General Manager

As General Manager, Therapy and New Business Lines, you will own the strategy, launch, scale-up and management of our new lines of business and related partnership — and over time, grow into leading Talkiatry's entire therapy line of business. The near-term mandate is to create a coherent strategy on how we engage with patients across the acuity spectrum, from partnering with others to building our own service lines 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 is transforming mental health care by making high-quality psychiatry more accessible, human, and sustainable for both patients and clinicians. Co-founded by a patient and a triple-board-certified psychiatrist, we were built to solve one of healthcare’s most urgent challenges: millions of people struggle to access mental health care, while clinicians face growing administrative burden and burnout. Through our technology-powered, in-network platform, we’re changing that, creating a better experience for patients and empowering clinicians to focus on delivering exceptional care.

Today, Talkiatry is the largest dedicated psychiatry practice in the U.S., with 750+ psychiatrists, 250+ therapists, and more than two million patient visits delivered nationwide. At our scale, every innovation has real impact. Every workflow we improve, every technology solution we build, and every patient experience we redesign helps thousands of clinicians provide better care to hundreds of thousands of patients. We’re not just growing quickly — we’re redefining how behavioral healthcare is delivered in America.

Joining Talkiatry means joining a mission-driven team that is solving complex problems at scale, driving meaningful change in healthcare, and building the future of mental health care with compassion, innovation, and purpose.

What You’ll Do

• Business Strategy & P&L Ownership: Define the strategy, business model, and expansion roadmap for Talkiatry's new lines of 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 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 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.

• 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.

What You Must 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: 13+ 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.