# General Manager \| Las Vegas at Adaptive Innovations > Onsite · United States · Manager · Other · open. Source: https://alderhq.app/jobs/ashby%3Aadaptive-innovations%3A4a0c5672-2c07-419f-a0e6-dfd9d7dcab9d (read 2026-11-06). ## Facts (observed) - Company: [Adaptive Innovations](https://alderhq.app/companies/adaptive-innovations) - Location text: Las Vegas - Where it can be done from (inferred): Onsite · United States (evidence: "Location: Las Vegas") - Posted: 2026-09-06 (61 days ago) - First seen by alder: 2026-11-02 · last verified: 2026-11-04 - Reposted: 0 times · edited: 0 times - Apply on the employer's site: https://jobs.ashbyhq.com/adaptive-innovations/4a0c5672-2c07-419f-a0e6-dfd9d7dcab9d ## Pay and sponsorship - Posted pay: not posted ## Description (the employer's text) ### The Company We are fixing US healthcare by building an AI-native physical care platform, starting with home health. Home health is a $140B industry generating less than $10B in EBITDA — roughly 40% of revenue is consumed by pure administrative waste. We automate that waste with AI, creating a fundamentally different cost structure that lets us rapidly take market share by serving the 30% of patients who go untreated today. By reshaping the cost structure of this industry, we unlock its growth. We've built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with healthcare operators, ex-MBB strategists, and growth veterans to build a new type of healthcare company — one that delivers care at the speed of a technology company. Our platform already operates at materially higher gross margins than traditional home health providers. We pay clinicians more, strip out their admin burden, and unlock the scale economics that have eluded this fragmented industry for decades. We're backed by world-class investors (Felicis, Bain Capital Ventures, BoxGroup, Optum Ventures) and scaling nationally through a combination of organic growth and acquisition. Every dollar of revenue we generate removes two dollars from the healthcare system. If we succeed, so does US healthcare. ### The Opportunity We're hiring General Managers to own and operate individual markets as we scale our AI-enabled Post Acute Care platform nationally. This is a P&L ownership role. You will run your market — a metropolitan area or MSA — as your own business. You own the census, the margin, the team, the clinical quality, and the growth trajectory. You operate with a broad mandate: hit your numbers, build your team, win your market. This is a "run a business, not a workstream" role. Some GMs will take over existing operations and transform them. Others will stand up new markets from scratch, including post-acquisition integrations. All will be expected to operate with the intensity, ownership, and judgment of a founder running a business backed by a growth-stage platform and top-tier investors. All GMs will be supported by central resources and given a robust onboarding program to learn the industry and the business before “getting in the seat”. ### What the GM Owns ### Market P&L Full accountability for your market's financial performance — revenue, census growth, gross margin, and unit economics Drive census growth in partnership with Sales, translating referral pipeline into admitted, scheduled, and served patients Use data and AI-driven tooling to make daily resource allocation decisions that convert top-line growth into bottom-line results ### Operations Run daily execution across scheduling, staffing, clinical compliance, and service delivery — dashboards, exception reports, audits, and real-time capacity management Single point of accountability for compliance, survey readiness, and clinical quality in your market Partner cross-functionally with centralized Technology, Compliance, & Operations — these functions support you, but you own the local outcomes ### Team Hire, develop, and lead your market's operations team — Schedulers, Patient Care Coordinators, Clinical Managers, Sales Reps, and field clinicians Build bench strength ahead of volume. Sequence hiring and training to support growth, not just maintain current operations Set clear expectations, coach through structured routines, and make the hard calls on performance when someone isn't meeting the bar ### Platform Serve as the critical feedback loop between field operations and our AI/product teams — the workflows you run are the ones our engineers are automating Be the voice of your market to leadership: what's working, what's not, and what you need to win ### Who You Are You're a high-ceiling, low-ego operator who wants to own a real business and a real team — not a workstream or a slide deck. You've run complex, people-heavy operations before and you're looking for a role where performance is rewarded with real upside and increasing scope. --- Data: alder (https://alderhq.app). Cite https://alderhq.app/jobs/ashby%3Aadaptive-innovations%3A4a0c5672-2c07-419f-a0e6-dfd9d7dcab9d and the date you read it. Observed facts come from the employer's own listing; location reach, level, family and skills are inferences.