytical instincts — comfortable working in spreadsheets, BI tools (Looker, Tableau, Power BI, etc.), and data pipelines to build dashboards and validate data.
• Experience with automation tooling (Zapier, Make, workflow automation within CRMs/ERPs) and a bias toward building scalable systems.
• Proven ability to influence without authority — you earn trust across teams by being organized, proactive, and genuinely helpful.
• Excellent written and verbal communication skills; you can distill complexity into clear narratives for executive and non-technical audiences.
• Comfort operating in ambiguity and a builder's mindset — you create structure where none exists.
• Experience with international operations, multi-entity environments, or cross-border compliance is a strong plus.
• Familiarity with the health tech, digital health, or broader healthcare landscape is a plus.
• Experience with OKR frameworks and facilitating company-wide planning cycles.
• Background in process improvement methodologies (Lean, Six Sigma, or similar).
• Prior experience managing or coaching junior operations staff.
• Familiarity with HIPAA, SOC 2, or other health tech compliance frameworks.

Mural Health is proud to provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. We also provide reasonable accommodations to individuals with disabilities in accordance with applicable laws. If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, or for your role at Mural Health, please contact careers@muralhealth.com. If you’d like more information about your EEO rights as an applicant, please visit the US Department of Labor's website.