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Business and Operations Associate (US Healthcare Company)

Job Position: Business and Operations Associate

Work Arrangement: Fully Remote

Job Type: Full-time, Independent Contractor

Work Schedule: Monday–Friday, 9:00 AM to 6:00 PM Eastern Time

About Pearl Talent:

Pearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They’re looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we’ve hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.

Hear why we exist, what we believe in, and who we’re building for: Watch here

Why Work with Us?

We’re not just another recruiting firm—we focus on placing candidates with exceptional US and EU founders who prioritize the long-term success of their team members. We also provide retention bonuses at 3, 6, 9, and 12 months, as well as community-driven benefits like an annual retreat.

About the Company

Our client is a U.S.-based startup dedicated to helping people navigate complex care systems so they can live healthier, better lives. They work closely with providers and caregivers to deliver personalized support, streamline processes, and improve outcomes for the communities they serve.

We’re looking for an Operations Associate to join their growing team. This role is ideal for someone who is detail-oriented, resourceful, and eager to learn. You’ll support hiring and onboarding initiatives for frontline staff while also contributing to broader business operations that keep a fast-moving startup running smoothly.

Role Overview:

As an Operations Associate, you’ll play a key role in building and supporting the team that delivers care. Your initial focus will be on recruiting and onboarding new guides, ensuring they have everything they need to succeed. Day-to-day, you’ll manage candidate communications, send out offers, coordinate onboarding events, and make sure accounts and training are set up properly.

This role is ideal for someone who is highly organized, detail-oriented, and enjoys making processes run smoothly. You’ll work closely with a cofounder, gain visibility into how an early-stage startup operates, and over time, take on broader operational responsibilities as the company grows.

Core Responsibilities:

Candidate and New Hire Communications

  • Manage communications with candidates in the hiring pipeline, including answering questions, sending batch updates, and ensuring timely responses throughout the process.

Offer Management & Onboarding

  • Oversee the onboarding process for new hires: send offer letters and track signatures, coordinate start dates, provision accounts, schedule onboarding events, and ensure all onboarding to-dos are completed.

Point of Contact for New Hires

  • Serve as the main contact for new guides during the hiring and onboarding process, fielding questions and ensuring a smooth experience.

Process Improvement & Systems

  • Support the development and maintenance of systems and processes that streamline hiring and onboarding (e.g., applicant tracking, workflow improvements).

Team Monitoring & Support

  • Assist in tracking and analyzing guide team performance, flagging issues and helping management address challenges.

Operational Flexibility

  • Take on additional operational and administrative responsibilities as needed, with the potential to expand into broader or more strategic responsibilities as the company grows.

  • Prior experience working in a startup or similarly fast-paced, ambiguous environment, with the ability to thrive without needing step-by-step instructions.
  • Exceptional English communication skills (written and verbal) — friendly, professional, and prompt in interactions with candidates, new hires, and internal stakeholders.
  • Strong attention to detail and organizational skills to manage multiple moving pieces without errors or dropped balls.
  • A self-starter mindset with the initiative to identify issues, take ownership, and follow through to resolution.
  • Comfortable with adaptability and flexibility — able to adjust to shifting priorities and take on a wide range of administrative and operational tasks.
  • Tech-savvy and able to quickly learn tools like Google Suite, Slack, Notion, or similar platforms for communication and account provisioning.
  • Problem-solving ability and a proactive approach to improving processes, streamlining workflows, and ensuring smooth operations.
  • Strong interpersonal skills and emotional intelligence, with empathy and patience to support new hires and build rapport across the team.
  • A growth mindset — eager to learn, open to feedback, and motivated to expand into broader responsibilities as the company grows.
  • Passion for making a positive impact on people’s lives, especially through improving access to care and support.

Remote Work: Fully remote—work from anywhere

Work Schedule: Monday to Friday, 9:00AM - 5:00PM EST

Generous PTO: Ample paid time off to rest and recharge

Health Coverage: HMO coverage after 3 months

Direct Mentorship: Grow through guidance from international industry experts

Learning & Development: Ongoing access to resources for professional growth

Global Networking: Work and connect with professionals around the world

Work-Life Balance: Flexible hours that support a healthy work-life balance


Our Recruitment Process:

  1. Application
  2. Screening
  3. Skills Assessment
  4. Top-grading interview
  5. Client Interview
  6. Job Offer
  7. Client Onboarding

Ready to Join Us?

If this role aligns with your skills and career goals, we’d love to hear from you. Apply now to take the next step in your journey with Pearl.

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CEO of Pearl
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Terry West
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Average salary estimate

$59000 / YEARLY (est.)
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$48000K
$70000K

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Full-time, remote
DATE POSTED
September 14, 2025
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