Chief of Staff at Fella Health — Remote, US hours, $100k-$200k/yr + 0.4%-0.8%

About Fella Health

Fella Health helps middle-aged men live 10 years longer.

We are the telemedicine clinic for bigger guys, worldwide. We use medical weight loss treatment to solve our fellas' most pressing healthcare need, then remain a fella's core healthcare provider for the rest of their life - focused on men's health, longevity, mental health, and primary care.

We will have served 1 million fellas by the end of 2026, and 10 million fellas by the end of 2028.

Our mission is to solve male obesity worldwide, by accelerating the take-up of GLP-1s in middle-aged men. From this, we’ll become the world’s leading men’s health brand.

We’ve grown >100x since Sept 2022 (currently growing >30% MoM) and are strongly cashflow positive. We have expanded our state coverage to >95% of US population, have started to expand our clinical protocol beyond weight (e.g. testosterone), and are eyeing up international expansion.

We're still a young startup and are moving quickly. We have a long way to go. This is still Day 1.

You can read more about working at Fella here: https://fella.notion.site/Working-at-Fella-14a2ac8575d34d148d009bb410387af4

We're backed by top healthcare & consumer investors:

• Y Combinator

• Global Founders Capital — backed Facebook, Slack, LinkedIn, Revolut, Rocket Internet

• AngelList Early Stage Fund (backed by Naval Ravikant)

• BrandProject (venture-builder behind 2 unicorns)

• The founders of Indeed, Curative (unicorn), Alan (unicorn), Kaia Health (>$300mil valuation), Vouch Insurance (>$500mil valuation), Not Boring (Packy McCormick)

The opportunity as Chief of Staff

Fella is building a world-class team.

As Chief of Staff at Fella Health, you’ll help me run a great company 🙂

You’ll manage my focus to ensure I’m doing the right thing with my time. You’ll oversee internal operations to ensure our company is running smoothly on a tight internal operating system. You’ll spearhead special projects, leading what needs to be led and helping where help is needed.

You’ll take on tasks, projects and whole areas of the company. Your workflow will be to take on a problem, solve the problem, then build a system for the future. This role drastically scales up CEO time.

This is a senior role. You’ll have full, unfettered access to all the information I have as CEO. Great performance in the role means we can scale to be serving 1 million fellas by the end of 2026. In so doing, you’ll be on track to own a large area of the company in the coming years.

This is the single best training to become a CEO, founder, or department head. If you nail the role, you’ll be a top candidate for our future COO hire.

This is a full-time, fully remote role, and you’ll work in the US timezone of your choice.

You’ll report directly to me, Richie :) (our CEO) You’ll also work closely with our Leads: Clinical Ops Lead (Arvee Sese), Head of Growth (Dave Lane), Head of Engineering (Gzim Helshani), Sales Lead (Jordan Pellikan).

Key Responsibilities

• Manage CEO focus — you’ll ensure I’m doing the right thing with my time.

  • calendar: you’ll ensure my calendar matches my priorities. You’ll do calendar audits and daily standups with me to sync on our priorities.

  • mindspace: you’ll own small cross-company areas, projects, tasks that free up my time & energy — including email inbox, overseeing Slack, company mailboxes, ordering gifts.

  • calls: you’ll prep for my calls, then summarize & execute actions.

  • confidant: you’ll be my closest advisor; we’ll walk in sync.

• Oversee internal operations — you’ll ensure our company is running smoothly on a tight internal operating system.

  • people: you’ll help me lead a lean, high-performing team where people are doing the best work of their life.

  • planning: you’ll help me run biweekly sprints & quarterly planning with clear KPIs.

  • hiring: you’ll help run tight hiring processes, from role proposal through sourcing to onboarding.

  • finances: you’ll help run the finance function in Fella — monthly financial reviews for frugality & cashflow, sorting payroll & paying invoices, keeping accounting boring™.

  • internal OS: you’ll help me improve our company processes & underlying OS, including better decision-making & tight 1-1s.

  • upskill: you’ll train our team to be better operators & fearless entropy wranglers.

  • security: you’ll help me ensure tight company-wide security to avoid incidents which put at risk our patient data, our ability to practice medicine, or our ability to access our systems.

  • culture: you’ll ensure our behaviors meet our standards and our standards mirror our behaviors.

  • equity: you’ll work with me to ensure all team-members’ equity is calculated and allocated.

