Operations Scaling

Tandem is a generational opportunity to rethink how we bring new therapies to market, and our path to doing so is significantly de-risked – we have:

• Exponential organic growth: We have product-market fit and are growing rapidly. Tandem supports thousands of new patients every day, is spreading with doctors through word-of-mouth, and works with the largest biopharma companies in the world.

• An AI-first business model: Our approach is distinctly enabled by AI, but our business gets stronger (not commoditized) as foundation models improve. We are building durability through two-sided network effects that compound over time.

• Top tier investors: With the traction to support conviction in our model, we raised significant funding from top investors (Thrive Capital, General Catalyst, and Accel) to build an exceptional team of engineers and operators.

Our number one priority is scaling to market demand. We are looking for individuals who are high horsepower, high throughput, and hyper resourceful to help us increase capacity and grow. We move fast and need to move faster.

All full-time roles are in person in New York. You can learn more about working with us in the last section of this page.

As a key member of Tandem’s Operations team, you’ll be responsible for the execution, performance, and continuous improvement of a core part of our business. You’ll lead a frontline team, own measurable outcomes, and work closely with engineering to optimize workflows and implement automation — including AI-powered tools — that scale our impact.

This role is central to ensuring every patient and provider we support experiences fast, reliable, and high-quality service. You’ll combine analytical problem-solving with hands-on execution to deliver operational excellence, while continuously improving systems and processes as we grow.

This is a high-ownership role that blends strategic thinking with execution intensity. You’ll have autonomy, visibility, and the opportunity to shape how Tandem delivers at scale. If you are low-ego, data-driven, and energized by building systems that make complex operations run beautifully — we want to hear from you.

• Own performance and outcomes across a core operational function — including throughput, quality, and reliability

• Lead and develop a frontline team, setting clear goals, managing performance, and building a culture of accountability and excellence

• Design and improve processes, training, and quality systems to ensure consistency, scalability, and high impact

• Use data to drive insights and decisions — identifying gaps, diagnosing issues, and implementing solutions that improve performance and efficiency

• Partner closely with engineering to design, test, and roll out automation and workflow improvements (including AI-powered tools and low/no-code prototypes)

• Deliver an exceptional experience for patients and providers through operational rigor and empathy

• Collaborate with leadership to inform strategy, forecast capacity, and shape how Tandem scales intelligently over time

• 2–8 years of experience in operations, consulting, finance, or another analytical, outcome-oriented environment (startup experience a plus)

• Proven track record of owning metrics and driving measurable improvement across operational functions

• Experience building or managing high-performing teams and scaling workflows

• Strong analytical and technical fluency — comfort working with data; bonus for SQL, automation tools, or AI-driven systems

• A bias for action: you move fast, simplify complexity, and find leverage through systems and tools

• Excellent communication and collaboration skills, with a reputation for being a high-NPS teammate

• A mindset of ownership, curiosity, and continuous improvement

This is a list of ideal qualifications for this position. If you don't meet every single one of them, you should still consider applying! We’re excited to work with people from underrepresented backgrounds, and we encourage people from all backgrounds to apply.

Tandem is based in New York, with our full team working out of a beautiful and spacious office in SoHo. 

We run as a high-trust environment with high autonomy, which requires that everyone is fully competent and operates in line with our principles:

• Commit to audacity. "Whether you think you can, or you think you can't – you're right.”

• Do the math. Be rigorous, assume nothing.

• Find the shortest path. Use hacks, favors, and backdoors. Only take a longer road on purpose.

• Spit it out. Be direct, invite critique, avoid equivocation – we want right answers.

• Be demanding and supportive. Expect excellence from everyone and offer help to achieve it.

• Do what it takes to be number 1. We work hard to make sure we win.

We provide competitive compensation with meaningful equity (for full-time employees). Everyone who joins early will be a major contributor to our success, and we reflect this through ownership and pay.

We also provide rich benefits to ensure you can focus on creating impact (for full-time employees):

• Fully covered medical, vision, and dental insurance.

• Memberships for One Medical, Talkspace, Teladoc, and Kindbody.

• Unlimited paid time off (PTO) and 16 weeks of parental leave.

• 401K plan setup, FSA option, commuter benefits, and DashPass.

• Lunch at the office every day and Dinner at the office after 7 pm.

Our salary ranges are based on paying competitively for our company’s size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Tandem (for full-time employees). Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity.

Tandem is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.