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Fathom
Fathom
51 – 200 Employees
Artificial IntelligenceHealthcareSaaS
Fathom develops enterprise software for medical coding, using artificial intelligence to automate coding for hospitals and other healthcare organizations. Its platform supports facility and professional coding, evaluation and management capture, and retrospective risk adjustment for health systems, physician groups, ambulatory clinics, health plans, and revenue cycle management vendors. Fathom’s work focuses on reducing manual effort and turnaround time while improving coding accuracy and protecting sensitive health information.
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Chief of Staff, Fathom

Partner with Fathom’s CEO and leadership team to strengthen company operations, deploy AI agents across internal workflows, and manage board and investor communications.

USUnited StatesCACaliforniaHybridFull-timeLeadEnglish RequiredChief of Staff

Description

  • Coordinate leadership routines, including staff meetings, OKRs, quarterly planning, and follow-through.
  • Manage core operations across go-to-market, finance, and people, covering pipeline reviews, forecasting, reporting, and planning cycles.
  • Oversee HubSpot and essential internal tools, maintaining data quality, stage definitions, and dashboards for leadership and the board.
  • Lead CEO initiatives such as diligence, RFP responses, market research, and internal process design.
  • Find and resolve operational problems as the company grows.
  • Document internal workflows and find processes suited to automation with AI agents.
  • Build and run AI agents with Claude, HubSpot, and internal data, and maintain them in production.
  • Set guidelines for agent usage and output review, and measure recovered time and cost.
  • Help teams across the company adopt and use AI agents.
  • Coordinate board meetings, from agendas and materials to advance reading and follow-up.
  • Prepare and improve investor updates, board presentations, and other CEO communications as needed.
  • Monitor board and investor commitments through completion.

Requirements

  • Bring four to eight years of experience in business operations or strategy at a growth-stage company, consulting, banking, or a previous chief of staff role.
  • Have practical experience building workflows with large language models and AI agents.
  • Be comfortable with basic scripting, APIs, and CRM setup.
  • Apply strong analytical skills, including building Excel models and extracting data.
  • Write clearly and effectively for board memos and investor updates.
  • Use systems thinking and take initiative.
  • Exercise sound judgment and discretion with sensitive company, customer, and investor information.
  • Be curious about revenue cycle operations and clinical AI.
  • Healthcare or enterprise SaaS experience is a plus.

Benefits

  • Gain direct exposure to operating and growing a leading healthcare AI company.
  • Take on a mandate to redesign company operations around AI agents.
  • Explore career paths toward leading operations, running a business unit, or founding a company.

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