Full-Time

Operations Lead

Updated on 9/11/2026

Meroka

Meroka

1-10 employees

ESOP-based practice ownership and management software

No salary listed

Montreal, QC, Canada

Hybrid

Hybrid work in Montreal.

Category
Business & Strategy (1)

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Requirements
  • Operate comfortably both on job sites with frontline crews and in boardroom settings.
  • Demonstrate range across strategic portfolio-level thinking and hands-on execution of on-site problems.
  • Build order out of ambiguity by mapping undocumented processes and establishing repeatable operations.
  • Build trust quickly with skeptical business operators.
Responsibilities
  • Own onboarding and integration for each acquired business from the first day through full operational readiness.
  • Spend substantial time in the field with operators and frontline crews, map how work is performed, and convert it into repeatable processes.
  • Own customer delight and Net Promoter Score, ensuring operators are satisfied with joining the company.
  • Partner with product and engineering teams to incorporate field realities into the technology built.
  • Build and lead the operations team over time and establish operating standards across the organization.
Desired Qualifications
  • Experience in the physical or built-world industries, such as construction, trades, field services, logistics, or manufacturing.
  • A track record of establishing operations, integration, or customer success functions from scratch.
  • Experience building and leading a team, ideally one combining office-based and field-based staff.

Meroka helps independent physician practices stay independent by providing an employee-ownership transition platform and an integrated practice-management system. It guides owners through creating and funding Employee Stock Ownership Plans (ESOPs), enabling liquidity for owners while granting employees equity based on tenure and contribution. Alongside ownership services, Meroka offers an all-in-one technology platform for billing, revenue cycle management, staffing, compliance, data analytics, and recruiting to streamline operations and reduce costs. The company differentiates itself by combining ownership transition services with bundled, integrated health-tech software, reducing administrative burdens and helping practices avoid consolidation by larger health systems or private equity. Meroka’s goal is to combat healthcare consolidation, preserve physician independence, and improve patient care and provider satisfaction, serving specialties like OB/GYN, primary care, and pediatrics.

Company Size

1-10

Company Stage

Seed

Total Funding

$6M

Headquarters

New York City, New York

Founded

2023

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Simplify Jobs

Simplify's Take

What believers are saying

  • Meroka closed a $6 million seed round on September 3, 2025.
  • It reported first OB/GYN transactions and preliminary 5% earnings gains within six months.
  • Hiring across Montréal and London in 2026 shows product and operating expansion.

What critics are saying

  • Meroka is a 2025 launch with no proven multi-year customer retention.
  • ESOP and MSO structures face legal scrutiny; one failed transaction breaks trust fast.
  • Competing PE-backed platforms can outspend Meroka and buy practices faster.

What makes Meroka unique

  • Meroka combines ESOP transitions and practice software, unlike pure RCM vendors.
  • It targets physician independence with employee ownership, not another PE-backed rollup.
  • Its first cohort is OB/GYN, where consolidation pressure stays intense.

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Benefits

Hybrid Work Options

Company Equity

Company News

Morningstar
Sep 3rd, 2025
Meroka Launches with $6M Seed Funding

Meroka has launched with a $6M seed round led by Better Tomorrow Ventures and Slow Ventures, with participation from 8VC. The startup aims to restore humanity in healthcare by reducing administrative burdens for physicians through a novel employee ownership model and easy-to-use technology. This approach allows care teams to focus more on patient care and less on admin tasks, promoting engagement and retention. Meroka supports OB/GYN, primary care, and pediatrics practices.

HIT Consultant
Sep 3rd, 2025
Meroka Launches With $6M to Fight Healthcare Corporate Consolidation with Employee-Owned Practices

- Meroka, a company focused on restoring humanity in healthcare, has publicly launched with a $6M in seed funding round led by Better Tomorrow Ventures and Slow Ventures, with participation from 8VC and other investors.