Role Summary

NdCare and the Neuro Inclusion Project are building a neurodivergent-affirming clinical, digital, and systems-change platform. This work spans healthcare, research, digital health, policy, and organisational redesign.

We are seeking a Chief Operating Officer / Managing Director to act as the operational stabiliser of the organisation.

This is not a conventional COO role.
It is a founder-adjacent systems role, designed to absorb operational load, create structure without rigidity, and translate vision into delivery without harming people or pace.

Purpose of the Role

The COO exists to:

• Turn a complex, values-led vision into clear, humane operations
• Hold structure so the founder does not have to
• Create predictability without coercion
• Ensure NdCare grows safely, credibly, and sustainably

If this role is done well, the organisation feels calmer, not busier.

Key Responsibilities

1. Operational Architecture

• Design and implement operational structures across NdCare and the Neuro Inclusion Project
• Establish delivery cadence, prioritisation systems, and decision pathways
• Translate strategy into executable plans without over-engineering

2. Day-to-Day Management

• Oversee operational delivery across clinical, digital, research, and training workstreams
• Act as the main point of coordination between functions
• Reduce friction, duplication, and role confusion

3. People & Process

• Support early hiring and onboarding (equity-only roles initially)
• Establish role clarity, boundaries, and expectations
• Ensure workloads remain sustainable and non-extractive

4. Risk & Stability

• Identify operational, delivery, and organisational risks early
• Work closely with clinical, compliance, and governance advisors
• Prevent last-minute firefighting by building reliable systems

5. Founder Partnership

• Act as a stabilising counterpart to a neurodivergent founder
• Hold operational decisions so the founder can focus on systems architecture, clinical vision, partnerships, and narrative
• Provide honest, grounded challenge when needed

What This Role Is Not

• It is not a hustle culture role
• It is not a “fix chaos without authority” position
• It is not about scaling at any cost
• It is not about micromanagement or rigid bureaucracy

The COO creates clarity, not pressure.

Equity, Time & Structure

• Compensation: Equity only (shares or options)
• Equity range: ~2–4% (dependent on experience, scope, and commitment)
• Vesting: 4 years with a 12-month cliff
• Time commitment: ~1–2 days per week initially
• Review point: 6 months
• Salary transition: When funding is secured

All terms are transparent and documented.

Who This Role Is For

This role may suit someone who:

• Has experience operating in healthcare, digital health, social impact, or regulated environments
• Is calm under complexity and ambiguity
• Values structure as a protective tool, not a control mechanism
• Is comfortable working closely with a neurodivergent founder
• Cares about ethics, safety, and long-term credibility

You do not need to come from a startup background if you understand systems, governance, and people.

What We Explicitly Welcome

• Neurodivergent candidates
• Flexible communication styles
• Honest conversations about capacity and pace
• Questions about safety, authority, and boundaries

We will adapt the recruitment process to support nervous-system safety.

Why This Role Matters

If NdCare succeeds, it will be because:

• the vision stayed coherent
• the people stayed regulated
• the system stayed humane

The COO is central to that outcome.