The Opportunity

Akido is entering a significant growth phase, expanding its footprint of clinics and corporate offices across multiple states. This will be our first dedicated facilities leader. This role is foundational.

As Senior Manager, Facilities & Workplace Operations, you will build the facilities function from the ground up — establishing the processes, policies, systems, and operating model required to support rapid, compliant, and cost-effective expansion. This is a hands-on role for a builder who is comfortable doing the work, not just directing it.

You will bring a strong financial lens to all facilities and real estate decisions, working closely with Finance on budgets, capital planning, lease economics, and cost controls. You will partner daily with Clinical Operations, IT, People, Real Estate, and our in-house Legal team to ensure our physical environment is safe, compliant, reliable, and ready to scale.

What You’ll Do

• Build and own Akido’s facilities and workplace operations function, including policies, playbooks, systems, and vendor network.
• Establish end-to-end processes for site onboarding, lease transitions, build-outs, maintenance, life safety, and decommissioning.
• Lead day-to-day facilities operations across corporate offices and outpatient clinics in CA, NY, and RI.
• Personally drive clinic openings, renovations, relocations, and emergency response in partnership with Clinical Ops, IT, and Real Estate.
• Partner closely with Finance on operating budgets, capital planning, forecasts, lease economics, and cost optimization.
• Work with in-house Legal on leases, contracts, compliance, and risk management.
• Standardize maintenance, janitorial, security, medical waste, environmental services, and life-safety programs.
• Ensure compliance with OSHA, ADA, local building codes, healthcare safety standards, and infection control requirements.
• Build inspection readiness, emergency preparedness, and business continuity protocols.
• Own vendor performance, SLAs, and total cost of ownership; hold partners accountable.
• Develop KPIs and reporting for facilities performance, uptime, utilization, and cost per square foot.
• Deliver a high-service, high-accountability experience for clinicians and staff.
• Other duties as assigned.

Who You Are

• 7+ years of facilities or workplace operations experience in multi-site, regulated environments; healthcare strongly preferred.
• Proven builder who has stood up facilities processes, systems, and standards in a growth environment.
• Strong financial acumen with experience managing operating budgets, capital projects, and lease-related economics.
• Deep knowledge of building systems, life safety, OSHA, ADA, and healthcare regulatory requirements.
• Comfortable working hands-on while also setting strategy and structure.
• Able to operate credibly with peers across the organization - market GMs, People/HR, Finance, Legal, IT, landlords, and vendors.
• Experience with facilities management platforms, project management tools, and operational reporting.
• IFMA, BOMA, PMP, or similar certifications a plus.
• Willingness to travel to California, NY, RI and other sites as Akido grows

Compensation & Benefits

Base Salary Range: $150,000 – $180,000

Equity: Stock-options package

Benefits:

• Medical, dental, and vision
• 401(k)
• Long-term disability
• Unlimited PTO
• Life insurance
• Paid Leave Program

Physical Demands: Mostly sedentary work duties require exerting up to thirty pounds of force occasionally and/or small amounts of force frequently. Sedentary work typically involves sitting most of the time but may involve walking or standing for brief periods. 

The Opportunity

We are building an AI-native, national healthcare network. As we scale through acquisitions, partnerships, and launch new markets, the complexity of our financial operations is increasing rapidly. This role sits at the center of that complexity: building the accounting infrastructure and systems that allow the business to scale with confidence.

This is not a traditional Controller role. This role reports to the CFO and is the senior most accounting position in the company. You will be responsible for stitching together a fragmented set of entities, revenue models, and workflows into a unified, high-quality financial system. You will partner deeply with operational and finance leaders across the organization to ensure our books reflect how the business actually runs—and enable faster, better decision-making.

