Head of Expansion at Fella Health — Remote, $100k-$200k/yr + 0.4%-0.8% at Fella Health | Y Combinator (2024)

About Fella Health

Fella Health helps middle-aged men live 10 years longer.

We are the telemedicine clinic for bigger guys, worldwide. We use medical weight loss treatment to solve our fellas' most pressing healthcare need, then remain a fella's core healthcare provider for the rest of their life - focused on men's health, longevity, mental health, and primary care.

We will have served 1 million fellas by the end of 2026, and 10 million fellas by the end of 2028.

Our mission is to solve male obesity worldwide, by accelerating the take-up of GLP-1s in middle-aged men. From this, we’ll become the world’s leading men’s health brand.

We’ve grown >150x since Sept 2022, grown >10x since Nov 2023, and are strongly cashflow positive. We have expanded our state coverage to >95% of US population, have started to expand our clinical protocol beyond weight (e.g. testosterone), and are eyeing up international expansion.

We're still a young startup and are moving quickly. We have a long way to go. This is still Day 1.

You can read more about working at Fella here: https://fella.notion.site/Working-at-Fella-14a2ac8575d34d148d009bb410387af4

We're backed by top healthcare & consumer investors:

• Y Combinator

• Global Founders Capital — backedFacebook, Slack, LinkedIn, Revolut,Rocket Internet

• AngelList Early Stage Fund (backed by Naval Ravikant)

• BrandProject (venture-builder behind 2 unicorns)

• The founders of Indeed, Curative (unicorn), Alan (unicorn), Kaia Health (>$300mil valuation), Vouch Insurance (>$500mil valuation), Not Boring (Packy McCormick)

The opportunity as Head of Expansion

Fella is building a world-class team.

As Head of Expansion at Fella, your fundamental role is to lay the train tracks so our trains can travel further 🙂

You’ll expand the reach & depth of our offering so we can better serve fellas as their core healthcare provider for the rest of their life: both within and outside the US.

You’ll get us fully integrated with US healthcare insurers so so we can efficiently bill US fellas’ insurance. You’ll research and execute expansion products so we can excellently serve our fellas for a decade. You’ll lead our international expansion so we can serve more fellas. You’ll spin up pharmacy operations so we can become vertically integrated by owning our own medication supply + fulfillment.

Great performance in this role means the tracks are laid out to serve 10 million fellas across the globe by the end of 2028.

If you nail the role, you’ll be a great candidate for our future COO hire.

This is a full-time, fully remote role, 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.

You’ll report directly to me, Richie :) (our CEO) You’ll also work most closely with our nascent Expansion team: Insurance/Product Lead (Nacho Santos) & Expansion Associate (Joaquin Fernandez).

Key Responsibilities

Lead Medical Expansion — you’ll expand the reach & depth of our offering so we can better serve fellas as their core healthcare provider for the rest of their life: both within and outside the US.

• Health System Integration: You’ll have everything working so we can efficiently bill US fellas’ insurance for their services. That means ensuring we’re in-network with major insurers, and spinning up our insurance billing function, then ensuring billing is running smoothly.

• Product Expansion: You’ll research, flesh out, and execute expansion products so we can excellently serve our fellas for a decade.

• International Expansion: You’ll lead our international expansion beyond the US into the rest of the English-speaking world, then German-speaking & Spanish-speaking countries, then into India & beyond.

• Pharmacy & Supply Chain: You’ll spin up our pharmacy operations as we become vertically integrated by owning our own medication supply + fulfillment.

Need to Have

• Experience: you have 4+ years experience in a high-calibre, great-fit role. You do not need healthcare experience. I have a strong preference for people who understand & enjoy the scary speed of a high-growth startup.

• Systems: you think in and build out systems. In solving a problem you recognize the underlying system, then focus on improving the system itself to fix the true cause of an issue, automating where possible.

• Learning: you're an autodidact with impressive speed and resourcefulness. You regularly teach yourself the skills you need from scratch.

• Trenches: you don’t hesitate to get your hands dirty in the trenches. You’re not too pretentious to grind it out.

• Complexity: you're highly organized and can complete multiple projects concurrently.

• Mindset: you calmly handle uncertainty and rapidly changing situations.

Nice to Have

• Past: you've likely been pulled into important problems, taken risks, excelled in new areas. You've likely created something from nothing, however small.

• Future: you may want to start your own company in the future.

• Hiring: you may have experience building & managing a high-performance team.

• Figure it out: you’re likely one of those timeless people that could be dropped anywhere in the world, in any century, and you’d figure it out. Your friends probably think of you as that person :)

Our cultural standards

These are the core cultural standards to which we hold ourselves & our team-members at Fella:

• Belief in the mission — we will have served 10 million fellas by the end of 2028 (1 million fellas by end of 2026) and we transform the life of most fellas who join. We have a lot of work to do. We are obsessed with our fellas and are dedicated to the mission.

• Bulldozing barriers — the world is malleable and we shape it. We truly believe this and act accordingly. We are relentlessly resourceful and are at the mercy of no-one but ourselves.

• Unwavering integrity — we are at the frontier, so we often live in ambiguity with no trodden path. When we can’t look to others for guidance, we must maintain impeccable ethics and unwavering integrity.

• Enduring frugality — we are frugal. We hate being wasteful and we are anti-luxury. We spend our cash wisely & carefully -in a way that would make our grandmas proud.

• Do what is needed — speed is critical and often the solutions we need are messy. We are comfortable moving quickly and taking on gritty work.

• End-to-end ownership — we are comfortable owning projects from noticing the problem to delivering the outcome.

• Dedication to excellence — we are obsessed with our role, with a commitment to compounding self-improvement.

• Commitment to candor — we believe in open communication and transparency. We are clear & caring communicators, welcoming feedback.

• Only the paranoid survive — the road of expansion is bumpy. We are not fair weather sailers; we embrace the storms. However much we’ve already done, however far we’ve already come — all our work is still ahead of us.

• Keep your head down — we’re boring people doing exciting work. We don’t chase short-term status: we ignore short-term dopamine hits and focus on what matters. Outsiders will underestimate us and we revel in that.

🎯 “Youjust build an amazing experience. Make each step amazing. Make every decision in the long term interest of the fella. Give the fella massively more value than you take.” — a poetic extract from one of our advisors

Compensation & Benefits

• Compensation: $100k-$200k/yr + 0.4%-0.8% equity

• 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 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.