MD ALLY - 911 NETWORK NAVIGATION
MD Ally is a non-emergency 911 navigation solution that enables care pathways from 911 to the broader healthcare ecosystem. Our solutions connect members calling 911 with non-emergency concerns to virtual care instead of transporting them to costly emergency services. We enable partnerships between Public Safety and Payors that expand access to care and improve clinical and financial outcomes.
WHAT YOU'LL DO
The Sr. Corporate Operations Manager owns the day-to-day execution of MD Ally's General & Administrative (G&A) operations, working as a direct operational partner to the organization and leadership team. This role manages the vendors, processes, and deliverables that keep the business running — from our outsourced accounting firm and the employee lifecycle, to vendor management, contract review, corporate insurance, and compliance tracking — so that leadership can stay focused on growth and our team can stay focused on outcomes. You have an automation first mindset – building workflows, skills, and processes to minimize manual work and build scalability throughout the organization.
This is an execution-focused generalist individual contributor role. The ideal candidate has hands-on experience in finance, HR, or legal operations, is comfortable owning recurring deliverables independently, and has good judgment for when to handle something directly versus when to flag it for leadership, outside counsel, or an outside specialist.
As an early-stage startup, MD Ally needs someone who builds lightweight, scalable processes rather than over-engineering solutions, and who treats vendor spend, contracts, and deadlines with the same discipline the company applies to everything else.
Key Responsibilities:
Accounting & Finance Operations
- Serve as MD Ally's primary point of contact for our outsourced accounting/bookkeeping firm, coordinating day-to-day deliverables across accounts payable, accounts receivable, reconciliations, payroll, and month-end/quarter-end/year-end close.
- Coordinate with outside tax consultants and ensure timelines and requirements are tracked, materials delivered on time, and the business license/franchise tax calendar is managed.
- Support the annual financial statement audit by coordinating document requests between the audit firm and the accounting firm and tracking open items to closure. Coordinate leadership participation as needed, minimizing impact to leaders throughout the process.
Vendor & Contract Management
- Own the end-to-end vendor lifecycle: intake and review of new vendor requests (routing for budget, security, and compliance review as needed), selection support, onboarding, and renewal.
- Perform first-pass review of standard vendor contracts and Business Associate Agreements (SaaS agreements, registered agent services, etc.), flagging material terms, pricing, and auto-renewal/termination clauses, and escalating substantive legal questions to outside counsel.
- Maintain a single master vendor and contract log (terms, renewal dates, pricing, notice periods) and use it to proactively manage renewals, renegotiations, and offboarding of unused vendors.
- Review and approve (or route for approval, as appropriate) vendor invoices and employee expense reports for accuracy against contract terms and budget prior to payment, escalating discrepancies or outliers, and administer the expense policy.
People Operations (HR)
- Own full-cycle hiring logistics: job posting, candidate scheduling/coordination, offer letter preparation, background checks, equipment management, and new hire onboarding.
- Manage offboarding end-to-end, including exit logistics, final pay coordination, benefits termination (COBRA), and access/equipment revocation coordination with IT; partner with counsel as appropriate.
- Administer employee benefits programs in partnership with our Benefits Consultant, including open enrollment, carrier relationships, invoice reconciliation, and serving as the employee point of contact for benefits questions.
- Own HR policy management: draft, maintain, and update the employee handbook and HR policies, ensuring they stay current with multi-state employment law and are consistently applied.
- Maintain HR files and ensure multi-state employment compliance (new hire reporting, required postings, etc.) in partnership with the payroll/accounting provider.
- Support terminations, ensuring documentation and process steps are followed and appropriately escalated.
- Administer payroll on an ongoing basis.
Business Management
- Manage the corporate insurance program: track policy renewals (general liability, tech E&O, cyber, workers' compensation, D&O), produce certificates of insurance requested by partners, and serve as the primary contact with the insurance broker.
- Own company mail and registered agent administration, including state registrations/qualifications as MD Ally expands into new states.
- Support business tax administration (business licenses, franchise tax, annual reports) in partnership with the accounting firm and tax consultants.
- Manage recurring administrative operations: corporate filings, subscriptions, and day-to-day business logistics for a fully remote company.
Compliance Program Management
- Maintain the master compliance tracker of key deliverables (regulatory filings, policy review cycles, audit deadlines, insurance renewals, contract renewals) and drive completion against deadlines.
- Coordinate Compliance Committee logistics and documentation, ensuring governance actions and policy updates are tracked and appropriately recorded.
- Partner with compliance counsel to apply HIPAA, SOC 2, and other regulatory requirements to day-to-day operations.
Audit & Special Projects (Project Management)
- Project manage the annual financial statement audit: coordinate deliverables against the audit firm's timeline and manage internal stakeholders and document requests.
- Project manage the SOC 2 audit: coordinate evidence collection, control owners, and auditor requests, and track remediation items to closure.
- Own the workers' compensation program end-to-end: policy renewal/audit process, payroll data submissions, claims coordination, and certificate requests.
- Lead other cross-functional G&A projects assigned by leadership, building lightweight trackers to report status.
Who you are:
- Ability and desire to work in a fast-paced startup environment with shifting priorities and limited dedicated support.
- Interest and ability to build automation, through a variety of tools and skills.
- A true generalist who flexes into whatever company need is highest priority — finance, HR, legal, or compliance — reprioritizing quickly and picking up new or undefined requests with minimal hand-holding; this role is defined by outcomes, not a fixed lane.
- Proactively identifies gaps in G&A coverage and steps in before being asked, rather than waiting for a formal assignment.
- Strong project management instincts: nothing falls through the cracks, and deadlines are tracked proactively, not reactively.
- Sound judgment for when to handle something directly versus escalate to leadership, outside counsel, or a specialist vendor.
- High degree of discretion and trustworthiness handling confidential financial, HR, and legal information.
- Clear, professional written communication for vendor-, employee-, and partner-facing correspondence.
- Comfort operating with limited process and building lightweight structure as needed, without overbuilding for an early-stage company.
Minimum Requirements:
- 5-10 years of experience in a G&A, corporate operations, business operations, accounting, HR, or legal operations role, with exposure across more than one of these functions.
- Demonstrated ability to manage multiple recurring deliverables and deadlines simultaneously without dropping items.
- Excellent written and verbal communication skills, with the ability to represent MD Ally professionally to vendors, auditors, and partners.
Bonus:
- Bachelor's degree preferred, or 10+ years of relevant experience in lieu of a degree; healthcare or health tech startup experience (HIPAA/SOC 2 environment) is a plus.
- Experience managing vendor relationships end-to-end — intake, selection, onboarding, invoice review, and renewal — including outsourced service providers (accounting firms, PEOs/insurance brokers, registered agent services) and holding them accountable to contracted deliverables.
- Working knowledge of core HR operations, from hiring through offboarding, including benefits administration and HR policy/handbook maintenance.
- Comfort reading and doing a first-pass review of standard commercial contracts (NDAs, SaaS agreements, BAAs) — this role is not a substitute for legal counsel on substantive matters.
- Experience supporting a financial statement audit, SOC 2 audit, or similar compliance audit.
- PHR/SHRM-CP, paralegal certificate, or similar credential; familiarity with accounting systems (e.g., QuickBooks), HRIS/payroll platforms (e.g., Rippling, Gusto), and compliance tracking tools.
If you are highly motivated and experienced in G&A or corporate operations, we encourage you to apply!
MD Ally is an Equal Opportunity Employer and we use E-Verify to confirm the identity and employment eligibility of all new hires.
Candidates must be legally authorized to work in the United States without sponsorship.