Who is Nest Health?

As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America’s highest risk families. Founded in 2022 by Former Secretary of Health of Louisiana and practicing OB-GYN, Dr. Rebekah Gee, and Rebecca Kavoussi, Nest is the first-of-its-kind family-based, in-home, and virtual care model; this includes primary adult and pediatric care, mental health and nutrition support, vaccinations and labs, same-and-next-day acute visits, chronic condition and transitions of care management, social services and navigation, and more. Nest’s innovative model has resulted in partnerships, unlocking care for thousands of families across our markets. Nest’s early success has led to national traction across states and payers, laying the groundwork for future expansion to families across the United States.

What does it mean to be a part of a startup?

Working at a healthcare startup can be a unique experience with a fast-paced, ever-changing environment that can involve varied workloads, quick changes, and high expectations. Taking a position at a Healthcare startup allows for the opportunity to be high impact in disrupting the US healthcare system. You will have the chance to be creative, solution oriented, and have your voice heard! You will need to be flexible, accountable, and self-sufficient, and you might take on multiple roles. Here are some things you can expect:

• Role Breadth- Your role may be less defined than in other settings, with the need to wear multiple hats & juggle various responsibilities

• Learning opportunities- you will have the opportunity, at times, to function outside of your standard position and learn about new roles & areas

• Fast Paced- Startups often must move faster than traditional large companies. This means you may be asked to cope with or advise on quick changes regarding systems or processes

• Autonomy- You will need to be highly autonomous, as there is less structure and learning and development than at large orgs. This requires you to be able to learn asynchronously, as well as raise your hand when help is needed, or gaps are identified

• Collaboration- With so many opportunities to build processes and improve how we deliver care to our patients, we rely heavily on one-another to communicate changes effectively to ensure seamless support across functions. This often requires this individual to give and receive feedback frequently and communicate challenges or opportunities effectively.

Role Summary

As Nest's first VP of Product & Technology, you will be the strategic leader responsible for providing vision and direction on how product and technology enable Nest Health’s exciting family model to thrive and rapidly scale. With a focus on provider and patient experience you will ensure our technological capabilities work together to enable exceptional care delivery to underserved families. Reporting directly to the CEO as part of the executive team, you will define the product and technology vision, integrate and optimize our technology and product teams, and ensure that our tech and product strategy becomes a competitive advantage as we scale from 75 to 200+ employees, expand to new states and health plan partnerships, and enhance services for families. This role carries direct accountability for translating product and technology investments into measurable clinical, operational, and financial outcomes in a regulated healthcare environment.

What You’ll Do

Product and Technology Vision & Strategy

• You will work with Nest senior leadership to define and lead a product and technology strategy vision that enables Nest Health's clinical mission and business model.

• Work closely with the CFO who oversees business intelligence to ensure that data platforms, architecture, and pipelines reliably enable timely, accurate reporting and analysis across the enterprise.

• Own end-to-end platform strategy across core operational systems including EMR, CRM, ERP, care coordination platforms, analytics platforms, and third-party integrations

• Ensure interoperability, data integrity, and scalability across all platforms as Nest expands across states, payers, and care models

• Recommend major investment decisions and outline trade-offs across technology domains.

• Help contribute to and oversee the building of novel family tooling that meets the unique capabilities of our model

• Lead Nest’s strategy for AI enablement and capacity building

• Monitor industry trends and emerging technologies and products relevant to home-based healthcare delivery

• Present product and technology roadmap, progress, and investment needs to board of directors quarterly

Executive Leadership & Stakeholder Management

• Partner with CEO and executive team on strategic planning and resource allocation

• Represent technology and product perspective in company-wide strategic initiatives

• Build business cases for significant technology and product investments

• Manage key strategic vendor relationships and partnerships

• Support Nest outcomes and growth through deep understanding of Nest’s care model and mission and ensuring that technology and product enhance clinical quality, operational efficiency, and member experience

• Serve as the executive owner for technology-related risk, including clinical safety, regulatory compliance, data privacy, and operational resilience

• Act as final decision-maker on product and technology architecture, platform selection, and major vendor trade-offs, in partnership with the executive team

Organization Building & Team Development

• Build and lead a technology, engineering, and product leadership team including Senior Director of Product, and Senior Director of IT

• Foster a culture of innovation, collaboration, and accountability across product, data, and IT

• Create a scalable organizational structure and processes as company grows

• Drive cross-functional alignment and resolve prioritization conflicts across technology functions

• Build organizational clarity around decision rights, accountability, and ownership across product, data, IT, and platform teams

Strategic Product Oversight

• Set high-level product vision for operational systems that support care delivery from the family and provider

• Provide strategic guidance on product roadmap and priorities in partnership with COO and Senior Director of Product

• Ensure product investments align with clinical operations and business objectives

• Champion customer (care team and member) needs at executive level

• Guide major product decisions involving significant investment or strategic trade-offs

• Ensure product strategy directly supports measurable outcomes including care quality, provider productivity, member engagement, and payer performance metrics

• Oversee platform integrations across EMR, CRM, ERP, and external partner systems to ensure seamless workflows and data continuity

Data and AI Platform Strategy

• Lead enterprise approach to AI enablement, serving as the company’s SME to guide responsible AI adoption across the organization.

