Head of PMO

Salary £65,000 - £75,000 depending on experience

Location London, hybrid (minimum 3 days per week in our Canary Wharf office)

Reports to COO with a line to the CEO

✨Join Us at The Centre for ADHD Research and Excellence: Shaping the Future of Accessible Healthcare✨

Care ADHD is building a new category in neurodevelopmental healthcare.

We are not simply a clinic. We are a scaling healthtech organisation redesigning how neurodevelopmental services are delivered, experienced and trusted. What started as an adult ADHD service is evolving into a broader platform combining clinically rigorous care, digital infrastructure, AI-enabled tools and operational scale.

We already deliver care at significant volume across the UK. We are now entering the next phase of growth.

That includes:

Expanding beyond a single service line into a wider neurodevelopment and healthcare ecosystem; building products, including a patient portal and AI-enabled tools that reshape the care journey; scaling clinic capacity nationally; assessing international growth opportunities outside the UK; strengthening governance and delivery discipline to support scale.

Our ambition is not incremental. We are building an organisation that can deliver safe, high-quality, digitally enabled care at national and international scale.

What we are looking for?

We’re looking for a Head of PMO who can bring clarity, structure and calm coordination to a fast-scaling HealthTech organisation. This is a senior operator who is comfortable sitting at the centre of complexity, translating ambition into sequenced, deliverable programmes across product, technology, clinical operations and governance. You will combine strong portfolio leadership with sound judgement in regulated environments, ensuring that major initiatives land safely, operationally ready and in the right order. The right person is structured without being bureaucratic, commercially aware, and confident working with senior leadership to balance pace with risk. You know how to create real delivery confidence across an organisation that is growing quickly, and you’re comfortable challenging priorities when sequencing or capacity requires it.

Why this role exists:

As we scale, complexity increases.

Product defines direction and prioritisation.

️ Technology builds and operates the systems.

Governance safeguards clinical safety and regulatory compliance.

The PMO ensures that all of this happens in the right sequence, with the right visibility, and without avoidable collisions. This role exists to bring structure, transparency and coordination across major cross-functional initiatives. It ensures that delivery is well sequenced, dependencies are actively managed, operational readiness is tested, and executive teams have a realistic view of progress, risk and timing.

What You’ll Be Doing:

• Maintain a live, single source of truth portfolio view across major strategic initiatives.
• Create visibility of milestones, dependencies, sequencing risks and delivery confidence across functions.
• Work with functional leads to identify which initiatives should be managed locally, which require light PMO visibility, and which need full PMO oversight.
• Coordinate cross-functional delivery across Product, Technology, Clinical, Operations, Governance and international expansion activity.
• Establish and run an effective portfolio cadence for planning, escalation, prioritisation and executive reporting.
• Ensure operational readiness is properly assessed before major launches, service changes or market entries.
• Surface delivery trade-offs early, including where timelines, scope, capacity or sequencing are unrealistic.
• Provide clear reporting to the COO, CEO and Executive team on delivery status, confidence, key risks and critical dependencies.
• Support major launches so they feel structured, well-prepared and operationally stable - not improvised.
• Help the business move faster by reducing collisions, ambiguity and rework.

Decision Framework

This role will help operate a practical PMO decision model.

In broad terms:

Initiatives with low cross-functional impact, low risk and limited strategic significance may remain managed locally within a division; initiatives with moderate complexity or some executive visibility may require light PMO visibility; initiatives with any high-risk characteristic, or several medium-complexity characteristics, will require full PMO oversight.

You will help embed this discipline consistently, pragmatically and without unnecessary bureaucracy.

What this role is:

This is a senior portfolio orchestration role at the centre of a scaling healthtech organisation.

You will maintain oversight across the change portfolio, helping the business distinguish between:

initiatives that can be managed locally within a function; initiatives that require light PMO visibility; and initiatives that need full PMO oversight because of cross-functional dependency, risk, complexity, strategic significance or operational impact.

Functional leaders remain accountable for delivery within their own teams. Your role is to make sure the organisation as a whole is aligned on what is happening, what depends on what, what is at risk, and what needs to happen before something can safely launch.

What this role is not:

• This is not a traditional PMO role focused on producing reports no one reads.

• It is not a project manager role directly running every individual initiative.
• It is not a governance role sitting inside one service line.
• It is not about slowing teams down with unnecessary process, or second-guessing Product,
• Technology or operational leaders.

It is about bringing coherence to complexity, creating executive clarity, and helping the organisation scale safely and intentionally.

How this role fits with the wider organisation:

This Head of PMO role is broad and senior in its remit. It sits across the organisation and is responsible for coordinating major change across Product, Technology, Clinical Operations, Governance, commercial priorities and international expansion. It provides the portfolio-level orchestration needed for rapid growth, while working in close partnership with governance and functional leaders.

