• Build and operate a high-velocity, high-quality async care engine at scale • Own the end-to-end performance of the asynchronous care ecosystem (throughput, turnaround time, productivity, quality, safety, cost) • Manage a multi-layered leadership team overseeing hundreds of Medical Assistants and clinical staff • Design operational systems required to scale volume significantly faster than headcount growth • Ensure accountability and maintain clear visibility into backlog aging and operational risk