Fathom Chief of Staff at Fathom responsible for operational leadership and deploying AI agents across company workflows. Supports CEO and leadership team by managing board communications and internal systems.
Responsibilities
We’re hiring a Chief of Staff to work directly with the CEO and extend the leadership team’s reach. This is an operator’s job: you’ll own the systems that keep the company running, drive the cadence of board and investor communications, and lead how we deploy AI agents across our own operations. We build autonomous AI for our customers; we expect to run the company the same way. You’ll sit close to every major decision and be expected to move them forward.
Operations support
Run the leadership team’s operating cadence: staff meetings, OKRs, quarterly planning, and the follow-through that makes them stick
Own the operational backbone across GTM, finance, and people: pipeline reviews, forecasting, reporting, and planning cycles
Own HubSpot and our core internal tooling as systems: data quality, stage definitions, and the dashboards leadership and the board rely on
Take on special projects the CEO would otherwise own, from diligence and RFP responses to market analyses and internal process design
Identify what’s breaking as we scale and fix it before it becomes a fire
Agentic implementation
Map our internal workflows and identify where AI agents can take over work outright: pipeline hygiene, reporting, prospect research, RFP drafting, customer onboarding, investor updates, and more
Build and deploy those agents yourself using tools like Claude, HubSpot, and our internal data, and own them in production
Establish the standards for how the company uses agents: what gets automated, how outputs are reviewed, how we measure the hours and dollars recovered
Be the internal evangelist and teacher; get every function running on agents, not just the ones you touch directly
Qualification
Hands-on with AI toolsStrong analytical chopsExcellent writerSystems thinker with a bias for action
Required
4–8 years in a role that rewarded both rigor and execution: bizops or strategy at a growth-stage company, consulting, banking, or a prior chief of staff seat
Hands-on with AI tools. You’ve built real workflows with LLMs and agents, not just used a chatbot, and you’re comfortable with light scripting, APIs, and CRM configuration
Strong analytical chops. Comfortable building a model in Excel, pulling your own data, and turning it into a clear narrative
Excellent writer. You can draft a board memo or investor update the CEO would send with light edits
Systems thinker with a bias for action: you’d rather build the process than describe the problem
High judgment and discretion with sensitive company, customer, and investor information
Healthcare or enterprise SaaS experience is a plus; curiosity about revenue cycle and clinical AI is required
You’ll get an unusually direct view into how a category-leading healthcare AI company is run and grown, and a mandate to rebuild its operations around AI agents. People who succeed here typically go on to lead operations, a business unit, or found their own company.
