Director, Growth Strategy & Operations (New York Metro)

New York, NY · In office · Full-time

Craniometrix is building the care infrastructure that makes living with dementia easier.

When families get the right non-clinical coaching and support, everything changes: hospitalizations drop by up to 30%, patients stay home longer, and quality of life improves measurably. Medicare recently started paying for that coaching, which created the opening for us to build something that preserves dignity and changes lives at scale.

We launched our care navigation service in July 2025, hit $8M ARR in our first year, and closed a $15M Series A to become the navigation infrastructure for dementia, and that's just the beginning.

This is mission work and we treat it that way. We're building for the families and patients who need it most, and we're building a place where compassion shows up in how we serve customers and how we treat each other. We're growing fast, the clinical and economic foundation is strong, and there's a ton left to build.

If you want real agency, real scope, and the chance to help define how this category gets built, we'd love to connect.

About the Role

We are seeking a Director of Growth Strategy & Operations to own the operating infrastructure that enables our commercial team to scale. This is the highest-leverage individual on the Growth team, and every seller's and account manager's productivity depends on the systems, data, and frameworks this person builds.

You will be the architect behind the growth org, designing the CRM, the targeting frameworks, the territories, the comp plans, the analytics, and the AI toolkit that turn a small, high-performing team into a repeatable, measurable growth engine.

If you're an early-career builder ready for your first operations leadership seat, this is a role with real upside. If you're already operating at the Director level, it's a chance to own the system end to end. We'll calibrate level, scope, and compensation to your experience.

This role is ideal for someone who thrives in providing clarity to ambiguity, gets energy from building systems from a blank page, and wants hands-on exposure to scaling a high-growth healthcare startup. Reporting to the VP of Growth, you will partner directly with leadership to define how we go to market, who we go after, and how we measure whether it's working. You'll then build the infrastructure that makes the answers operational.

What You'll Do

Commercial Systems & CRM

• Own the build-out, configuration, and ongoing discipline of our CRM as the single source of truth for the entire revenue motion.
• Define pipeline stages, required fields, data hygiene standards, and reporting conventions, and help hold the team accountable to them.
• Design lead routing logic and handoff workflows between demand generation, sales, and account management so nothing falls through the cracks.
• Select, implement, and operationalize the AI and sales-tech toolkit (enrichment, sequencing, analytics, market-data tools), continuously testing what earns its place in the stack.

ICP, Targeting & Territory

• Build and maintain the account tiering and prioritization framework that tells the team where to spend its time and why.
• Define and refine the Ideal Customer Profile across neurology practices, specialty clinics, and health-system partners, and translate it into a usable, segmented target account universe.
• Own territory sizing and mapping, balancing opportunity, density, and rep capacity as the team grows.

GTM Strategy & Planning

• Partner with leadership to set the commercial vision: where we grow, how fast, and what the motion looks like at each stage.
• Design comp plans and set quotas that reward the right behaviors and scale fairly as the team expands.
• Build the capacity and hiring models that connect headcount decisions to revenue targets.
• Pressure-test go-to-market strategy with analysis, and translate strategic decisions into operational reality.

Analytics & Reporting

• Build and own pipeline reporting, forecasting inputs, and the metrics that define success across the funnel, from lead generation through expansion.
• Surface patterns in conversion and performance data to inform targeting, messaging, and resource allocation.
• Build repeatable, instrumented processes that scale as the Growth team expands, and identify the constraints worth fixing first.

Cross-Functional Collaboration

• Work closely with Sales, Account Management, Product, Operations, and Finance to ensure the operating system supports the whole revenue motion, not just one function.
• Translate field and prospect insights into improvements in process, positioning, and competitive differentiation.
• Represent Growth Strategy & Operations with rigor and credibility in cross-functional and leadership settings.

You'll Love This Role If

You see leverage where others see tasks. You're motivated by the fact that the system you build multiplies everyone else's output. A clean framework that makes the whole team faster is more satisfying to you than any single win.

A blank page is the appeal. You thrive in fast-paced, early-stage ambiguity and would rather design the operating model from scratch than inherit someone else's.

You think in systems and sweat the details. You love taking a good process and making it better, and you know that the details dictate whether people use the framework or ignore it.

You foster a feedback loop. You're coachable, you iterate quickly, and both share and receive feedback freely.

What We're Looking For

Experience and skills

• 4 to 8+ years of total experience, with a strong preference for a consulting background (McKinsey, Bain, BCG, or similar) plus 2 to 3 years in a commercial or revenue operations function at a high-growth healthcare or vertical SaaS company.
• A touchpoint in commercial, sales, or revenue operations: you've built or meaningfully scaled the infrastructure behind a go-to-market team, not just operated within it.
• Strong analytical horsepower: you reason from the numbers, build models others can use, and translate ambiguity into structured frameworks.
• Hands-on fluency with CRM platforms (e.g., HubSpot, Salesforce) and modern sales-tech and market-data tooling.
• Excellent written and verbal communication, with the ability to put a strategy into words and make a complex system legible to a cross-functional team.

Preferred qualifications

• Experience building commercial operations in healthcare, value-based care, or a regulated vertical.
• Familiarity with Medicare-reimbursed care models (GUIDE, PIN/CHI, CCM/PCM) or comparable healthcare go-to-market structures.
• Track record of designing comp plans, quota models, or territory frameworks from scratch.
• Experience selecting and implementing AI tooling within a commercial org.

Travel Expectations

Primarily in-office in New York, NY. Occasional travel for team offsites, strategic meetings, and select industry events.

Compensation

The OTE range for this role is $200,000 to $275,000+ per year, depending on level and experience, and includes a variable component. The role also includes meaningful early-stage equity, robust health benefits and a 401K.