Head of Operations at ABCDx developing the operational foundation for innovative stroke diagnosis technology. Overseeing all functions from regulatory to commercial execution in a self-managed startup environment.
Responsibilities
You turn strategy into action and ensure the company moves in sync.
Translate board and leadership strategy into clear operational roadmaps with owners, timelines, and KPIs
Run monthly and quarterly execution reviews across all functions
Ensure cross-functional alignment between R&D, Regulatory, Clinical, Commercial, and Finance
Implement a single source of truth for milestones, risks, and dependencies
You make sure regulatory and quality systems are implemented, used, and audit-ready.
Own delivery and tracking of FDA (510(k), De Novo), IVDR, and AI Act workstreams
Ensure QMS, DHF, V&V, PMS, CAPA processes are implemented — not just designed
Coordinate internal teams and external consultants to hit regulatory timelines
Prepare the organization for FDA inspections, Notified Body audits, and diligence
You build scalable, resilient operational foundations.
Own industrial readiness from prototype to scalable production
Manage manufacturing agreements, yields, COGS, and quality control
Implement dual-sourcing and risk-mitigation strategies across EU, UK, and US
Ensure supply chain readiness aligns with regulatory submissions and pilot timelines
Bring financial rigor and investor-grade clarity.
Own the operating budget, cash runway monitoring, and burn control
Implement financial dashboards linking costs, milestones, and use of proceeds
Translate strategy into credible use-of-funds plans for bridge and Series A rounds
Prepare the company operationally for investor and partner diligence
Reduce risk and founder dependency by institutionalizing what matters.
Professionalize governance processes: board materials, reporting cadence, and decision logs
Support shareholder agreements, ESOP clean-up, and cap table discipline
Review, challenge, and negotiate supplier, manufacturing, and commercial contracts
Manage and coordinate external legal counsel, ensuring advice translates into execution
Ensure go-to-market ambitions are operationally achievable.
Ensure HEOR, pilot studies, and market access workstreams are executed on time
Support U.S. and EU go-to-market preparation from an operational readiness perspective
Coordinate pilots (EMS, ED, hospitals) with regulatory, manufacturing, and contractual constraints
Requirements
Proven experience in **MedTech / IVD / SaMD operations**
Strong execution knowledge of **FDA, IVDR, ISO 13485 environments**
Financial literacy across budgets, runway, COGS, and investor expectations
Experience preparing companies for **Series A or institutional investment**
Experience reviewing, negotiating, and managing supplier and commercial contracts
Background or strong exposure to commercial law (education or on-the-job experience)
Comfortable acting as a critical counterpart to suppliers, partners, and advisors
A hands-on builder mindset — pragmatic, structured, and outcome-driven
Benefits
See the direct impact of your work — internally and in the real world
Work in a **purpose-driven, self-managed startup** with real autonomy.
Join a team that values **honesty, curiosity, and collaboration **over hierarchy.
Have the freedom to experiment, learn, and innovate without fear of failure.
The opportunity to build the operational foundation of a scaling MedTech startup
Work in a beautiful office in an UNESCO world heritage site in Barcelona with one of the **best rooftop views** in the city, but also freedom for **remote working and flexible **work schedule
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