HR Lead – India

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.