Clinical Operations Lead & Registered Manager (CQC) at AIOS — Remote (UK), £90k–£150k/yr inc equity
AIOS · UK
About AIOS
AIOS is building the world’s first full-stack AI doctor.
We’re at $450M ARR, growing from $7M/yr in April 2025. We’re faithfully serving 200k/mo patients via Bolt Pharmacy, our main UK brand. We’ve just launched Bolt Med, our international brand. We’re profitable.
Our strategy exists at the intersection of two strong theses:
The AI doctor that wins will get to escape velocity using GLP-1s, the fastest growing consumer product in history.
The $2T European healthcare market is overlooked by the most talented builders.
Our master plan:
Step 0 → $100M/yr by end of 2025: We went from $10M to $100M in 6 months serving the UK GLP-1 market.
Step 1 → $1B ARR by end of 2026: Since April 2025 we've grown from 3k to 200k UK active GLP-1 patients. We’ll continue this growth curve to hit $1B ARR.
Step 2 → $10B ARR by end of 2028: Blitzscale Europe. We’ll be Europe’s largest GLP-1 provider.
Step 3 → $100B/yr by end of 2030: Get regulatory approval across Europe for our Full Autonomous Prescribing (FAP) system. Win contracts at scale with European payers to mass replace human labor. We’ll be the dominant full-stack AI doctor in Europe.
Step 4 → $1T/yr by end of 2035: With one line of code and zero human time, you can use AIOS to treat any patient globally with any medication.
In so doing, we’ll become the world’s first trillion-dollar healthcare company.
We’re a young, founder-led company. This is still Day 1 and all our work is ahead of us.
You can read more about working with us here: Working at AIOS
Being a Clinical Ops Lead at AIOS
We’re building a world-class team.
As Clinical Ops Lead at AIOS Tech, you’ll build an A+ clinical operations team at scale. You’ll also be our CQC Registered Manager, personally accountable for the safety and quality of our regulated service.
You’ll:
Lead a fast-growing UK clinical ops team. Set the bar high and make sure your team holds it.
Be our CQC Registered Manager. We’re inspection-ready every day, and you build the systems that keep us there.
Nail capacity planning. No backlogs, no long waits, no clunky patient experiences.
Build an operation that runs itself. Clear KPIs and SLAs, and performance management that’s automated first, so it scales as we grow.
You’re a killer operator first. You run on numbers, cadence and relentless follow-through. You spot problems before they show up in the data, fix them at the root and make sure they don’t come back. To you, the best-run operation is also the safest and most compliant one.
Our patients deserve a world-class experience. You use technology to close gaps, keep standards high and redesign pathways around what’s best for patients.
You’re not pretentious. You’ll get stuck in with the leads who report to you and make sure our strategy holds up as we scale. You’ll work with our Talent team to hire and keep the sharpest people in the country.
Doing this well means we become the UK’s largest GLP-1 provider and expand into new verticals, safely, compliantly and without slowing down.
This is a full-time, fully remote role in the UK, with occasional travel to Bolt Pharmacy in Blackburn. You’ll have flex in your calendar for kids if you have them — many of our team have kids so we’re kid-friendly.
This is a Lead role. You’ll report directly to our Head of Clinical Product & NI, Farah Haque. We’re intense, so you’ll also be intense.
You’ll also work closely with:
Arvee Sese-Bondoc, Customer Support Lead
Phuong Nguyen, Superintendent Pharmacist
Rich Hannibal, Head of Customer Experience & Operations
Zoe Wheeler, UK People Lead
Key responsibilities
Registered Manager: You’re our CQC Registered Manager and personally accountable for safe, high-quality care. You own our relationship with the CQC, set our compliance strategy and make sure the business meets the fundamental standards as it scales.
Quality: Working with the NI, you set our path to an Outstanding rating. You build a service that runs to the CQC’s five key questions by default, so we’re inspection-ready every day.
Governance: You design and lead our governance framework for incidents, complaints, safeguarding and duty of candour. You make sure the lessons drive real change in how we work to keep patients safe.
Leadership: You lead the leaders. You set the performance bar, and build a strong bench of team leads who maintain high standards across the entire clinical operation.
Talent: You’ll partner with Talent to hire and keep A+ prescribers and Team Leads. You’ll have ongoing training in place as we expand into new verticals.
Operational strategy: You own capacity and workforce planning in step with growth and expansion. You make the calls on structure, resourcing and investment, so demand never outpaces us.
Performance: You set the KPIs and SLAs the operation runs on, and hold your leads to them. You objectively assess accurate data, and are responsible for the accuracy of that data.