What you’ll do

• Lead the integration of newly acquired healthcare service businesses, ranging in size from $1M–$100M revenue, into a unified accounting and reporting structure
• Lead the company through its first financial audit in 2026, including readiness, controls, and external auditor management
• Design and implement a unified multi‑entity consolidation and reporting model that can scale from today’s footprint to 2–3x the current number of entities and states, inclusive of inter-company transactions.
• Transition the organization from cash to accrual accounting where appropriate across entities and revenue streams (FFS, capitation, PMPM, grants, etc.)
• Standardize the chart of accounts, entity structure, and dimensionality (e.g., service line, market, payer, provider) to enable clear visibility into unit economics and contribution margins.
• Own the accounting systems architecture across the group (ERP, subledgers, payroll, T&E, banking, and billing/RCM), ensuring clean data flow and a single source of truth for financial reporting.
• Own and reduce the monthly close timeline (currently ~20 days) through process, systems, and team improvements
• Drive the transition to a modern ERP system (e.g., Rillet), including implementation, migration, and integration with billing, capitation, and operational systems
• Build and manage core accounting functions, including AP, payroll, treasury, expense management, and tax, overseeing and developing a team of ~10 while remaining hands-on
• Partner closely with revenue cycle management (RCM) and billing teams to ensure accurate revenue recognition, cash reconciliation, and alignment between operational and financial reporting
• Partner with FP&A, operations, and market leaders to ensure financial reporting reflects business reality across entities and geographies
• Ensure compliance with healthcare‑specific regulatory and reporting requirements (e.g., state health departments, payor contracts, risk‑bearing entity reporting) in partnership with Legal and Compliance.
• Oversee tax and regulatory filings at the entity level (in coordination with external advisors), including multi‑state considerations and any risk‑bearing or provider‑group requirements.
• Lead and mentor a geographically dispersed accounting team through a period of significant change, raising the bar on technical skills, ownership, and process discipline.
• Build a culture of documentation and continuous improvement, including developing SOPs, checklists, and playbooks for recurring processes (close, reconciliations, A/P, payroll, etc.).

Who you are

• 10+ years of accounting experience, including experience as a Controller (or equivalent) in a healthcare services organization
• Direct experience in a roll-up or multi-entity environment, ideally integrating acquired businesses into a centralized accounting function
• Deep familiarity with healthcare revenue models, including fee-for-service billing, capitation/PMPM, delegated or global risk arrangements, and other value-based care structures
• Proven track record of improving close timelines, implementing systems, and upgrading accounting infrastructure in a high-growth environment
• Experience implementing modern ERP systems and building scalable accounting processes from the ground up
• Strong technical accounting foundation, with the ability to navigate complexity across entities, states, and revenue streams
• A proactive communicator who builds strong cross-functional relationships—understanding that high-quality accounting requires deep partnership with operations
• Hands-on and detail-oriented, but equally capable of stepping back to design systems that scale
• Comfortable operating in ambiguity and building structure in a fast-moving environment
• Own the accounting systems architecture across the group (ERP, subledgers, payroll, T&E, banking, and billing/RCM), ensuring clean data flow and a single source of truth for financial reporting.
• Standardize the chart of accounts, entity structure, and dimensionality (e.g., service line, market, payer, provider) to enable clear visibility into unit economics and contribution margins.
• Comfort working with modern tools and data environments (e.g., cloud ERP, embedded analytics/BI, workflow tools) and partnering with engineering or data teams to improve data quality.
• Deep experience designing or re‑designing chart of accounts and reporting structures for multi‑entity, multi‑state healthcare or services businesses.
• Experience navigating healthcare regulatory and payor environments (e.g., delegated risk, MSOs, provider groups, or health plans), and understanding how operational nuances translate into revenue and accruals.
• Prior exposure to risk‑bearing entities or value‑based care arrangements is strongly preferred.

Benefits 

• Stock-options package
• Health benefits include medical, dental and vision
• 401K
• Long-term disability
• Unlimited PTO
• Life insurance
• Paid Leave Program

The Opportunity 

 Akido Labs is looking for a Senior DevOps Engineer to join our small, high-impact infrastructure team. Reporting to engineering leadership, you'll own the systems that keep our platform reliable, secure, and scalable as we grow. This is a hands-on role with real ownership — you won't be maintaining someone else's playbook, you'll be writing the next one. If you thrive in lean teams where your decisions have direct product impact, this is the role for you.

What you’ll do

  - Design, provision, and maintain cloud infrastructure on AWS using Terraform and infrastructure-as-code best practices
  - Manage and evolve Kubernetes clusters, ensuring reliability, performance, and security across environments
  - Build and improve CI/CD pipelines to accelerate delivery and reduce deployment risk
  - Monitor system health, respond to incidents, and drive post-mortems to prevent recurrence
  - Collaborate closely with software engineers to support application deployment and platform needs
  - Harden infrastructure security posture, including IAM policies, network segmentation, and secrets management
  - Contribute to capacity planning, cost optimization, and cloud architecture decisions
  - Support a multi-cloud environment, including limited work in Azure
  - Document infrastructure, runbooks, and operational procedures to support a growing team

