At Dietitian Live, we’ve moved beyond the "old dietetics" of meal plans and macros. We use brain rewiring to shift client identity—making healthy living second nature rather than a struggle. After just 4 sessions, clients feel the shift. They stay for 46+ sessions. This isn't just coaching; it’s transformation at scale. 

We are rapidly scaling a nationwide network of RDs to deliver whole-person, evidence-based care to Fortune 500 employers, health plans, and massive wellness ecosystems. We’ve cracked the clinical code; now we need a High-Performing COO to build the engine.

The Role

Operational Scale

• Build and optimize the infrastructure supporting a rapidly expanding nationwide RD network
• Drive consistency, quality, and efficiency across clinical delivery

Execution Engine

• Translate company strategy into clear operating rhythms, priorities, and accountability
• Implement systems that ensure predictable, repeatable growth

Team & Performance Leadership

• Lead and develop cross-functional leaders (HR, Clinical, Operations)
• Establish performance standards and accountability frameworks across teams

Financial & KPI Ownership

• Own operating metrics, forecasting, and business performance
• Drive decisions through data, identifying risks and opportunities early

Enterprise Delivery

• Ensure seamless execution of enterprise partnerships and integrations
• Align internal teams to deliver at scale for large clients

Technology & Process Alignment

• Partner with product/tech to ensure systems support scale, efficiency, and user experience

What Success Looks Like (First 6–12 Months)

• RD network scales with maintained or improved client retention
• Clear operating cadence (weekly/monthly KPIs, accountability rhythms)
• Improved efficiency in scheduling, utilization, and delivery
• Leadership team aligned and executing against shared priorities
• Enterprise clients experience consistent, high-quality delivery

Why This Role

• Direct ownership of how a category-defining healthcare model scales
• High-impact leadership role reporting to executive leadership
• Opportunity to build the operational backbone of a national care model
• Mission-driven work improving access to preventative, whole-person care

Key Responsibilities

• Strategic Growth & Sales: Lead the charge on enterprise partnerships and wholesale channel growth across Fortune 500 employers and large benefits ecosystems.
• Growth Marketing: Oversee high-impact marketing strategies to expand brand authority and reach.
• Operational Scale: Build and optimize the infrastructure supporting a rapidly expanding nationwide RD network; Ensure consistent, high-quality clinical delivery across all markets
• Execution & Operating Rhythm Translate company strategy into clear operating plans, KPIs, and accountability systems; Establish weekly, monthly, and quarterly operating cadences across teams
• Team & Performance Leadership Lead cross-functional operators across HR, Clinical, and Operations; Drive performance management, utilization, and productivity across the RD network
• Capacity & Workforce Planning  Align hiring, scheduling, and demand to ensure efficient coverage and minimal waste; Optimize RD utilization while maintaining quality of care
• Financial & KPI Ownership Own operating metrics, forecasting, and margin performance; Identify risks and opportunities early through data-driven decision making
• Enterprise Delivery Ensure seamless implementation and ongoing delivery for enterprise clients; Partner with Growth to transition new business into successful long-term operations
• Systems & Process Optimization Build scalable processes and partner with Tech to ensure systems support growth and efficiency

Why Join Us?

• Direct impact on national growth and partnership strategy

• High-visibility role working directly with executive leadership

• Rapidly scaling company solving a real need in preventative healthcare

• Mission-driven organization improving access to whole-person care

Compensation & Benefits 

• 401(k)

• Medical, Dental, and Vision insurance

• Short-Term Disability insurance

• Life Insurance

• Employee Assistance Program

• Flexible Time Off

• Paid Parental Leave

• MacBook, monitor, and peripherals provided

• Remote-first environment

• 7–10+ years in high-growth environments, with experience scaling operations
• Proven experience building systems from early-stage to scale (“0 to 100”)
• Strong financial and KPI ownership experience
• Experience leading cross-functional teams in a remote environment
• Healthcare, health-tech, or provider network experience strongly preferred
• Track record of turning strategy into execution and measurable outcomes

The ideal candidate is a strategic thinker who sees the chessboard. You anticipate the needs of a rapidly scaling healthcare organization and have the operational grit to execute the game plan.