To thrive in this role you’ll need:

• Significant experience in programme, portfolio or transformation leadership in healthcare, healthtech or another regulated environment.
• Experience coordinating complex multi-workstream initiatives across multiple business functions. Strong judgment on when to apply structure, and when not to.
• Experience giving senior stakeholders clear, credible visibility on risk, dependencies, sequencing and delivery confidence.
• Commercial awareness and the ability to balance pace, risk, capacity and strategic value.
• The confidence to challenge unrealistic timelines or conflicting priorities in a constructive way.
• A calm, structured and credible style with senior leaders.
• Strong operational instincts: you understand that successful delivery depends not just on building something, but on whether the organisation is actually ready to use it.
• Ideally, experience of scaling businesses, digital health products, service launches, or international expansion.

You may be a strong fit if you:

• Have led portfolio or programme coordination in a high-growth or high-change environment;
• Know how to bring order to ambiguity without becoming overly process-heavy;
• Can work effectively with executives, while also building trust with functional leaders;
• Understand the difference between useful control and control theatre;
• Enjoy being the person who sees the whole picture and helps others act on it.

What Success looks like

You will know this role is working if the organisation feels calm and delivery is on track, even while we move at pace.

Success will look like:

few surprises and few collisions between teams; clear sequencing of major programmes and launches; strong confidence across the Executive team in dates, risks and readiness; seamless coordination between Product, Technology, Operations and Governance; launches that are operationally ready, not just technically complete; international expansion activity that feels deliberate, structured and well managed; consistent handling of cross-functional initiatives across the business.

Your first 12 months

Within 3 months

• You have built a clear portfolio view across active strategic initiatives.
• There is a shared understanding of which initiatives need local management, light PMO visibility or full PMO oversight.
• Core reporting, escalation and portfolio review rhythms are in place.

Within 6 months

• The Executive team has stronger confidence in sequencing, risk visibility and delivery realism.
• Cross-functional dependencies are surfaced earlier and managed more proactively.
• Major launches have a clearer operational readiness process.

Within 12 months

• The PMO is recognised as a practical enabler of scale, not an administrative layer.
• Major cross-functional initiatives are delivered with more structure and less friction.
• UK expansion and international launch activity are being coordinated in a more disciplined and predictable way.

Why this matters now

We are entering a phase where multiple major initiatives will run concurrently across the UK and internationally.

Without coordination, scale creates friction.

With the right orchestration, scale creates momentum.

This is an opportunity to sit at the centre of a fast-moving healthtech organisation and help shape how it scales: safely, intelligently and with increasing operational maturity.

If you enjoy bringing coherence to complexity, and want to help build the delivery discipline behind ambitious growth, we would love to hear from you.

If this role excites you, but you are unsure whether you meet every requirement, we would still encourage you to apply.

What We Value

Care is at the heart of who we are - in how we support patients, and in how we treat each other as colleagues. We believe the way we show up for each other is just as important as what we do. Skills matter, but it’s our mindset and behaviours that protect the supportive culture we’ve built, and help us thrive together. We value:

• Kindness - treating colleagues, partners, and everyone we support, with respect and care.
• Transparency - being open and honest so that trust can grow.
• Reflection - pausing to learn from experience and improve together.
• Growth mindset - always welcoming feedback and challenges as opportunities to develop.
• Accountability - taking ownership of our actions and outcomes, not to assign blame, but to learn, adapt, improve, and move forward.
• Solution-seeking - focusing on constructive ways forward, even when things are tough.
• Collaboration - sharing ideas, supporting one another, and celebrating collective success.

What You Can Expect from Us

• Competitive salary
• Work Hybrid, with 2 days per week in our Canary Wharf Office.
• 33 days holiday (plus UK public holidays)
• Team get-togethers
• A paid day off on your birthday
• Office equipment when you join
• Pension contribution
• Be part of one of the UK’s most ambitious
• HealthTech start-ups

️Our Hiring Process

We aim to make our hiring process as streamlined as possible.

Shortlisted Candidates will be invited to a call with a member of our Talent Acquisition Team.

An Interview with our Hiring Managers

An in Person Panel interview with members of our Exec Team.

Apply with Confidence

Studies show that men apply for roles when they meet around 60% of the qualifications, whereas women and other marginalised groups often apply only if they meet every requirement. If you believe you’re a great fit but don’t meet every single requirement, we encourage you to apply!

At Care ADHD, we’re committed to building a diverse and inclusive environment. We encourage applications from candidates of all backgrounds, especially those from historically marginalised communities, as we work together to create a more equitable future.