Head of Expansion at AIOS — Remote, $200-$400k/yr + .15% - 0.5% equity
WFA Digital Insight
AIOS isn’t just another health‑tech startup; it’s on a fast‑track to become Europe’s biggest AI‑driven GLP‑1 provider. The Head of Expansion will own the end‑to‑end launch process for every priority market, moving from research to negotiation to execution in weeks rather than years. Unlike a strategy‑only role, this position is hands‑on: you’ll close legal, clinical and supply‑chain gaps, decide whether to build, partner, or acquire, and keep the growth engine humming. Reporting directly to the CEO and sitting alongside heads of business operations, staff, and performance, you’ll be the operational linchpin that determines how quickly AIOS scales to a million patients across Europe.
Job Description
ABOUT AIOS AIOS is building the world’s first full-stack AI doctor. We’re at $350M ARR, growing from $10M/yr 12 months ago. We’re the world’s fastest growing AI doctor. We’re faithfully serving >150k/mo patients via Bolt Pharmacy, our main UK brand. We’re profitable. Our strategy exists at the intersection of two strong theses: 1. The AI doctor that wins will get to escape velocity using GLP-1s, the fastest growing consumer product in history. 2. The $2T European healthcare market is overlooked by the most talented builders. Our master plan: - Step 0 → $100M/yr by end of 2025: We went from $10M to $100M in 6 months serving the UK GLP-1 market.
- Step 1 → $1B ARR by end of 2026: Over the last 12 months we've grown from 3k to 150k UK active GLP-1 patients.
- Step 2 → $10B ARR by end of 2028: Blitzscale Europe. We’ll be Europe’s largest GLP-1 provider.
- Step 3 → $100B/yr by end of 2031: Get regulatory approval across Europe for our Full Autonomous Prescribing (FAP) system. Win contracts at scale with European payers to mass replace human labor.
- Step 4 → $1T/yr by end of 2035: With one line of code and zero human time, you can use AIOS to treat any patient globally with any medication. In so doing, we’ll become the world’s first trillion-dollar healthcare company. We’re a young, founder-led company. This is still Day 1 and all our work is ahead of us.
- Work out precisely what is preventing us from launching in each priority market we’re not yet live in - Carve out the fastest compliant route into each of those markets, whether that means building the required capabilities internally, partnering with established local providers, or acquiring existing infrastructure.
- Prioritisation: You’ll determine which countries we should enter next based on market size, customer demand, unit economics, regulatory complexity and speed to launch.
- Planning: You’ll identify precisely what is blocking us from launching in each priority country, then construct the plan to plow through blockers.
- Build or Buy: You’ll choose the fastest compliant route into each market, whether that means architecting internally, partnering with established local providers, and/or acquiring existing infrastructure.
- Legal & Regulatory: You’ll make sure we have the appropriate legal entities, local/national permissions, registrations, contracts and compliance frameworks required to operate.
- Clinical: You’ll establish the clinical infrastructure required to serve patients, including helping staff the initial clinical team if building from 0.
- Supply & Fulfilment: You’ll secure reliable medication supply, pharmacy partner(s), and fulfilment infrastructure so we can launch quickly and scale without operational constraints.
- Readiness: You’ll coordinate the legal, clinical, product, operational and supply work required for our Growth team to begin testing each market as quickly as possible.
- Playbook: You’ll turn what we learn from each launch into a repeatable system, reducing the time, cost and complexity required to enter the next country.
- Locale: You’re based in the UK or Europe, and you’ve launched and/or scaled businesses across multiple European countries, namely Germany, the Netherlands, France, Spain, Italy, and/or the Nordics.
- Launches: You have personally owned taking European launches from idea to live operations.
- Judgement: You determine which markets are actually worth entering, what must be true for them to work, and whether we should build, partner, or acquire.
- Execution: You smoothly move from strategy-mode into the trenches. You’re comfortable negotiating partnerships, reviewing contracts, setting up entities, solving supply constraints, and doing whatever else is required to compliantly launch.
- Complexity: You can grok complex regulatory environments and work effectively across legal, clinical, and ops.
- Clockspeed: You learn unfamiliar markets unusually quickly. You know how to find the right people, ask sharp questions, separate real blockers from perceived blockers, and reach high-quality decisions without months of research.
- Project Management: You run several country launches concurrently without losing control of the details.
- Systems: You turn each launch into reusable scaffolding. You identify what can be standardised across Europe to continuously reduce the time required to launch.
- Ownership: You truly operate like a founder. You don’t wait for complete information, perfect resources, or somebody else to remove a blocker.
- European Expansion: You’ve launched and scaled businesses across multiple European countries, namely Germany, the Netherlands, France, Spain, Italy, and/or the Nordics.
- Evaluation: You have experience evaluating partnerships, joint ventures, licensing arrangements, or acquisitions as routes into new markets.
- AI-Native: You use AI to research markets, analyse regulations, evaluate opportunities, draft plans, automate workflows, and increase the amount you can personally execute.
- Talent: You’ve built and managed a lean, high-performance team across multiple countries.
- Founder: You’ve founded something (no matter how small), or joined a project early. You may want to start your own company in the future.
- Figure It Out: You’re one of those timeless people who could be dropped anywhere in the world, in any century, and figure out how to make progress.
- A maniacal sense of urgency: We execute at an intensity that most people think is impossible. Speed is critical and we need things done yesterday. We all work very hard and in such a competitive world there really is no other way to win. 7. Enduring frugality: We are frugal. We hate being wasteful and we are anti-luxury.
- Keep your head down: We’re boring people doing exciting work. We don’t chase short-term status — we ignore short-term dopamine hits and focus on what matters. Outsiders will underestimate us and we revel in that. 10. The power of focus: We live in a world of power laws and we cannot overestimate the unimportance of practically everything.
- ## Compensation
- 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) - Coaching: free biweekly health and work coaching so you’re sharp and healthy - Equipment: Macbook & work-from-home equipment provided as needed - What are we missing?
How to Stand Out
- Highlight specific European market entry projects you’ve led, referencing the regulatory hurdles you overcame.
- Prepare a concise case study that shows your Excel modeling skills for market sizing or financial forecasts.
- Emphasize any experience with GLP‑1 or other pharma products, as it aligns directly with AIOS’s focus.
- Showcase your ability to work async and be reliably present for midday Pacific calls; mention your preferred collaboration tools.
- During interviews, be ready to discuss how you would assess a new market’s legal and clinical readiness in a week‑long timeline.
- Negotiate equity by understanding AIOS’s current valuation ($350M ARR) and the potential upside of its expansion plan.
- Watch for red flags: unclear compensation bands and expectations of frequent weekend work; ensure you’re comfortable with the intensity before accepting.
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