How to Use an Operations Mindset to Scale Product Delivery

Finding product–market fit isn’t the finish line—it’s base camp. In this episode, Hannah Clark sits down with Amit Shah, COO of Virta Health, to unpack what really happens after you’ve “made it” and the mountain suddenly gets steeper. Virta is scaling a fully virtual metabolic health clinic in a fast-moving healthcare landscape, and Amit brings a rare perspective shaped by nearly a decade inside the company—and a career that started in operations, not product. Amit shares how Virta navigated rapid growth while building a scalable product organization, why simplicity becomes harder (not easier) as you scale, and how they make deliberate choices about where humans add the most value versus where AI should step in. If you’re wrestling with org design, prioritization, tech debt, or the ethics of AI in real-world products, this conversation offers a grounded look at what it takes to scale without losing your north star. Resources from this episode: Subscribe to The CPO Club newsletter Connect with Amit on LinkedIn Check out Virta Health