US Operations Manager
Bea Fertility
Béa Fertility is a US health-tech company that makes at-home fertility treatment accessible and affordable. Our flagship product is an intracervical insemination (ICI) device that takes an established clinical procedure and delivers it as a self-administered treatment. It’s supported by a clinical care experience designed to create a true clinical care pathway in the space between intercourse and IVF.
We’re a small, high-calibre team. We’re tracking toward our first $1M year in the US, selling D2C across all 50 states, with our first Sperm Bank partnership going live this year. We’re pre-Series A, backed by investors who value balanced, sustainable growth over blitz-scaling. The team is lean by design. We’re strong generalists with deep expertise in our respective functions who can wear a lot of hats. We use AI extensively, we execute quickly, and we hire people who love building and love helping people access fertility care.
The RoleThis is a new, full time role. We’re hiring a US Operations Manager to own and build the operational infrastructure that will underpin Béa’s growth in the US from $1M to $10M over the next 18 months.
It’s a high-ownership and execution-focused role. Your primary job is ensuring that our supply chain, inventory, and operational systems run reliably and efficiently as we scale — and that the end-to-end product experience we deliver to customers is smooth, compliant, and continuously improving. You are responsible for making sure we have the right stock in the right place at the right time, our suppliers and logistics partners perform reliably, and our operational processes are robust, scalable, and compliant.
This is a leadership role, reporting to the CEO. You'll work alongside our Head of Product, Head of Marketing, and Senior Fertility Coach. We expect you to think strategically about your domain, collaborate across functions, and contribute to company-wide priorities, as well as go into the weeds in your own function. You'll also need to be someone who works well with others and earns trust across a small, tight-knit team.
You'll work with the CEO to define and own operational KPIs, including COGS targets, on-time delivery rates, inventory health, and supply chain efficiency, and you'll be accountable for hitting them. These metrics will form the basis of how we measure success in this role and how we report operational performance to the board.
You’ll have managerial responsibility over a small team of contractors, including a fractional QARA contractor responsible for maintaining a QMS to ISO 13485 standard. You would start as the sole supply chain and operations person in the team.
This role is ideal for someone who enjoys building and running systems, solving real operational problems, and taking full ownership of outcomes in a fast-moving environment.
What You’ll OwnYou are the central “what’s happening operationally” person. In a small team, that means you’re the one making sure every process runs well and on time across supply chain, compliance, and customer functions, maintaining clarity on operational priorities and execution across your domain.
Product Experience & Customer Operations- Play a critical role in ensuring the customer has a smooth product journey from purchase through treatment — by making sure the operational processes, stock, and infrastructure that underpin the entire product experience are reliable, on time, and running well.
- Help ensure customer communications and operational workflows run smoothly. Coordinate with the clinical team to make sure they have the processes, tools, and operational support needed to deliver care effectively.
- Support product feedback loops: ensure that operational and customer experience data flows back into product decisions, in collaboration with the Head of Product.
- Build and improve internal processes that support operational scalability. Identify inefficiencies and implement practical solutions quickly.
- Own end-to-end supply chain for a Class II medical device and Systems & Procedure Pack, managing relationships with suppliers across China, Europe, the UK, and the US.
- Build and run a demand planning and inventory management process that ensures stock continuity and drives collaboration across sales, operations, and finance.
- Own inventory levels and stock health. Balance the risk of stock-outs against overstocking, manage safety stock, and make tactical decisions on order timing based on demand forecasts and supplier lead times.
- Place and manage purchase orders. Track order status, manage lead times, and ensure timely delivery across a multi-geography supply chain.
- Manage all supplier relationships, including manufacturers, freight forwarders, customs agents, and warehouse partners. Push on lead times, negotiate price breaks, and ensure efficiency across the entire chain.
- Coordinate logistics, freight, customs, and warehousing across geographies. Tariff exposure, fuel surcharges and shortages and wider macro-economic issues impact our supply chain; you’ll stay on top of it.
- Establish and lead a monthly Sales & Operations (S&OP) meeting cadence with Finance and Marketing to align forecasting, inventory, and cash planning.
- Own COGS tracking and reporting. Maintain full transparency on cost of goods, identify where costs can be reduced, and report monthly to leadership.
- Manage supplier invoices, payments, and purchase order records. Ensure financial hygiene across your operational domain.
- Work with our CFO on inventory-related cash flow, budgeting, and working capital planning.
- Manage our QARA contractor to ensure product and supply chain compliance with relevant regulatory and quality standards, ensure ops-related processes and audit schedules are adhered to, audits are passed, and ISO 13485 compliance is maintained at all times.
- Own compliance-related customer operations processes: CAPA, PMF/PMCF, and escalation workflows (working closely with Customer Ops and the clinical team to do so).
- Work with our compliance contractor and external legal counsel to ensure that operational processes remain compliant as the business scales.
Over the next 12–18 months, as Béa expands into labs, prescription medications, and personalised medical guidance, you will support the build-out of clinical infrastructure to deliver those services compliantly across US states.
This is not the immediate focus of the role — supply chain and product operations are. But you should be comfortable operating in a regulated healthcare environment and excited about the trajectory.
What This Role Is Not- This role does not own product strategy or roadmap decisions — that’s our Head of Product. You will work closely with the Head of Product to input into the product roadmap, collaborating to ensure the roadmap can be delivered within operational and compliance guardrails.
- This is not a Chief of Staff or internal operations role. It is focused on operational execution and ownership, particularly within supply chain and supporting functions.
- This role does not lead clinical decision-making or medical strategy. Clinical operations leadership will sit separately as the business scales.
- 6–8 years in operations, with at least one role where you built systems and processes from scratch rather than inheriting them, and at least one role where you worked in established systems and processes such that you know what ‘good’ looks like.
- You’ve worked in a regulated environment: medical devices, health-tech, pharma, or pharma-adjacent. You’re comfortable working with a QMS and regulated products.
- You have a basic understanding of the US healthcare regulatory landscape and are comfortable operating in a regulated healthcare environment.
- You’ve directly managed an active supply chain, not just been adjacent to it. You understand demand planning, order placement, supplier negotiation, lead time management, and inventory management at a practical level.
- Experience with physical products and logistics is strongly preferred. You understand what it means to move hard goods across geographies.
- You’re a builder. You get energy from creating order out of chaos, setting up the meeting cadence that didn’t exist, building the spreadsheet that finally gives the team clarity, writing the SOP that means things don’t fall through the cracks.
- You’re comfortable with ambiguity and can operate without a playbook. You’re comfortable making decisions with incomplete data and balancing trade-offs.
- You’re hands-on and execution-focused. You’re the person calling the warehouse and building foundational operational infrastructure in the same afternoon.
- You enjoy working in a hands-on, focussed team where the answer to “who can handle this?” was often “I can.”
- You’re a clear communicator. You’ll work across a distributed team (UK and US) and need to keep people aligned without being in the same room.
- You can manage multiple suppliers and stakeholders across different geographies and time zones (China, UK, and US).
- Location: We’re a remote-first team, but you need to be located in the US and willing to be flexible on working hours to align with our UK and Chinese manufacturers.
- Compensation: Competitive salary commensurate with experience, plus equity in an early-stage company with genuine upside.
- Start date: We’re targeting 1st June 2026 at the latest.
- Team: You’ll manage fractional contractors and work closely with the clinical and product teams. You’ll report to the CEO.
- Travel: Occasional travel for team gatherings and supplier visits if and when required.
