Chief Operating Officer, Cayaba Care
$275-300k
Accessible maternal health care
Be an early applicant
Accessible maternal health care
21-100 employees
Be an early applicant
$275-300k
21-100 employees
Company mission
To ensure families have access toa local and comprehensive networks of maternal support that improves maternal health outcomes and alleviates the stress and isolation of the maternal journey.
Role
Who you are
- A track record of senior operations leadership, ideally in early-stage tech-enabled healthcare services or similarly complex, human-delivered services
- Demonstrated success installing operating cadence, KPI systems, and cross-functional execution discipline in a scaling organization
- Robust experience scaling multi-site or multi-market operations while maintaining quality and customer satisfaction
- Strong people leadership and organizational design capability; experience building leaders and clarifying accountability
- Comfort partnering deeply with product, data, and engineering teams to operationalize tooling and reporting improvements
- High integrity and empathic approach to leadership and management
- Mission-driven and values-aligned; committed to improving maternal outcomes and member experience
- Low-ego, high-ownership operator who drives clarity and execution without creating friction
- Agile, structured, decisive, and calm under pressure; excellent written and verbal communicator
- Builder mindset: enjoys creating systems, playbooks, and teams in an ambiguous, fast-changing environment
What the job involves
- Cayaba Care is seeking a Chief Operating Officer (COO) to serve as the CEO’s primary operating partner and own day-to-day execution across the business
- The COO will install a rigorous operating cadence, clarify accountability, and build scalable operational infrastructure to support multi-market expansion and performance excellence
- This role will report directly to the CEO
- This leader will drive execution of 2026 priorities, including scaling operations across Tennessee, Maryland, and Washington, DC and beyond, while improving delivery consistency, implementation speed, and measurable outcomes reporting
- This role will directly manage the Care Operations and Care Delivery teams
- Other key partners include the Marketing and Membership Acquisition team, Product, Engineering, and Data teams, Finance team, and People team
- As the Chief Operating Officer, you will serve as the architect of our next phase of growth
- You will build the scalable "operating system" and execution engine necessary for multi-market expansion while directly influencing maternal health outcomes
- Reporting to the CEO, you will be a core strategic partner in shaping our organizational culture, building high-performing teams, and institutionalizing our mission-driven, community-oriented model
- Owning the Operating System (cadence, KPIs, accountability)
- Establish quarterly goal setting, KPI ownership, and a consistent execution rhythm (weekly business reviews, SLT check-ins, escalation paths)
- Build and maintain dashboards that connect enrollment and engagement to capacity, delivery performance, client reporting, and renewals
- Drive “on-track / at-risk” management routines with rapid issue resolution and clear decision rights
- Care Delivery & Implementation Excellence (time-to-revenue, readiness, repeatability)
- Operationalize a repeatable delivery and implementation playbook that reduces time-to-revenue and improves launch predictability
- Ensure cross-functional readiness for new plan and market launches (staffing, training, tooling, reporting, compliance)
- Build a scalable implementation function (or strengthen it) as contract volume and complexity increase
- Partner with Product and Technology to maintain operational excellence
- Scale Multi-Market Operations & Delivery
- Lead execution of market scaling, ensuring operational readiness and consistent performance
- Implement disciplined capacity planning to support rapid growth while protecting care quality and member experience
- Standardize playbooks and operating procedures across markets; ensure learnings are codified and reused
- Customer Success, Renewals & Outcomes/ROI Reporting
- Strengthen the operating backbone for payer reporting and customer success, improving renewal and expansion performance
- Partner with analytics and product to advance outcomes reporting and ROI narratives that matter to plans (quality, utilization, cost impact)
- Create consistent executive-level client performance reviews and action plans
- Field Org Design, Leadership Development & Culture
- Partner with HR to clarify field/market operating org structure, decision rights, and accountability across teams; remove bottlenecks and overlapping ownership
- Hire, coach, and develop an operations leadership bench; build a high-performance, low-ego execution culture
- Lead change management and communication practices that improve alignment and reduce organizational drag
- Operating Plan & Resource Stewardship with Finance
- Partner with Finance on annual plan, staffing and capacity models, and unit economics; ensure the operating plan is executable
- Drive operational efficiency and cost discipline while maintaining quality and member experience
- Build systems for forecasting, scenario planning, and resource reallocation as conditions change
Our take
While the USA has an extremely advanced healthcare system, maternal mortality rates are the highest of all developed countries. Inequality in access to maternal healthcare means that mothers, particularly from Black, Indigenous and Hispanic communities, are two to three more times likely to die from pregnancy-related complications than white women.
Cayaba Care was founded in 2020 to help reverse this - by providing care for pregnant women in underserved communities at no or little cost. By providing a single point of contact for patients and carrying out regular in-home and virtual visits it aims to greatly increase health outcomes for people who are not currently being served by the US healthcare system.
The company has also raised significant funding, which will allow it to expand its service starting with New Jersey, with several other states in its sites. With this expansion will come hiring in health, sales and tech as it seeks to develop its technology to better reach underserved communities.
Freddie
Company Specialist at Welcome to the Jungle
Company
Funding (last 2 of 3 rounds)
Mar 2024
$4.4m
EARLY VC
May 2022
$12m
SERIES A
Total funding: $19.6m
Company HQ
West Parkside, Philadelphia, PA
Leadership
Adaeze Enekwechi
(CEO)Graduated from the University of Iowa with a PhD in Health Management and Policy. Previously a Chief Member at Chief, and Executive in Residence at The Health Management Academy, and an Advisor Evidation Health. Also spent nearly 6 years at The George Washington University as a Research Associate Professor of Health Policy and Management and nearly 2 years at the White House Office of Management and Budget as an Associate Director of Health Programs.
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