  • investors: you’ll help me send investor updates and help run a fundraising process when relevant.

  • legal: you’ll guide or execute necessary legal work as needed.

  • pulse: you’ll ensure I stay close to on-the-ground CX concerns from fellas.

  • meetings: you’ll help me run CEO-led events: All-Hands, my 1-1s, offsites, board meetings etc.

• Spearhead special projects — you’ll lead what needs to be led, and help where help is needed.

  • research: you’ll do market & customer research so our strategy stays agile on the frontier of the rapidly changing obesity & men’s healthcare market.

  • existential: you’ll help me protect against existential risks to the company.

  • long-term: you’ll help me ensure we’re moving in the right direction for continued success for the coming decade.

  • products: you’ll help research & flesh out expansion products so we better serve our fellas for a decade.

  • insurance: you’ll help spin up our insurance billing team and ensure things are running smoothly.

  • international: you’ll help our international expansion, including leading some country expansion until we hire a country manager.

  • org: you’ll help me build out new company teams as needed.

Need to Have

• Experience: you have 4+ years experience in a high-calibre, great-fit role. You do not need healthcare experience. I have a strong preference for people who understand & enjoy the scary speed of a high-growth startup.

• Systems: you think in and build out systems. In solving a problem you recognize the underlying system, then focus on improving the system itself to fix the true cause of an issue, automating where possible.

• Learning: you're an autodidact with impressive speed and resourcefulness. You regularly teach yourself the skills you need from scratch.

• Trenches: you don’t hesitate to get your hands dirty in the trenches. You’re not too pretentious to grind it out.

• Complexity: you're highly organized and can complete multiple projects concurrently.

• Mindset: you calmly handle uncertainty and rapidly changing situations.

Nice to Have

• Past: you've likely been pulled into important problems, taken risks, excelled in new areas. You've likely created something from nothing, however small.

• Future: you may want to start your own company in the future.

• Hiring: you may have experience building & managing a high-performance team.

• Figure it out: you’re likely one of those timeless people that could be dropped anywhere in the world, in any century, and you’d figure it out. Your friends probably think of you as that person :)

Our cultural standards

These are the core cultural standards to which we hold ourselves & our team-members at Fella:

• Belief in the mission — we will have served 10 million fellas by the end of 2028 and we transform the lives of most fellas who join. We have a lot of work to do. We are obsessed with our fellas and are dedicated to the mission.

• Bulldozing barriers — the world is malleable and we shape it. We truly believe this and act accordingly. We are at the mercy of no one but ourselves.

• Unwavering integrity — we are at the frontier, so we often live in ambiguity with no trodden path. When we can’t look to others for guidance, we must maintain impeccable ethics and unwavering integrity.

• Enduring frugality — we are frugal. We hate being wasteful and we are anti-luxury. We spend our cash wisely & carefully - in a way that would make our grandmas proud.

• Do what is needed — speed is critical and often the solutions we need are messy. We are comfortable moving quickly and taking on gritty work.

• End-to-end ownership — we are comfortable owning projects from noticing the problem to delivering the outcome.

• Dedication to excellence — we are obsessed with our role, with a commitment to compounding self-improvement.

• Commitment to candor — we believe in open communication and transparency. We are clear & caring communicators, welcoming feedback.

• Only the paranoid survive — the road of expansion is bumpy. We are not fair weather sailers; we embrace the storms. However much we’ve already done, however far we’ve already come — all our work is still ahead of us.

• Keep your head down — we’re boring people doing exciting work. We don’t chase short-term status: no media profiles, no unnecessary conferences, no investor drinks. We ignore short-term dopamine hits and focus on what matters.

🎯 “You just build an amazing experience. Make each step amazing. Make every decision in the long term interest of the client. Give the client massively more value than you take.” — a poetic extract from one of our advisors

Compensation & Benefits

• Compensation: $100k-$200k/yr + 0.4%-0.8% equity

• Healthcare: comprehensive medical insurance (if appropriate)

• Vacation: PTO with a yearly minimum (≥2wks/yr + local national holidays)

• Remote: our team is fully distributed across the world and functions fully remotely

• Personal development: budget for books, courses, coaching ($1200/yr)

• Personal wellness: budget for gym, health apps ($1200/yr)

• Equipment: Macbook & work-from-home equipment provided as needed

• What are we missing? We're still early so you get to shape our culture.