Bengaluru, India · Full time · Posted Nov 11, 2026
100ms builds AI agents that automate patient access in US healthcare: benefits verification, prior authorization and referral intake for specialty pharmacies.
We're looking for a hands-on HR Lead to run HR for our India team of 140+ people across Tech and Operations. You'll do the work yourself: writing policies, running payroll inputs, handling employee issues and driving hiring. You'll also build the processes we need to grow past 200. You'll work directly with our founders and US leadership.
What you'll do
Run day-to-day HR for Tech and Ops: onboarding (with IT), exits, attendance and leave
Manage the Ops workforce: shift rosters, overtime and night-shift policies
Own hiring across Tech and Ops: headcount planning, agency partners, and batch hiring for Ops
Prepare monthly payroll inputs and work with Finance, and check and sign off on the work of our payroll and compliance vendor
Manage benefits (insurance, NPS, the flexible benefits plan) and HR vendors, including background checks and night-shift transport
Run performance reviews, probation confirmations and annual salary revisions
Handle employee relations, grievances, POSH and night-shift compliance, and be the person the night-shift team trusts
Run engagement and retention initiatives, and report monthly HR metrics (headcount, attrition, hiring) to leadership
Build the HR processes, tools and reporting we need as we grow
What success looks like in your first year
Performance reviews and salary revisions running smoothly for 200+ people
Measurably lower attrition in Ops
A hiring process that fills Tech roles and Ops batches on time without lowering the bar
You'll be a good fit if you
Have 7–10 years in HR, including time as the first or only HR person at a company of 50–200 employees
Have personally run payroll inputs, written policies, handled ER and POSH cases, and hired
Have worked with shift-based or operations-heavy teams (a big plus)
Know Indian labour law and statutory compliance well
Are comfortable using AI and automation tools to make HR run faster
Communicate clearly and are comfortable working with US-based leadership
Hold a graduate degree. An MBA/PGDM in HR is welcome but not required.
Working hours: Flexible, with regular evening overlap to support our US-shift Operations team.
Ovii Interpretation
The HR Lead will run day-to-day HR for a 140+ person India team across Technology and Operations, while building processes to support growth. The role combines hands-on employee support, workforce operations, hiring, payroll coordination, compliance, and regular reporting to company leadership.
Role at a glance
India HR operationsHands-on HR deliveryTechnology and Operations teamsHiring and workforce planningEmployee relations and complianceProcess building for growth
Skills mentioned
HR operationsIndian labour lawStatutory compliancePayroll inputsEmployee relationsPOSH case handlingHiringheadcount planningShift schedulingPerformance reviews
What you will likely work on
Coordinate onboarding, exits, attendance, and leave with relevant teams.
Plan hiring across Technology and Operations, including agency coordination and batch hiring.
Manage shift rosters, overtime, and night-shift policies for Operations teams.
Prepare payroll inputs with Finance and review payroll and compliance vendor work.
Administer benefits and HR vendors, including background checks and night-shift transport.
Run performance reviews, probation confirmations, and annual salary revisions.
Handle employee relations, grievances, POSH matters, and night-shift compliance.
Track hiring, headcount, and attrition; build HR processes and reporting as the organization grows.
Good fit signals
Has 7–10 years of HR experience, including serving as the first or sole HR professional in a 50–200 person company.
Has personally handled payroll inputs, policy writing, employee relations and POSH cases, and hiring.
Experience with shift-based or operations-heavy teams is a plus.
Brings strong knowledge of Indian labour law and statutory compliance.
Communicates clearly with US-based leadership and is comfortable with regular evening overlap.
Meet 100ms AI
100ms AI builds voice-first AI agents for healthcare operations, with a focus on reducing administrative work and delays in patient access. Its agents automate workflows such as patient intake, scheduling, benefits verification, prior authorization, triaging and telehealth coordination, including workflows for specialty practices and patient-support programs. The company emphasizes healthcare-grade safety, human escalation, HIPAA compliance and natural low-latency conversations. 100ms originally built real-time audio and video infrastructure and says its platform has powered more than a billion minutes of conversations; it began its healthcare AI focus in 2024.
Founded
2020
Company size
51-200 employees
Company stage
Series A
Headquarters
San Francisco, USA
Why work here
100ms offers candidates the opportunity to work on healthcare AI agents handling complex, real-world patient access workflows such as benefits verification, prior authorization and intake. The company is backed by investors including Accel, Alpha Wave, Z47, LocalGlobe and STRIVE and has raised $24.5 million. Its founding team has experience building large-scale real-time infrastructure at Meta and Disney+ Hotstar, while current engineering roles involve LLM agents, evaluation systems, Python services and modern web development. 100ms also participated in the Mayo Clinic Platform Accelerate program in 2026. Candidates should note that many current Bengaluru engineering and product roles emphasize regular in-office work.
Co-founder and CEO of 100ms. Gupta previously worked on large-scale real-time video infrastructure at Meta and served as VP of Engineering at Disney+ Hotstar. He studied at Madan Mohan Malaviya University of Technology and now applies his experience in scalable, low-latency communications to AI agents for healthcare and patient access.
Co-founder and COO of 100ms. Behera previously held product leadership roles at Hotstar and co-founded Gozoomo. He is an IIT Bombay alumnus and leads operating and product efforts as 100ms expands from real-time communications infrastructure into healthcare AI and patient-access automation.
Co-founder and CTO of 100ms. Dwivedi previously worked at Hotstar, where he helped build its in-house video processing platform, and earlier worked in software engineering roles. He studied Information Technology at Motilal Nehru National Institute of Technology and brings deep experience in scalable media and infrastructure engineering.
100ms selected for Mayo Clinic Platform Accelerate cohort
Mayo Clinic Platform
Mayo Clinic Platform included 100ms in its February 2026 Accelerate cohort, describing the company as building AI agents for patient access across intake, benefits verification, prior authorization, triaging and scheduling for specialty practices.
100ms showcases AI agents across the patient access workflow at Hub West 2026
LinkedIn
100ms presented agents spanning patient intake through fulfillment at Hub & Specialty Pharmacy Models West 2026, including sessions focused on the safety and quality of AI-powered patient and payer calls.
100ms introduces its AI Case Manager for hub operations
LinkedIn
At Asembia's AXS26 Summit, 100ms highlighted its AI Case Manager for healthcare hub operations, including automated enrollment processing, benefits verification and monitoring of calls for adverse events and product quality complaints.