• Own and implement AI capabilities within product and technology platforms.

• Evolve Nest’s data platform and architecture to reliably support clinical measurement, operational insights, and business intelligence owned by partner teams.

• Drive data governance framework

• Translate enterprise data needs—clinical, operational, product, and financial—into clear engineering priorities and roadmaps.

• Provide technical leadership to align product strategy with data architecture, ensuring data capabilities scale with business growth and support future product experiences.

• Define a strategy that utilizes AI and automation to improve model efficiency, effectiveness and provide experience.

• Establish governance frameworks for AI and automation, including clinical safety, human-in-the-loop controls, transparency, bias mitigation, and regulatory defensibility.

• Partner with clinical leadership to ensure analytics and AI are used as decision-support tools aligned with regulatory requirements and clinical accountability

IT, Infrastructure, and Security Strategy

• Set the strategic direction for Nest’s IT, infrastructure, and security capabilities to support geographic expansion, operational scale, and clinical operations

• Partner with and provide executive leadership to the Sr Director of IT, ensuring alignment between technology strategy, operational execution, and risk management

• Ensure security posture, compliance, and operational reliability across all systems

• Guide major infrastructure and vendor decisions, balancing reliability, scalability, cost, and innovation

• Balance innovation with operational stability and manage technical debt strategically

• Ensure platform reliability and integration across EMR, CRM, ERP, and enterprise systems critical to care delivery and payer operations

• Own technology preparedness for audits, payer reporting, and regulatory review

Accountability & Outcomes

This role is accountable for ensuring product and technology investments deliver measurable impact across clinical quality, operational efficiency, provider experience, and payer performance. Success will be evaluated on outcomes, not just delivery.

Experience, Qualifications & Skills

Required

• 10+ years in product management, technology operations, or engineering roles supporting complex systems. 4+ years leading cross-functional technology teams at senior level (Director+ reports)

• Track record working with operational technology systems (CRM, EMR, ERP) in complex business environments

• Proven ability to translate business needs into technology strategy and communicate to executive audiences

• Experience presenting to C-suite executives and board members

• Strong strategic thinking with ability to see connections across product, data, and infrastructure

• A willingness to “mold the clay” and do much of the work yourself without relying on new hires.

• Demonstrated experience operating in regulated healthcare environments with accountability for outcomes, not just systems

• Experience aligning technology platforms to value-based care economics, quality metrics, and payer requirements

Preferred

• Healthcare technology experience (clinical operations, value-based care, health plans, or care coordination)

• Ideally have an engineering background with a product mindset

• EMR (Athenahealth, Epic, Cerner) and CRM (Salesforce) platform experience

• Experience at high-growth startups (Series A-C stage), ideally 50-200 employees

• Experience building teams from 5 to 25+ people

Nest understands that job requirements sometimes exclude people who identify with historically marginalized groups from applying to jobs for which they are qualified. Even if you don’t meet 100% of the requirements listed, or if you achieved these requirements through unconventional channels, we encourage you to apply.

Travel & Physical Requirements

• Quarterly travel to care delivery sites (approximately 15-20% travel)

• Prolonged periods sitting at a desk and working on a computer

• Occasional evening/weekend availability for critical initiatives or board meetings

Why choose Nest Health?

Nest and its leaders have won multiple awards including Rock Health's Next-Gen Pediatric innovations, New York Times Top Five Who Spread Hope, New Orleans City Business Power 50, and CB Insights Digital 150. Additionally, Nest has become a prominent thought and brand leader garnering national attention from outlets such as 60 Minutes, Business Insider, NYTimes, Fierce Healthcare, Axios , and others. More recently, they were recognized on Inc.'s Female Founder 500 List for 2025.

Learn more about us at https://www.nesthealth.com/.

To learn more about the Nest care model, watch this video, by the award- winning HBO Katrina Babies filmmaker Edward Buckles, JR.

Nest Health celebrates the diversity of our patient population and seeks diversity on our team. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristics.