Chief of Staff ​/ Operations Lead

Cross-functional Operations — Reports to Founder / CEO

Precoh turns AI regulation into real-world deployment. Our platform,
RegOS
, transforms fragmented regulatory requirements (FDA SaMD, EU MDR, IMDRF) into structured, executable, and auditable workflows — so clinical AI can be evaluated, approved, and scaled with confidence.

We are early, founder-led, and revenue-generating. The founder is currently carrying commercial, product, partner, and operational responsibilities simultaneously. This role exists to change that — to bring in a senior operator who can own the internal rhythm of the company so that the founder can focus where Precoh needs them most.

At this stage of Precoh's growth, the biggest risk is not market fit or product capability — it is operational bandwidth. We are managing a growing number of client engagements, partnership conversations, product milestones, and hiring decisions simultaneously, with insufficient infrastructure to run them cleanly.

The Chief of Staff / Operations Lead is a force‑multiplier role. You will build the internal systems — decision frameworks, operating cadences, reporting structures, and project tracking — that allow Precoh to scale from a founder‑run operation to a durable company. You will be in every important conversation, own the follow‑through on every major initiative, and have direct input into how Precoh allocates its resources as it grows.

This is not a coordinator role. It is a senior operator role for someone who has seen how high‑performing early‑stage companies run — and wants to build one.

• Design and run Precoh's operating system: weekly rhythms, cross‑functional reviews, decision frameworks, OKR tracking, and board/investor reporting cadence.
• Own follow‑through across commercial, product, advisory, and partnership work streams — tracking commitments, surfacing blockers, and ensuring the right things get done without the founder needing to chase every thread.
• Lead strategic project management for high‑priority initiatives — new market entries, partnership negotiations, regulatory body outreach, and product launch sequencing.
• Manage vendor relationships, legal and compliance workflows, finance operations (AR/AP, budgeting, cash flow tracking), and people operations as Precoh scales its team.
• Prepare the founder for external engagements: conference presentations, investor meetings, regulatory body conversations, and partnership pitches — briefings, talking points, and follow‑up artifacts.
• Build Precoh's internal knowledge base — playbooks, templates, onboarding materials, and process documentation — so institutional knowledge compounds rather than walks out the door.

• Run the weekly leadership operating review — preparing agendas, synthesizing status across all work streams, capturing decisions, and distributing action items with owners and deadlines.
• Manage the founder's time and priorities: weekly scheduling, meeting preparation, triage of inbound requests, and protection of deep‑work blocks.
• Draft and edit external communications — partner proposals, investor updates, conference submissions, and regulatory body correspondence — at a level that ships without a heavy editing cycle.
• Track and manage key commercial milestones — pilot delivery timelines, contract renewals, partner activation steps, and conference deadlines.
• Own recruiting operations: job posting management, candidate pipeline tracking, interview scheduling, offer logistics, and onboarding for new hires.
• Identify and flag operational risks early — capacity constraints, timeline slippage, process gaps — with recommended solutions rather than just problem statements.

• 5+ years in a Chief of Staff, operations leadership, strategy, or management consulting role — with at least 2 years inside an early‑stage company (Series A or earlier) or a high‑velocity growth environment.
• Exceptional written communication: you can draft a board memo, an investor update, a partner proposal, and an all‑hands summary — all at the level where they ship without rewriting.
• Systems thinker and builder: you do not just…