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Co-Founder and Chief Operating Officer - Job Opportunity at TruVita Wellness Inc.

Remote, US
Full-time
Executive
Posted: May 23, 2025
Remote
USD 144,880 - 161,960 per year

Benefits

Founding equity stake in early-stage healthtech startup representing significant long-term wealth potential through company growth and eventual exit opportunities
Strategic leadership position with direct influence on company direction allowing you to shape the future of AI-driven healthcare delivery
Competitive executive-level salary structure post-funding that aligns with market rates for COO positions in healthtech startups
Opportunity to build and transform healthcare accessibility using cutting-edge AI technology and telemedicine platforms
Remote work flexibility enabling work-life balance while building a high-growth technology company

Key Responsibilities

Build and implement comprehensive operational infrastructure including systems, processes, and scalable frameworks that will support rapid growth from startup to established healthtech platform
Lead cross-functional operations spanning product development, strategic partnerships, logistics, and customer support while ensuring seamless integration and optimal performance
Drive nationwide expansion strategy in India and spearhead initial U.S. market entry, managing complex international operations and regulatory compliance
Establish and monitor key performance indicators across all departments to ensure organizational alignment with strategic goals and investor expectations
Recruit, develop, and lead high-performing teams across multiple disciplines while fostering a results-driven, mission-oriented culture
Manage financial operations including budget planning, forecasting, and optimization of subscription-based revenue models and partner payment structures
Collaborate with CEO on post-investment capital deployment strategies and maintain investor relations through regular reporting and compliance

Requirements

Education

Bachelor's (Preferred)

Experience

7+ years in operations, business strategy, or executive leadership—preferably in healthtech, SaaS, or consumer technology

Required Skills

Proven experience in startup environments with hands-on leadership in scaling operations Strong understanding of healthcare systems, digital health, or wellness-based business models Entrepreneurial mindset with a data-driven and solution-oriented approach Excellent leadership, communication, and strategic planning skills Commitment to invest $100,000 as part of a long-term partnership MBA or relevant graduate degree preferred (not mandatory)
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Sauge AI Market Intelligence

Industry Trends

The global telemedicine market is experiencing unprecedented growth, projected to reach $432.5 billion by 2028, driven by increasing demand for accessible healthcare, technological advancements in AI and remote patient monitoring, and shifting consumer preferences toward digital health solutions. This growth is particularly pronounced in emerging markets like India where smartphone penetration and internet connectivity are rapidly expanding, creating massive opportunities for innovative healthtech platforms. AI-powered healthcare platforms are becoming increasingly sophisticated, moving beyond simple video consultations to offer predictive analytics, personalized treatment recommendations, and automated health monitoring. Companies that successfully integrate AI with clinical expertise are positioned to capture significant market share as healthcare systems worldwide seek cost-effective solutions to manage growing patient populations and chronic disease burdens. The subscription-based healthcare model is gaining traction as consumers seek predictable healthcare costs and continuous access to preventive care services. This trend is particularly strong in markets with high out-of-pocket healthcare expenses, where digital platforms can offer affordable alternatives to traditional healthcare delivery while maintaining quality outcomes through technology-enabled care coordination.

Salary Evaluation

The salary range of $144,880 - $161,960 is somewhat below market for a COO position in a funded healthtech startup, especially one requiring a $100,000 investment. Typical COO compensation in similar roles ranges from $200,000 - $350,000 plus equity. However, the significant founding equity stake and required investment suggest this is structured as a true co-founder arrangement where the equity upside compensates for below-market cash compensation.

Role Significance

As an early-stage startup COO, you would initially manage a lean team of 10-20 employees across various functions, scaling to 100+ within 18-24 months post-funding. The role involves building entire departments from scratch, including operations, customer success, partnerships, and support teams across multiple geographic locations.
This is a C-suite executive position with co-founder status, representing one of the most senior roles in the organization. As COO and co-founder, this position will have significant autonomy in shaping company operations, culture, and strategic direction, with direct reporting to the board and equal standing with other co-founders in major decisions.

Key Projects

Leading the technical infrastructure buildout for the telemedicine platform including integration with diagnostic networks, pharmacy systems, and healthcare provider platforms across India and the U.S. This involves managing complex vendor relationships, ensuring regulatory compliance, and creating scalable operational processes. Designing and implementing the go-to-market strategy for both B2C and B2B channels, including direct-to-consumer subscription models, corporate wellness programs, and partnerships with insurance companies and healthcare systems. This requires deep understanding of healthcare economics and ability to navigate complex stakeholder ecosystems. Building the operational foundation for AI-driven care delivery, including quality assurance processes, clinical protocol implementation, and data governance frameworks that ensure patient safety while enabling innovative care models. This project requires balancing technological innovation with healthcare regulatory requirements.

Success Factors

Ability to navigate the complex regulatory landscape of healthcare in both India and the U.S., understanding licensing requirements, data privacy laws, and telemedicine regulations while maintaining operational efficiency and rapid growth trajectory. Success requires building strong relationships with regulatory bodies and healthcare stakeholders while maintaining startup agility. Excellence in building and scaling distributed teams across multiple time zones and cultures, creating unified operational processes that work effectively in diverse markets. This includes establishing clear communication channels, performance metrics, and cultural alignment while respecting local market nuances and healthcare delivery preferences. Strong financial acumen to manage unit economics in a subscription-based healthcare model, optimizing customer acquisition costs, lifetime value, and operational efficiency while maintaining service quality. The ability to balance growth investments with path to profitability is crucial for long-term success. Deep understanding of healthcare technology integration, including EHR systems, diagnostic interfaces, and AI/ML platforms, combined with ability to translate technical capabilities into operational workflows that deliver superior patient outcomes and user experiences.

