Nexus Job Description – Operations Consultant
Operations Consultant
£70,000–£100,000 | Hybrid — three days on-site, one day flexible | Four-day week
Who we are
Nexus is a health and social care transformation consultancy.
Our purpose: We help health and care leaders solve their hardest problems – the ones that sit between teams, across organisations, and beneath the surface – and help them deliver genuine, sustainable transformation.
Internally? We’re the anti-burnout consultancy. We work a four-day week as standard (and no – that’s not a 60-hour four-day week). This isn’t a perk or a policy for policy’s sake — it’s a deliberate choice, rooted in how we believe great work actually gets done: by people who are energised and mentally present, not burned out and stretched thin.
We believe health and social care deserve the best support, support that actually makes a meaningful difference to staff and service users. We don’t write reports to just gather dust. We get on-site, work alongside clinical and operational teams, and we stay until change is embedded and value is proven.
At the moment, we work wholly in patient flow and unplanned (urgent and emergency) care, from population health management and crisis prevention through to reablement outcomes, on problems that have often been years in the making. The work is complex, but it matters.
We’re just starting our third year of business. We’re small, but we’re growing quickly. You’ll work closely with the founder, carry genuine responsibility from day one, and have a direct line to the decisions that shape both the programmes we deliver and the company we’re building.
The role
We’re looking for an Operations Consultant to join the team and get stuck in. You’ll lead workstreams and analytical pieces on live programmes, working directly with frontline teams and senior client stakeholders. You’ll structure ambiguous problems, dig into data, build the evidence base, and help clients move from diagnosis to action — and then stay to make sure it sticks.
This isn’t a support role. You’ll be trusted to own your work, challenge what needs challenging, and bring your own thinking. In Nexus, you’ll always have two jobs. Do the work, and improve the work. If you see a better way to do something that will help us be more efficient or effective for clients, we’ll give you the space, support, and backing to run with it.
You’ll be on-site with clients three days a week — Tuesday to Thursday tend to be the most valuable days — when client teams are in, decisions get made, and momentum builds. But we’re flexible. Your four-day working pattern will depend on your needs, the programme, and the client. We design working patterns to get the best out of our people and deliver the best outcomes for those we serve.
The fourth ‘day’ — worked from home — is yours to shape. It can be one full day, or split across evenings, or however works for you. We don’t prescribe when or how. We care about outcomes, not clocks. We do this because we know that life doesn’t fit neatly into a nine-to-five: childcare, personal commitments, mental health, and individual working preferences all matter, and we build our culture around accommodating them. The only ask is that you stay practical — if a client meeting needs us, we need to be there (but we’re a team—it’s not all on you).
The team
Nexus means ‘connection’, and that’s what we’re all about. Connecting the dots from the front line to the board. Connecting staff anecdotes and feelings with big data and observational understanding. Our team comprises operations consultants, urgent care subject matter experts, medical consultants, and former CEOs of acute hospitals. Our combined knowledge and internal challenges drive the outcomes we deliver.
But more than that, we’re just humans. And having work that supports how we want to live is how we’ll develop the best teams and deliver the best outcomes for our clients. Our team are parents and grandparents, have caring responsibilities, home commitments, animals, are neurodiverse and enjoy not working 60-hour weeks (we scope and price our programmes to reflect this – if a potential client wants a company that works until the early hours of the morning for them, we’re not the company for them). If you’ve got kids, and you’re on a call (internally or with clients) and they need a hug – we expect you to hug them. Get them on your lap. Give them what they need. There’s no reason you can’t do both. This is how we work, and we’ll always have your back.
What we’re looking for
Experienced. At least three years in management or operations consulting, ideally from Newton, an MBB firm, or a comparably rigorous environment. You know what good looks like, you’ve delivered it, and you’ve developed from your mistakes.
Sector depth. Experience working in health or social care is a significant advantage — we’re not generalists, and neither should you be. A clinical background or direct experience in health or social care is a genuine differentiator.
Analytical and logical. You’re comfortable with data, numbers, and structured problem-solving. You can build a model, interpret a messy dataset, and present findings clearly — without hiding behind slides. Experience and knowledge of statistics are a bonus, especially if you’ve used MiniTab before.
A people person. You can hold a room, build trust with a sceptical clinical director, and know when to listen and when to push back. You understand that delivery happens through people, not despite them.
Comfortable in ambiguity. Nexus is growing. Not everything is figured out. You’ll be expected to do the work and improve the work, and bring a bias for action rather than waiting to be told.
Someone who loves improvement. Delivering change is hard. Loving what we do, the challenge of the difficult conversation or unlocking the opportunities, keeps us going when things are tough. You’ll need significant experience in actually getting things done. Writing a business case or report that might do something won’t cut it. Formal training or demonstrable experience in Lean Six Sigma or the Theory of Constraints is preferable.
What you’ll get
Salary: £70,000–£100,000, depending on experience, knowledge, and sector depth.
Four-day work week as standard. We work four days a week – consulting (done properly) is draining. But if you genuinely want a fifth day, we can chat about it.
5% employer pension contribution, non-contributory. You don’t need to put anything in.
25 days holiday, rising by one day each year to 30 days at year five, plus bank holidays.
Company-provided phone, laptop, and home-working equipment.
£2,500 annual training budget from year two.
Life assurance.
Annual profit share bonus based on company performance.
How to apply
If this sounds like the kind of place you want to be, we’d love to hear from you. Send a CV and a short note — not a cover letter that restates your CV — on why Nexus, and why you. Tell us something real, and show your personality.
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