What are the responsibilities and job description for the Director of Implementation position at Z47?
Location: New York City (Hybrid)
Experience: 8–15 years, with 4 owning C-suite customer or sponsor relationships
Compensation: Base $200K–$400K Equity
Reporting: Founder
Overview
We're looking for a solid Delivery leader for one of the fastest-growing healthcare AI companies in our portfolio - building the voice and AI agent automation layer for healthcare: revenue cycle, scheduling, prior auth, and patient communication.
The model is forward-deployed. FDEs and Deployment Strategists live inside customer workflows and ship AI agents into production in weeks, not quarters.
This role owns the entire deployment and implementation engine - everything after the contract is signed.
Why this role matters:
- Deployment is the most strategic part of the company - live ARR follows deployment velocity, not contract signature
- The business is scaling fast across enterprise and PE-portfolio customers, and that growth runs through implementation
- The founders need a leader who can own deployment velocity end-to-end, build the operating playbook, and define how the product is implemented, adopted, and scaled across customers.
Scope of the role:
Run the post-sales engine
- Own customer outcomes for every account post-signature. The FDE and DS pods deployed against each customer report up to you.
- Set and hold the goals each pod is being measured against - deployment velocity, AI handle rate growth, customer-acknowledged ROI, expansion.
- Unblock pods when they're stuck - on integrations, on customer process, on internal product gaps.
- You're the escalation point.
Be the senior face for enterprise and PE customers
- Sit in the rooms with customer execs and PE operating partners. Run the QBRs, lead strategic check-ins, own the narrative that lands with sophisticated buyers.
- Translate every deployment update into the financial impact story the executive sponsor cares about.
- Structure non-standard commercial deals - pricing, expansion SOWs, multi-workflow engagements - and push back when terms don't make sense.
Hire, onboard, and grow the team that runs deployments
- Lead hiring for the FDE and DS pods. Run the loop, make the call, and own the bar.
- Onboard every senior IC who walks in the door so they're shipping into customer environments fast.
- Build the playbook that lets new pods ramp quickly without re-learning what the last pod already
- figured out.
Quarterback the operating cadence
- Run the weekly leadership rhythm alongside the founders. Decide what gets escalated and what gets decided in your seat.
- Author the recurring artifacts - board updates, investor narratives, exec-buyer decks — at a quality bar that doesn't need to be edited by the founders.
Background we're looking for:
- AI agent deployment, forward-deployed engineering, or implementation leadership
- Experience as a Deployment / FDE / Solutions / Delivery lead at a vertical-AI or healthtech company
- Or Engagement Manager / Associate Partner at a top consulting firm (healthcare or PE practice)
- Or senior operator inside a PE-backed healthcare services business
- Healthcare ops exposure - RCM, prior auth, payer workflows, multi-site - is a strong plus, not a must
Traits that matter most:
- Commercial judgment
- Hiring taste
- Decisiveness under ambiguity
- Humility & Bias for Action
- High personal operating bar
Salary : $200,000 - $400,000