--- title: 'Chief of Staff at Fathom' canonical: 'https://feeny.ai/job/chief-of-staff-fathom-oakland-tef76mdh7003' type: 'job' last_seen: '2026-10-13' --- # Chief of Staff at Fathom - **Company:** Fathom - **Location:** Oakland, CA - **Compensation:** $170k–$225k - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2026-10-09 - **Last confirmed live:** 2026-10-13 - **Apply:** https://jobs.ashbyhq.com/fathom/13bbef8b-e22b-4729-8ec7-aa1af5e82271 ## Job description ## About Fathom Fathom is the leading autonomous medical coding platform, ranked #1 by KLAS in its category. Our AI codes clinical encounters end to end for health systems, physician groups, payers, and revenue cycle partners, including Stanford, UC Health, UNC Health, and AdventHealth. We’re backed by Lightspeed, Founders Fund, and CVS Health. ## The role We’re hiring a Chief of Staff to work directly with the CEO and extend the leadership team’s reach. This is an operator’s job: you’ll own the systems that keep the company running, drive the cadence of board and investor communications, and lead how we deploy AI agents across our own operations. We build autonomous AI for our customers; we expect to run the company the same way. You’ll sit close to every major decision and be expected to move them forward. ## What you’ll do Operations support - Run the leadership team’s operating cadence: staff meetings, OKRs, quarterly planning, and the follow-through that makes them stick - Own the operational backbone across GTM, finance, and people: pipeline reviews, forecasting, reporting, and planning cycles - Own HubSpot and our core internal tooling as systems: data quality, stage definitions, and the dashboards leadership and the board rely on - Take on special projects the CEO would otherwise own, from diligence and RFP responses to market analyses and internal process design - Identify what’s breaking as we scale and fix it before it becomes a fire Agentic implementation - Map our internal workflows and identify where AI agents can take over work outright: pipeline hygiene, reporting, prospect research, RFP drafting, customer onboarding, investor updates, and more - Build and deploy those agents yourself using tools like Claude, HubSpot, and our internal data, and own them in production - Establish the standards for how the company uses agents: what gets automated, how outputs are reviewed, how we measure the hours and dollars recovered - Be the internal evangelist and teacher; get every function running on agents, not just the ones you touch directly Board and investor communications - Own the board meeting cadence end to end: agenda, materials, pre-reads, and follow-ups - Draft and refine investor updates, board decks, and ad hoc communications with the CEO - Track commitments made to the board and investors through to completion ## What we’re looking for - 4–8 years in a role that rewarded both rigor and execution: bizops or strategy at a growth-stage company, consulting, banking, or a prior chief of staff seat - Hands-on with AI tools. You’ve built real workflows with LLMs and agents, not just used a chatbot, and you’re comfortable with light scripting, APIs, and CRM configuration - Strong analytical chops. Comfortable building a model in Excel, pulling your own data, and turning it into a clear narrative - Excellent writer. You can draft a board memo or investor update the CEO would send with light edits - Systems thinker with a bias for action: you’d rather build the process than describe the problem - High judgment and discretion with sensitive company, customer, and investor information - Healthcare or enterprise SaaS experience is a plus; curiosity about revenue cycle and clinical AI is required ## Why this role You’ll get an unusually direct view into how a category-leading healthcare AI company is run and grown, and a mandate to rebuild its operations around AI agents. People who succeed here typically go on to lead operations, a business unit, or found their own company. ## About Fathom ## Company Overview - **One-liner**: Fathom provides AI-powered autonomous medical coding solutions for healthcare systems, health plans, and RCM vendors to automate the coding of patient encounters. - **Entity Type**: Private (Venture-backed; Series Unknown, $60.9M total funding) - **Headquarters**: San Francisco, California, United States - **Founded**: 