General Manager/VP, Therapy and New Business Lines

As General Manager, Therapy and New Business Lines, you will own the strategy, launch, and scale-up of our new Intensive Outpatient Program (IOP) & Substance Use Disorder (SUD) Programs — and over time, grow into leading Talkiatry's entire therapy line of business. The near-term mandate is building IOP and SUD from scratch. The longer-term trajectory is owning the full therapy P&L as these programs mature and integrate into the broader platform.

This is a true GM role with end-to-end P&L responsibility spanning business model design, care model development, operating infrastructure, payer strategy, market entry, and financial performance.

You'll have the full resources of Talkiatry's platform behind you — our technology, provider network, payer relationships, and patient volume — and you'll work cross-functionally across the company to bring this to life. But the strategy and execution will be yours to own.

This role is ideal for someone with deep healthcare experience who thrives in 0→1 environments, wants real ownership, and is motivated to build a new care model inside a high-growth company.

About Talkiatry:

Talkiatry transforms psychiatry with accessible, human, and responsible care. We’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.

60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low, and paperwork is unduly burdensome. With innovative technology and a human-centered philosophy, we provide patients with the care they need and allow psychiatrists to focus on why they got into medicine.

You will:

• Business Strategy & P&L Ownership: Define the strategy, business model, and expansion roadmap for Talkiatry's IOP and SUD business. Own the P&L from launch — revenue targets, unit economics, pricing, margin, and resource allocation.

• Clinical & Care Model Development: Partner with clinical leadership to design evidence-based IOP and SUD programs that deliver strong patient outcomes and can scale operationally — including group structure, caseload management, patient matching, and step-up/step-down pathways.

• Operating Model & Infrastructure: Facilitate workflow, system, and reporting development to run the business across admissions, scheduling, utilization review, care coordination, quality measurement, and discharge planning. Establish the operating cadence and analytical infrastructure to support data-driven decisions.

• Market Entry & Payer Strategy: Lead launch planning in partnership with Talkiatry's payor relations and partnerships team, including contracting priorities, reimbursement design, and referral pipeline from hospitals, ERs, primary care, and Talkiatry's own practices.

• Regulatory & Compliance Leadership: Navigate the licensure, accreditation, and regulatory requirements relevant to IOP and SUD care, and ensure the model is built for compliant, scalable growth.

• Cross-Functional Execution & Team Building: Drive alignment across Clinical, Operations, Product, Engineering, Finance, Marketing, and Executive Leadership. Hire and lead the core team. Represent the business to Talkiatry's executive team and board.

You have:

• Builder DNA: You've taken something from concept to operating reality — a new business line, a clinical program, a product, a market entry. You know what 0→1 actually feels like: the ambiguity, the sequencing decisions, the unglamorous work of standing things up before there's a playbook.

• Systems Thinking & Strategic Range: You naturally see how the pieces connect — clinical model, operations, payer dynamics, technology, go-to-market. You can develop a market entry strategy and present it to a board, then sit in the next meeting designing an admissions workflow. You're credible at altitude and effective in the details.

• Analytical Depth: You're deeply analytical — you think in frameworks, pressure-test assumptions, use data to make decisions, and can structure a messy problem into something actionable. You don't need a perfect model to move — but you also don't wing it.

• Structured Execution: You bring rigor to how work gets done. You know how to scope a project, sequence dependencies, run a cadence, and hold people (including yourself) accountable to timelines and outcomes. When things are undefined, you create the structure.

• Cross-Functional Leadership: You've worked across clinical, product, engineering, finance, and commercial teams and earned trust in each room — not through title, but through preparation, follow-through, and genuine respect for what each function brings.

• Healthcare Experience: 10+ years in healthcare, with meaningful exposure to complex care delivery environments. Behavioral health, digital health, or value-based care experience is strongly preferred. Direct experience with IOP, SUD/MAT, group-based care, utilization review, or higher-acuity programs is a real advantage — but we'll prioritize the right operator over the perfect domain match.

• Low Ego, High Standards: You do the work, not just the strategy deck. You're close to the details, fast to act, and the first person to own a miss. People want to work with you because you make the team better, not because you need to be the smartest person in the room.

Why Talkiatry:

• Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care

• Collaborative environment: be part of building something from the ground up at a fast-paced startup

• Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more!

• Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands

• It all comes back to care: we’re a mental health company, and we put our team’s well-being first

Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work.

At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.

We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.