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Commercial Operations Manager
Company: Granite (Early-Stage Healthtech)
Location: London (Hybrid)
Reports to: Founder
Type: Full-time, permanent
About Granite
Granite is an early-stage healthtech company building a patient engagement and health intelligence platform for healthcare. It is founded by two practising clinicians building the product alongside full-time clinical work.
Our platform connects patients, clinicians and organisations through longitudinal health records, digital engagement tools, remote monitoring, rehabilitation pathways and structured clinical data. We currently deliver this through two core products: Granite PMS, for private consultants and anaesthetists, and Walk-A-Cise, for remote monitoring and rehabilitation.
These products are the first applications of a wider platform designed to support private healthcare, NHS services, hospitals, clinical departments and industry partners with better workflows, richer data and continuous patient engagement.
We have real clients today. What we need now is someone to take ownership of the operational and commercial engine reporting directly to the founders.
The Role
This is a rare opportunity to join a startup at an early stage and grow with it. You'll have real ownership from day one, direct exposure to the founders, and the chance to shape how the company runs as it scales. You'll need to be genuinely comfortable working across departments and helping drive the founder's vision forward, not staying in a narrow lane.
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Key Responsibilities
Client Onboarding & Issue Resolution
- Support the onboarding of new clients, ensuring a smooth handover from sales into live usage
- Manage day-to-day client relationships.
- Own resolution of client issues as they arise: triaging, chasing the right internal owner, and following through until closed
- Run client feedback meetings and prioritise requests based on urgency and impact
Cross-Department Coordination (Product, Dev & Customer Success)
- Act as the connective link between product, development, and customer success, making sure client issues and feedback get actioned rather than lost between teams
- Feed client and market input into product specifications and priorities
- Coordinate with dev on bug prioritisation and release readiness, including supporting feature testing where needed
- Work with customer success (or wear that hat directly, at this stage) to make sure client-reported problems have a clear owner and timeline
Operational Coordination
- Run the daily standup: review progress, unblock issues, coordinate across the team
- Support and help lead weekly strategy and development meetings
- Manage internal team issues and keep priorities aligned across functions
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Founder & Strategic Support
- Work directly with the founders as a trusted operational partner, helping translate the vision into day-to-day execution
- Contribute to company strategy discussions
- Support shareholder updates and fundraising materials as needed
What We're Looking For
- 3+ years in a commercial or operational role, ideally in a startup or fast-paced environment
- Comfortable working across product, dev, and customer success without formal authority over any of them
- A strong problem-solver, able to take a messy client issue and drive it to resolution across teams
- A strong communicator, confident managing client relationships and internal coordination in parallel
- Highly organised, able to juggle multiple workstreams and priorities
- Genuinely excited by early-stage company life: ambiguity, fast pace, and founders who need a real operational partner
- Healthcare, clinical software, or NHS/private hospital sector experience is a plus, but not essential
- A self-starter who takes ownership rather than waiting to be told what to do
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