Head of Efficiency

Sword Health is on a mission to free two billion people from pain. 

With 67% of members achieving a pain-free life and a 70% reduction in surgery intent, at Sword, we are using AI Care to change lives, and save millions for our 25,000+ enterprise clients across three continents. Today, we hold the majority of industry patents, win 70% of competitive evaluations, and have raised more than $400 million from top venture firms like Founders Fund, Sapphire Ventures, General Catalyst, and Khosla Ventures.

Recognized as a Forbes Best Startup Employer in 2025, this award highlights our focus on being a destination for the best and brightest  talent. Not only have we experienced unprecedented growth since our market debut in 2020,  but we’ve also created a remarkable mission and value-driven environment that is loved by our growing team. With a recent valuation of $4 billion, we are in a phase of hyper growth and expansion, and we’re looking for individuals with passion, commitment, and energy to help us scale our global impact. 

Joining Sword means committing to a set of core values, chief amongst them to “do it for the patients” every day, and to always “deliver more than expected” on behalf of our members and clients.

This is an opportunity for you to make a significant difference on a massive scale as you work alongside 1000+ (and growing!) talented colleagues, spanning three continents. Your charge? To help us build a pain-free world, powered by AI, enhanced by people — accessible to all.

You’ll lead company-wide efficiency at Sword Health - ensuring every dollar, hire, and process becomes an impact multiplier as we continue to scale globally. This is not about cutting costs, it’s about building visibility, driving automation and AI adoption, and helping Sword grow faster without doubling its cost base.

The Finance Team at Sword plays a pivotal role in scaling the company and driving sustainable growth. We partner across the organization to lead financial planning, analysis, and operations - ensuring smart resource allocation, rigorous compliance, and strategic insights that enable informed decisions and long-term impact.

• Oversee all company spend, from direct (hardware, supply chain) to indirect (software, vendors, marketing, professional services) to staff costs.
• Partner with FP&A and all budget owners to connect hiring, vendor, and automation decisions to measurable ROI.
• Build systems / dashboards that create transparency and accountability across every spend category.
• Identify and lead automation or process redesign initiatives that increase output and speed across the company.
• Manage and grow a small, high-impact team (including 2 Procurement Leads and a Headcount/Workforce Analyst) to execute initiatives.
• Work directly with the CFO, CEO, and other leaders to design how Sword scales from here.

• 7+ years of experience in Efficiency roles, Strategy/Operations Consulting, PE/IB with operating exposure, or Finance/Operations leadership roles.
• Proven record driving cross-functional transformation and delivering measurable efficiency or productivity gains.
• Strong financial and analytical skills - able to quantify ROI and link efficiency programs to business results.
• Solid understanding of org design and workforce planning, ideally partnering with FP&A or HR teams.
• Strong executive presence — confident partnering with C-level leaders and influencing without authority.
• Comfortable with technology and AI adoption, from SaaS automation to AI-driven process improvement.

• Experience overseeing procurement processes (direct or indirect), vendor negotiations, and spend governance.
• Background in a high-growth tech or healthcare scale-up, ideally with international expansion.
• Hands-on experience deploying automation or AI tools to replace or augment manual workflows.
• Track record building procurement or transformation functions from scratch.
• Blend of strategic and execution mindset: able to zoom out to design systems, and zoom in to make them work.
• Curiosity and grit: you get energy from solving complex, cross-functional problems.
• Consulting toolkit or PE-style value creation mindset - you think in terms of leverage, not just savings.

• A stimulating, fast-paced environment with lots of room for creativity;
• A bright future at a promising high-tech startup company;
• Career development and growth, with a competitive salary;
• The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare;
• A flexible environment where you can control your hours (remotely) with unlimited vacation;
• Access to our health and well-being program (digital therapist sessions);
• Remote or Hybrid work policy. 

US - Sword Benefits & Perks:

• Comprehensive health, dental and vision insurance*

• Equity shares*

• Discretionary PTO plan*

• Parental leave*

• 401(k)

• Flexible working hours

• Remote-first company

• Paid company holidays

• Free digital therapist for you and your family

*Eligibility: Full-time employees regularly working 25+ hours per week

Portugal - Sword Benefits & Perks:

• Health, dental and vision insurance

• Meal allowance

• Equity shares

• Remote work allowance

• Flexible working hours

• Work from home

• Discretionary vacation

• Snacks and beverages

• English class

*US Applicants Only: Applicants must have a legal right to work in the United States, and immigration or work visa sponsorship will not be provided.

*Please note that this position does not offer relocation assistance. If in Portugal, candidates must possess a valid EU visa and be based in Portugal.

Sword Health complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.