Adaptive Innovations General Manager at Adaptive Innovations owns and operates individual markets for an AI-enabled Post Acute Care platform. The role includes full P&L ownership, driving census growth, and managing operations and clinical quality.
Responsibilities
We're hiring General Managers to own and operate individual markets as we scale our AI-enabled Post Acute Care platform nationally.
This is a P&L ownership role. You will run your market — a metropolitan area or MSA — as your own business. You own the census, the margin, the team, the clinical quality, and the growth trajectory. You operate with a broad mandate: hit your numbers, build your team, win your market.
This is a "run a business, not a workstream" role. Some GMs will take over existing operations and transform them. Others will stand up new markets from scratch, including post-acquisition integrations. All will be expected to operate with the intensity, ownership, and judgment of a founder running a business backed by a growth-stage platform and top-tier investors. All GMs will be supported by central resources and given a robust onboarding program to learn the industry and the business before “getting in the seat”.
What the GM Owns
Full accountability for your market's financial performance — revenue, census growth, gross margin, and unit economics
Drive census growth in partnership with Sales, translating referral pipeline into admitted, scheduled, and served patients
Use data and AI-driven tooling to make daily resource allocation decisions that convert top-line growth into bottom-line results
Run daily execution across scheduling, staffing, clinical compliance, and service delivery — dashboards, exception reports, audits, and real-time capacity management
Single point of accountability for compliance, survey readiness, and clinical quality in your market
Partner cross-functionally with centralized Technology, Compliance, & Operations — these functions support you, but you own the local outcomes
Hire, develop, and lead your market's operations team — Schedulers, Patient Care Coordinators, Clinical Managers, Sales Reps, and field clinicians
Build bench strength ahead of volume. Sequence hiring and training to support growth, not just maintain current operations
Qualification
You're a high-ceilingMust-Have ExperienceTeam building at scale — you've hiredOwnerBuilderIntensity is your defaultSystems over heroicsMilitary experienceWhat We Don't Require
Required
You're a high-ceiling, low-ego operator who wants to own a real business and a real team — not a workstream or a slide deck. You've run complex, people-heavy operations before and you're looking for a role where performance is rewarded with real upside and increasing scope.
This is a blend between platform roll up and startup. Every day brings a new problem. If you err toward action, are hungry for early ownership, and are comfortable making decisions with 80% of the data, you'll thrive here.
Must-Have Experience
People leadership — you know how to lead others, set a high bar, and build trust through clear expectations and direct feedback
Operational execution at intensity — you've built and managed operational systems across complex, multi-stakeholder environments.
Team building at scale — you've hired, onboarded, and scaled teams in operationally intensive environments. You can cite specific sourcing strategies, hiring mistakes, and the process changes you made as a result
Performance management — you've made difficult calls: coaching plans, demotions, terminations. You act decisively and can walk through the judgment behind each decision
Data-driven problem solving — you have a strong analytical toolkit. You're comfortable with data, can build a simple model quickly, and always get to the "so what." You use data to diagnose root causes and drive organizational change, not just report on lagging indicators
Owner, not purely an advisor. You want to be on the hook for the P&L — and you're energized by that accountability
Builder, not maintainer. You're energized by standing up new markets, fixing broken operations, and scaling what works
Intensity is your default. You manage multiple competing priorities without getting overwhelmed. You thrive in high-tempo operating environments
Systems over heroics. You solve problems by building process and infrastructure, not through individual effort that doesn't scale
Preferred
Experience in PE-backed operating companies or multi-site service businesses
Experience managing through rapid growth, post-acquisition integrations, or turnarounds
Military experience
Multi-site or multi-market operational leadership
Familiarity with AI-enabled operations or real-time operational instrumentation
What We Don't Require
Home health experience — operational execution capability is what matters
Healthcare experience — strong operators from logistics, field services, staffing, or marketplace businesses translate well