• Lead and coordinate high-priority, cross-functional initiatives from scoping through execution, ensuring alignment across Clinical, Sales, Engineering, Product, and Finance. • Act as a trusted project lead for COO-sponsored initiatives, translating strategy into structured workplans with clear owners, milestones, and accountability. • Build project management standards and tooling that scale across the organization. • Document, analyze, and redesign end-to-end business processes to eliminate bottlenecks and reduce operational friction. • Partner with team leads to identify where handoffs break down and design cleaner workflows, SOPs, and decision frameworks. • Champion a culture of continuous improvement — proactively surfacing inefficiencies and proposing solutions before they become problems. • Serve as a connective tissue across departments — facilitating communication, surfacing misalignments early, and fostering a culture of shared context. • Create forums, rituals, and documentation practices that keep distributed and cross-functional teams informed and rowing in the same direction. • Identify manual, repetitive workflows and drive automation initiatives using tools like Zapier, Make, or native integrations within our tech stack. • Own the integrity of operational and business data — establishing definitions, resolving discrepancies, and partnering with Data/Analytics to ensure single sources of truth. • Build and maintain executive and team-level dashboards that provide real-time visibility into company health and performance. • Define, track, and report on company-wide KPIs in partnership with functional leads; flag risks and trends proactively to the COO. • Own and continuously improve the company's operating cadence — including All Hands, leadership team meetings, OKR cycles and quarterly business reviews. • Manage relationships with key operational vendors — from contract negotiation and onboarding to performance reviews and renewals. • Support the operational requirements of our international expansion — including entity setup, compliance coordination, and cross-border workflow design.