Head of Expansion at AIOS — Remote, $200-$400k/yr + .15% - 0.5% equity

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, 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:

• The AI doctor that wins will get to escape velocity using GLP-1s, the fastest growing consumer product in history.
• 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. We’ll continue this growth curve to hit $1B ARR.
• 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.

We’re a young, founder-led company. This is still Day 1 and all our work is ahead of us.

Being Head of Expansion at AIOS

We are building a world-class team. As Head of Expansion at AIOS, your fundamental role is to rapidly increase the number of global GLP-1 customers that we can serve, starting with blitzscaling across Europe. Your mandate is to get us launch-ready across every priority European market: all legal, clinical, pharmaceutical and v1 operational infrastructure firmly in place so our Growth team can test and scale new countries quickly.

You’ll swiftly identify which countries we should enter next based on market size, customer demand, regulatory complexity, and speed to launch. You’ll also:

• Close any critical legal, clinical, supply and operational gaps in European countries we can already serve.
• 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.

You will not be behind-the-scenes producing market-entry strategy decks. You’ll be hands-on driving every country launch, moving crisply between research, negotiation, diligence, and execution. Great performance in this role means we can compliantly launch in any attractive European market in weeks rather than years, and we’re serving more than one million patients across Europe by the end of 2028.

If you nail the role, you’ll be a leading candidate for future senior Ops roles (VP, COO). This is a full-time, mostly remote role with European travel as needed, and you’ll work async in the timezone of your choice — as long as you’re around until midday Pacific Time for calls as needed.

This is a senior role. You’ll report directly to me, Richie :) (CEO). I’m intense, so you’ll also be intense. You’ll work long days and regularly work weekends.

Key responsibilities

• Expansion: You’ll own European expansion from market research through launch readiness, turning “we should enter this country” into “we can compliantly serve patients here”, then repeat the process faster every time.
• 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.

Need to have

• Experience: You have 5+ years in expansion, market launch, business operations, general management, or a similarly high-ownership role.
• 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.
• Complexity: You can grok complex regulatory environments and work effectively across legal, clinical, and ops.
• Clockspeed: You learn unfamiliar markets unusually quickly.
• Project Management: You run several country launches concurrently without losing control of the details.
• Systems: You turn each launch into reusable scaffolding.
• Ownership: You truly operate like a founder.

Nice to have

• Regulatory: You’ve operated in a heavily regulated industry and know how to move quickly without treating compliance as somebody else’s problem.
• European Expansion: You’ve launched and scaled businesses across multiple European countries.
• 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.
• 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.

Our cultural standards

We aim to make this your life’s work. This should be the most challenging, most rewarding role of your life. Accordingly, these are the core cultural standards to which we hold ourselves & our team-members:

• Belief in the mission: We will have served 100 million patients by the end of 2035.
• Unwavering integrity: We must maintain impeccable ethics and unwavering integrity.
• Only the paranoid survive: Bad sh*t is coming.
• If we’re average we fail: We are only interested in “insanely great”.
• Commitment to candor: You get full transparency from the company and the company expects full transparency from you.
• A maniacal sense of urgency: Speed is critical and we need things done yesterday.
• Enduring frugality: We are frugal and hate being wasteful.
• Bulldozing barriers: We truly believe the world is malleable and we shape it.
• Keep your head down: We’re boring people doing exciting work.
• The power of focus: Know your One Thing, and nail it.

“You just build a f*ing amazing experience. Make each step amazing. Make every decision in the long term interest of the customer. Give the customer massively more value than you take.”

Compensation & Benefits

You get paid above market salary and you get early stage equity, so you get really rich if we nail this.

Compensation: $200k-$400k/yr + .15%-0.5% equity

Benefits include:

• 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
• Equipment: Macbook & work-from-home equipment provided as needed

What are we missing? We're still early so you get to shape our culture.