Collaboration: You’re a senior voice in the leadership team. You bring clinical ops insight into company decisions and represent the service internally and externally.
Need to have
Experience: You have 3+ years leading teams in a high-growth, digital/telehealth organization.
CQC: You have experience as a CQC Registered Manager, and have taken a service through a CQC inspection and received rating Good or Outstanding.
Alignment: You have experience leading large clinical teams (>50), and you’ve likely led teams much larger than that (>100). You smoothly get large teams aligned so everyone’s adhering to protocols and SOPs.
Operator: You’re a killer operator, with a track record of running clinical operations based on metrics (SLAs, rotas, forecasting). You embrace accountability, and your reports do, too.
Metrics: You possess data fluency and understand the importance of accurate data when it comes to setting KPIs. You have owned critical KPIs in the past and don’t balk at the responsibility that comes with it.
Automation: You recognize that we’re in the midst of a technological revolution, and embrace AI and automation to kill off manual, clunky workflows. You ensure your team isn’t getting left behind.
Standards: You maintain exceptionally high standards, a bias to action and are happy to get stuck in. You detest pretentiousness.
Nice to have
Product & Engineering: You’ve worked with Product and Engineering to automate operational workflows in a start-up environment. You understand what they need and don’t make vague requests without clear justification. You validate what’s shipped yourself.
Scale: You’ve scaled a service through rapid growth and probably launched new clinical services or verticals along the way. You can “figure it out” as you go without needing your hand held.
Regulatory: You possess experience with regulators and standards beyond just the CQC, such as the GPhC, MHRA, ICO and/or DSPT
Our cultural standards
We aim to make this your life's work. This should be the most challenging, most rewarding role of your life. Accordingly, these are the core cultural standards to which we hold ourselves & our team-members:
Belief in the mission: We will have served 100 million patients by the end of 2030 and we transform the life of most patients who join. We have a lot of work to do. We are obsessed with our patients and are dedicated to the mission.
Unwavering integrity: We are at the frontier, so we often live in ambiguity with no trodden path. When we can't look to others for guidance, we must maintain impeccable ethics and unwavering integrity.
Only the paranoid survive: Bad sh*t is coming. By joining us, you're choosing to sail straight towards the storms with unhesitating conviction. However much we've already done, however far we've already come, it's still Day 1 and all our work is ahead of us.
If we're average we fail: We are only interested in "insanely great", a focus on the quality of our execution that in everyday life would be considered pathological. We have a dedication to excellence and reject incompetence.
Commitment to candor: That which can be destroyed by the truth should be. You get full transparency from the company and the company expects full transparency from you. We never say anything about someone that we wouldn't say to them directly. We give feedback with love and do not need to protect people from fleeting physical sensations.
A maniacal sense of urgency: We execute at an intensity that most people think is impossible. Speed is critical and we need things done yesterday. We all work very hard and in such a competitive world there really is no other way to win.
Enduring frugality: We are frugal. We hate being wasteful and we are anti-luxury. A culture of cheapness keeps us young. We spend our cash wisely & carefully, in a way that would make our grandmas proud.
Bulldozing barriers: The world is malleable and we shape it. We truly believe this and act accordingly. We are relentlessly resourceful and are at the mercy of no-one but ourselves. You'll be shocked how capable you are and how much you can achieve.
Keep your head down: We're boring people doing exciting work. We don't chase short-term status. We ignore short-term dopamine hits and focus on what matters. Outsiders will underestimate us and we revel in that.
The power of focus: We live in a world of power laws and we cannot overestimate the unimportance of practically everything. Know your One Thing, and nail it.
🎯 "You just build a f*ing amazing experience. Make each step amazing. Make every decision in the long term interest of the customer. Give the customer massively more value than you take."
Compensation & Benefits
You get paid above market salary and you get early stage equity, so you get really rich if we nail this.
Compensation: £90k–£150k/yr inc equity
Benefits
The stuff below is cool as well.
Healthcare: comprehensive medical insurance (if appropriate).
Remote: our team is fully distributed across the world and functions fully remotely.
Personal development: £1,000/yr budget for books, courses, coaching.
Personal wellness: £1,000/yr budget for gym, health apps.
GLP-1s: free membership with a clinic offering GLP-1s.
Health coaching: free biweekly health coaching so you stay healthy.
Work coaching: free biweekly work coaching so you stay sharp + calm.
Equipment: Macbook & work-from-home equipment provided as needed.
What are we missing? We're still early so you get to shape our culture.
How to apply
Apply on Ashby