Market Demand

Executive operational leadership in healthtech is in extremely high demand as the industry experiences rapid growth and consolidation. The combination of operational expertise, healthcare knowledge, and startup experience creates a highly competitive talent market where qualified candidates often have multiple opportunities.

Important Skills

Critical Skills

Cross-border operational expertise is absolutely essential given the dual-market strategy. The ability to navigate vastly different regulatory environments, healthcare systems, and cultural expectations while maintaining operational efficiency will determine success or failure. This includes understanding healthcare licensing, data privacy laws, and reimbursement models in both markets. Fundraising and investor relations capabilities are crucial despite not being explicitly mentioned. As a co-founder COO in a pre-funded startup, you'll play a key role in securing Series A and subsequent rounds. Experience in financial modeling, pitch deck creation, and investor communication will directly impact the company's ability to scale. Healthcare technology integration expertise is vital for building the operational backbone of an AI-driven platform. Understanding how to connect disparate systems, ensure data quality, and maintain security while enabling innovative care delivery models will differentiate TruVita from competitors who struggle with technical implementation.

Beneficial Skills

Experience with value-based care models and outcome measurement would significantly enhance ability to differentiate TruVita in the market. As healthcare shifts toward quality over quantity, operational leaders who can design and implement outcome-tracking systems will create sustainable competitive advantages. Multi-language capabilities and cultural fluency, particularly in Indian languages and healthcare contexts, would accelerate market penetration and partnership development. While not required, this skill would provide significant advantage in building trust with local healthcare providers and understanding patient needs. Previous exit experience or deep venture capital relationships would accelerate fundraising and strategic development. Understanding how to position the company for acquisition or IPO from early stages influences operational decisions and creates more valuable equity outcomes.

Unique Aspects

The $100,000 co-founder investment requirement is unusual and creates significant skin-in-the-game alignment, ensuring only committed partners who believe in the long-term vision join the leadership team. This structure filters for entrepreneurial executives willing to take calculated risks for potentially massive returns.
The combination of AI technology focus with 24/7 healthcare delivery across two vastly different markets (India and U.S.) presents unique operational challenges and opportunities. Few startups attempt such geographic diversity from inception, suggesting bold vision but also requiring exceptional execution capabilities.
The pre-funding stage with planned post-funding salary structure offers rare ground-floor opportunity to shape a potentially transformative healthcare company. Most COO positions at this level come after initial funding, making this a unique chance to influence fundamental company structure and strategy.
The integration of preventive care, diagnostics, wellness programs, and personalized health solutions in one platform represents a comprehensive approach to healthcare delivery that goes beyond typical telemedicine offerings. This holistic vision requires sophisticated operational capabilities to execute effectively.

Career Growth

Given the co-founder status and equity position, the typical timeline involves 4-7 years to reach a significant liquidity event through acquisition or IPO. Career progression would accelerate significantly following a successful exit, with immediate opportunities for CEO roles or entrepreneurial ventures backed by proven track record.

Potential Next Roles

CEO of a mid-to-large size healthtech company, leveraging the comprehensive operational experience and healthcare industry knowledge gained from building TruVita from the ground up. Many successful COOs transition to CEO roles within 3-5 years, especially those with co-founder status and significant equity stakes. Venture Partner or Operating Partner at healthcare-focused venture capital firms, where operational expertise in scaling healthtech companies is highly valued. This path typically opens up after successful exit or significant company growth, offering opportunities to mentor multiple portfolio companies. Founder/CEO of your own healthtech venture, utilizing the network, expertise, and capital gained from the TruVita experience. The combination of operational knowledge, industry connections, and successful track record positions you well for raising capital for future ventures.

Company Overview

TruVita Wellness Inc.

TruVita Wellness is an early-stage healthtech startup at the forefront of AI-driven telemedicine innovation, targeting the massive and underserved primary care markets in India and the United States. The company's focus on combining artificial intelligence with clinical expertise positions it well to address the growing demand for accessible, affordable healthcare solutions in markets experiencing rapid digital transformation.

As an early-stage startup requiring seed investment from its co-founders, TruVita is positioned at the ground floor of the healthtech revolution. While this presents higher risk compared to established players, it also offers maximum equity upside and the opportunity to shape the company's direction from inception. The dual-market strategy targeting both India and the U.S. suggests ambitious growth plans and understanding of global healthcare opportunities.
The company's strategy to operate in both India and the U.S. markets simultaneously is ambitious and reflects understanding of complementary market dynamics - India's massive population with growing healthcare needs and digital adoption, and the U.S.'s mature healthcare market with high willingness to pay for innovative solutions. This dual-market approach provides diversification and multiple growth vectors.
The remote-first approach combined with 25% travel requirement suggests a flexible, modern work culture that values results over presence while recognizing the importance of in-person collaboration for strategic initiatives. The emphasis on building a 'results-driven, collaborative, and mission-oriented culture' indicates focus on impact and purpose-driven work environment typical of successful healthtech startups.
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