Who you are

  - 5+ years of experience in a DevOps, Platform, or SRE role (required)
  - Deep expertise with AWS — networking, compute, storage, IAM, and managed services (required)
  - Strong proficiency with Terraform for infrastructure-as-code (required)
  - Hands-on experience managing Kubernetes in production (required)
  - Solid understanding of CI/CD principles and tooling (required)
  - Experience working on small, collaborative teams where you wear multiple hats (required)
  - Experience with Azure or other cloud providers (preferred)
  - Familiarity with observability tooling — logging, metrics, and tracing (preferred)
  - Strong written communication skills for documentation and async collaboration (preferred)

Benefits

• Stock-options package
• Health benefits include medical, dental and vision
• 401K
• Long-term disability
• Unlimited PTO
• Life insurance
• Paid Leave Program

The Opportunity

Akido is a rapidly growing organization with teams distributed globally across clinical care, technology, operations, and corporate functions. As an Operations Architect, your role is to build the stitching that keeps this complexity moving in rhythm by designing the shared systems, workflows, and tools that allow teams to operate effectively together. You will work across nearly every function at Akido from finance, HR, IT, legal, product, and operations, to create systems of working that meet the needs of different teams while maintaining clarity and consistency across the organization. A key part of the role will be implementing and driving adoption of company-wide productivity and AI tools that improve how teams access knowledge, collaborate, and execute work. This is a highly cross-functional role reporting to the Chief of Staff, ideal for someone who enjoys turning organizational complexity into clear, scalable operating systems.

What You'll Do

• Lead the rollout and adoption of company-wide AI productivity tools, including implementing new platforms, training teams on effective usage, and tracking adoption and impact across the organization.
• Partner with operational leaders across finance, HR, IT, and product to design and implement scalable internal processes and systems.
• Lead end-to-end implementation of internal tooling and operational infrastructure, from requirements definition to rollout and adoption.
• Build and maintain the company’s centralized operational knowledge base, including documentation systems, internal resources, and process libraries.
• Design and implement operational workflows such as procurement processes, contracting systems, onboarding infrastructure, and internal service requests.
• Work with subject matter experts to develop clear SOPs and playbooks that enable teams to execute consistently and scale operations.
• Evaluate build-vs-buy decisions for internal tools and lead implementation of selected systems across the organization.
• Identify opportunities to automate operational workflows using modern tools, integrations, and AI-enabled systems.
• Partner with IT and product teams to integrate operational systems into the broader company technology stack. 

Who you are

• 7+ years of professional experience in operations, program management, internal systems, or similar builder roles within fast-growing, complex organizations.
• Proven experience leading technology implementations end-to-end, from identifying operational needs and selecting tools to rollout, training, and driving adoption across teams.
• Experience implementing modern operational toolsets such as Notion, Google Enterprise, Microsoft 365, Asana, Jira, or similar systems (experience with some of these tools is expected, not necessarily all).
• Strong systems thinker who enjoys designing workflows, processes, and operating frameworks that help organizations move faster and reduce friction.
• Actively experimenting with LLMs and AI tools to improve personal productivity and operational workflows.
• Ideally has experience introducing or scaling AI-enabled productivity tools within an organization.
• Highly organized and detail-oriented with strong documentation skills and a commitment to operational clarity.
• Strong communicator who can translate technical concepts into practical workflows for non-technical teams.

Benefits

• Stock-options package
• Health benefits include medical, dental and vision
• 401K 
• Long-term disability
• Unlimited PTO
• Life insurance
• Paid Leave Program

Why Join Us

Even if you don’t see the perfect role listed today, we’re always looking to connect with people who are:

• Builders at heart — curious, resourceful, and unafraid to reimagine outdated systems.

• Mission-driven — passionate about health equity, access, and measurable community impact.

• Technically sharp — whether you write code, analyze data, or design scalable operations, you bring clarity and rigor to your craft.

• Collaborative and kind — you care as much about the people you work with as the outcomes you deliver.

Joining our network ensures you’ll be among the first to hear about new roles across Engineering, Data, Product, Operations, Clinical, and Business teams as we grow.

What We Offer

• A high-impact environment where ideas move fast from concept to real-world application.

• Opportunity to work on cutting-edge technology transforming healthcare delivery.

• A mission-driven team grounded in empathy, accountability, and measurable outcomes.

• Comprehensive benefits, flexible PTO, and a remote-friendly culture.

How to Apply

If Akido’s mission resonates with you but you don’t see the right opening yet, we still want to hear from you.
Submit your resume here and tell us what kind of problems you’re excited to solve — whether it’s in engineering, clinical care, product, operations, or partnerships.