Job Description:

We're hiring a City Head - Sales & Operations - the single owner of Pravaayu's entire Mumbai P&L, sitting above Cluster Managers who each run full revenue and operations for their set of clinics. This is the first layer of management between clinic-level leadership and the Founder, and the role that will define how we structure every future city as we expand beyond Mumbai.

You are not running individual clinics day to day - your Cluster Managers do that. You are running the city as a business: setting targets, holding cluster leaders accountable to them, allocating resources across clusters, and building the operating rhythm that lets this structure replicate to the next city.

Reports to: Founder & CEO

Direct reports: Cluster Managers (each owning full Revenue + Operations P&L for their cluster of clinics)

Location: Mumbai - regular travel across all clinic locations required

What You'll Own:

1. City-Level Revenue & Sales:

- Own the consolidated Mumbai revenue number across clusters - not clinic-by-clinic execution, but the roll-up target and the plan to hit it

- Set cluster-level revenue targets and hold each Cluster Manager accountable to their number

- Identify which cluster/clinic is underperforming and diagnose whether it's a lead problem, a conversion problem, or a delivery problem - then direct the right cluster manager to fix it

- Own city-wide renewal and retention performance; protect Pravaayu's 91 NPS and ~32% referral rate as non-negotiable health metrics, not vanity numbers

2. City-Level Operations:

- Own operational standards and SOP consistency across both clusters

- Resolve cross-cluster resourcing issues (staff, equipment, patient overflow) that a single Cluster Manager can't solve alone

- First escalation point above the Cluster Manager level; only issues that need Founder involvement should reach the Founder's desk

3. People Leadership:

- Directly manage, coach, and performance-review Cluster Managers against Pravaayu's KRA/KPI framework

- Approve hiring, staffing, and structural decisions within each cluster

- Build the next layer of cluster/city leadership as Pravaayu expands (we are actively evaluating Kalyan and Dombivali as the next clinic sites) - this role is the training ground for future city heads

4. Cross-Functional (Guardrails):

- Clinical protocol (CVRT, ICM framework) is owned by the Clinical Head, not this role or the clusters under it. Revenue and ops targets are pursued within protocol - never by altering treatment pathways, discharge criteria, or clinical claims.

- Marketing and demand generation stay with the Founder in this phase. This role owns everything from lead-received onward.

- Report weekly and monthly against Pravaayu's Business Health OS dashboard directly to the Founder - one consolidated city view, not two separate cluster reports stitched together.

Who You Are:

Must-haves:

- 10 - 14 years in sales and operations leadership at a multi-location healthcare, wellness, or elective services chain, with at least 3 - 4 years managing managers (not individual clinics/branches directly) - think regional/city head roles at diagnostics, dental, eye care, or fitness chains

- Proven ownership of a consolidated multi-cluster or multi-region P&L, not a single-site or single-cluster GM role

- Experience building or scaling a management layer - you've hired, coached, and held accountable other managers, not just frontline staff

- Comfortable with high-ticket, consultative, counseling-led sales cycles - this is not transactional retail sales

- Fluent with dashboards, CRM, and cluster-level performance data - you diagnose from numbers, not anecdotes

- Based in or willing to relocate to Mumbai, with genuine willingness to travel across all clinic locations regularly