Operations & Executive Associate (US Healthcare Company)

Job Position: Operations & Executive 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:

Why Work with Us?:

At Pearl, we're not just another recruiting firm—we connect you with exceptional opportunities to work alongside visionary US and EU founders. Our focus is on placing you in roles where you can grow, make an impact, and build a long-term career. We believe in creating environments where your potential is recognized, your voice matters, and your success is tied to meaningful work—not short-term perks. Joining Pearl means stepping into opportunities that challenge you, support you, and set you up for lasting success.

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.

As a fast-growing, mission-driven team, they're looking for someone who thrives in a dynamic environment, is highly organized, and enjoys taking ownership of critical business functions.

Role Overview::

We're looking for an Operations & Executive Associate to provide direct support to company leadership while also helping to keep daily operations running smoothly. This role blends executive support (calendar management, communications, scheduling) with operations management (tracking team performance, improving processes, and supporting projects).

You'll be the go-to person for ensuring priorities move forward, details don't fall through the cracks, and systems run efficiently. Over time, this role offers the opportunity to take on broader operational responsibilities, including team oversight and performance management.

This is a great fit for someone who is detail-oriented, proactive, and eager to grow with an early-stage company.

Core Responsibilities::

Executive & Business Support:

• Manage calendars, coordinate meetings, and draft communications to support leadership in day-to-day priorities.

Team & Performance Monitoring:

• Track performance metrics, prepare reports, and flag issues for management to ensure accountability and consistency across the team.

Process & Systems Management:

• Maintain and improve workflows, documentation, and internal tools (Google Suite, Slack, Notion, etc.) to support efficient operations.

Onboarding & Administrative Support:

• Assist with onboarding and account setup for new hires as needed, ensuring a smooth start for team members.

Operational Flexibility:

• Take on a wide range of administrative and project-based tasks, with the opportunity to grow into broader or more strategic responsibilities as the company expands.

Requirements:

Requirements:

Must-Have (Non-Negotiable)::

• 1–2+ years in an Executive Assistant, Operations, or Business Support role
• Prior startup experience or direct experience working with a U.S.-based client/team
• Strong English communication skills (written & verbal) — professional, concise, and reliable in representing leadership
• Excellent organizational skills and attention to detail, able to manage multiple priorities without errors
• Proactive, self-starter mindset with the ability to anticipate needs and take initiative in a fast-moving environment
• A demonstrated track record of stability — ideally with at least one longer-term role (vs. multiple short stints)

Nice-to-Have (Negotiable)::

• Experience supporting or managing a team (quality control, reporting, performance tracking)
• Tech-savvy and comfortable learning new tools quickly (Google Suite, Notion, Slack, Airtable, etc.)
• A background in healthcare or adjacent fields

Benefits:

• Potential for profit share based on performance
• Fully WFH, forever
• Unlimited PTO
• Potential Growth Opportunities