2017 - **Founders**: Andrew Lockhart (CEO) & Christopher Bockman (CTO) ## Core Business - **Primary Industry**: Healthcare Technology (Medical Coding Automation) - **Target Customers**: B2B – Health systems, physician groups, outpatient ambulatory clinics, health plans, value-based care providers, and RCM vendors. - **Mission Statement**: To build AI that makes healthcare work better for everyone, specifically by structuring clinical data to bring efficiency and efficacy to healthcare systems around the world. ## Products & Services - **Autonomous Medical Coding Platform**: An AI-driven SaaS platform that uses deep learning and NLP to automatically code patient encounters (facility and professional coding). It covers a broad range of specialties and service lines, aiming to reduce costs, increase accuracy (98.3% reported), and speed up turnaround times (coding millions of charts per day). - **Retrospective Risk-Adjustment Coding**: A solution for health plans to perform retrospective coding at scale, exhaustively capturing HCCs for accurate RAF scores. - **E/M Capture & Provider Assignment**: Tools for physician groups to ensure accurate and timely payment for evaluation and management services. ## Market Standing - **Valuation**: Not publicly disclosed. - **Key Metrics**: - Annual Revenue: $45.0M (estimated) - Total Funding: $60.9M - Encounters Coded: 63M+ - Providers Served: 5K+ - Automation Rate: Up to 95.5% at 98.3% accuracy (per client case study) - **Notable Investors/Partners**: Lightspeed, Alkeon Capital, Founders Fund (formerly Google Ventures), 8VC, Stanford, Cedars-Sinai, CVS Health Ventures, Tarsadia, Inflect Health, Winklevoss Capital. - **Growth Signals**: Recognized as the #1 solution for Reducing the Cost of Care in the 2025 KLAS Emerging Solutions Top 20 Report. Secured a strategic investment from CVS Health Ventures to accelerate enterprise-wide autonomous coding. Deployed at scale by Your Health, achieving a 95.5% automation rate. ## Competitive Advantages - **Proprietary AI & Scale**: Applies cutting-edge deep learning and NLP specifically tuned for medical coding, capable of processing millions of charts per day. - **Breadth of Coverage**: One of the few platforms that handles both facility and professional coding across a wide range of service lines and specialties. - **Proven Accuracy & ROI**: Demonstrated high accuracy rates (98.3%) and significant cost reductions (up to 50%), validated by KLAS recognition and client case studies. - **Strong Backing & Partnerships**: Backed by top-tier venture capital firms and strategic health system investors like Cedars-Sinai and CVS Health Ventures, providing credibility and market access. ## Strategic Focus - **Enterprise-Wide Adoption**: Scaling its autonomous coding platform to serve the largest health systems and health plans across the entire healthcare ecosystem. - **Expanding Use Cases**: Deepening its capabilities in risk-adjustment coding for value-based care and health plans. - **Maintaining Leadership**: Continuing to invest in AI accuracy and automation rates to stay ahead of competitors and reduce manual coding overhead for clients. ## Why Work Here - **Mission-Driven Work**: Opportunity to work on cutting-edge AI that directly improves a critical, broken part of the healthcare system, impacting everyone's lives. - **Distributed Team with Hubs**: Remote-friendly culture with office hubs in New York, San Francisco, and Toronto. The team gathers for annual company off-sites and local meetups. - **Strong Engineering Culture**: The technical team is a core part of the company (46% of staff). The company has attracted talent from Google, Amazon, Microsoft, and other top tech firms. - **Comprehensive Benefits**: Offers health benefits, investment in professional growth, and other perks. Employee reviews rate compensation at 4.0/5.0 and career opportunities at 4.0/5.0. - **World-Class Team & Investors**: Work alongside a team of technologists, designers, and business experts backed by top-tier investors like Founders Fund and Lightspeed. ## Sources 1. [fathomhealth.com](https://www.fathomhealth.com/) 2. [fathomhealth.com/careers](https://fathomhealth.com/careers) 3. [linkedin.com](https://www.linkedin.com/company/fathom-health) 4. [fathomhealth.com/team](https://fathomhealth.com/team) 5. 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