Business Operations Specialist

About Noto

To understand more about Noto, it's first critical to understand our work with NOCD in serving the obsessive-compulsive disorder (OCD) population.

OCD is a stigmatized and mistreated chronic psychiatric condition that affects over 8.25 million Americans and 181 million people globally. Often perceived as a personality quirk, this mental illness is far more severe than is currently understood. It's ranked by the W.H.O as a top 10 most disabling condition, causes people to become 10x more likely to die by suicide when left untreated, and costs the healthcare systems tens of billions of dollars annually. Yet, despite its

prevalence, severity, and costliness, OCD is treatable. People with the condition can get better and stay healthy by doing a specific type of therapy called Exposure and Response Prevention (ERP), although specialists who deliver ERP historically have months-to-years-long waitlists and cost 3X more per session than generalist therapists. As a result of misunderstanding and barriers to ERP, people with OCD today suffer for 14-17 years on average before getting

treated, sadly leading to many suicides and overdoses.


Co-Founder and CEO Stephen Smith formally launched NOCD in January 2014 to end this crisis, inspired by his personal experience suffering with OCD and the challenges he faced navigating the behavioral health treatment system. After being misdiagnosed 5 times and receiving harmful care that caused severe depression, Smith finally figured out he was

experiencing OCD symptoms, which prompted him to find a licensed therapist that specialized in ERP. The specialist had almost a year-long waitlist, cost over $350 out-of-pocket per session, and was unavailable for support between sessions; but with the help of a family member, Smith eventually found a way to see the OCD specialist, get formally diagnosed with OCD, receive ERP Therapy, and regain his life. His experience catalyzed NOCD's creation.


NOCD is ending the global OCD crisis by identifying people with OCD in places where they feel comfortable seeking help (often online and in provider offices) and bringing care to them virtually using the NOCD platform. Inside NOCD, people with OCD can do live face-to-face virtual therapy sessions with a licensed therapist that specializes in OCD from NOCD's fully-time, ERP-trained, network, as well as receive always-on support between sessions from peer communities, self-help tools, and asynchronous messaging. The largest peer-reviewed OCD treatment study ever recorded proved that NOCD Therapy can significantly reduce OCD and comorbidity symptoms in less than 14 hours of clinical time on average, making it the most effective and efficient OCD treatment model in history. As a result of its clinical efficacy, NOCD Therapy has also been able to prove $3,430-$5,000 in savings per member per year, alongside leading payers such as Optum, Cigna, and HCSC.

The model's operational and clinical efficacy has enabled NOCD to scale to become the world's largest behavioral health specialist and the world's leader in OCD treatment. The company has the world's largest OCD patient community ecosystem, with millions of engaged participants per year. Moreover, hundreds of thousands of community members have enrolled in NOCD Therapy, thanks to NOCD's OCD-specialty therapist network that annually conducts millions of

sessions per year in all 50 states. About 90% of NOCD Therapy sessions are covered by insurance too, given NOCD's widespread payer contracts that cover 140 million Americans.


Thanks to NOCD, evidence-based OCD treatment is accessible within 7 days, in all fifty states and as an insurance-covered benefit to almost half of the United States population! It's why Howie Mandel joined the company as its spokesperson, and it's also why top venture capital and private equity firms have invested. In fact, since the company's founding, NOCD has raised $91 Million from investors such as 7wire Ventures, F-Prime Capital, Eight Roads Capital, Kaiser Permanente Ventures, Cigna Ventures, Memorial Hermann, Longitude Capital, Health Enterprise Partners, Chicago Ventures, Hyde Park Angels, Meridian Street Capital, 16 Ventures, and more. Moreover, one of the most successful CEO's in digital health history, Glen Tullman, who scaled Allscripts, sold his previous company, Livongo for $18.5B, and has scaled Transcarent, sits on NOCD's Board as Executive Chairman.

• The investors not only view NOCD as the leader in OCD (and likely market winner), but also as the leader in building a new, better, healthcare system for the world's most complex mental and behavioral health populations. From scaling NOCD, the company has created an AI-enabled platform to operate its innovative care delivery model called Noto. NOCD plugs into Noto, like a branch to a tree, and in 2026, the company announced another branch to the tree: Rebound for Trauma Disorders.
  
  
  Noto is now the company's parent brand, while NOCD and Rebound function as sub brands, similar to how Facebook and Instagram sit within Meta. At scale, imagine Noto leading and powering 5+ specialties, like NOCD and Rebound, while driving life-saving clinical outcomes globally.

As part of the expansion efforts, the company is looking for Business Operations Specialists who can work alongside the company's leadership team to end the mental health crisis in OCD, while adding and scaling additional specialties on Noto.

About The Role

As a Business Operations Specialist, you will support Clinical Operations Managers and Product Managers by owning and driving the operational activities that improve performance across the therapist network. You will act as a key operational partner focused on optimizing therapist productivity, member access, and treatment adherence through strong data analysis, execution, and follow-through.

You will proactively identify operational opportunities, monitor performance trends, and coordinate actions that help teams achieve key business objectives. Success in this role requires strong analytical skills, exceptional organization, attention to detail, and the ability to manage multiple priorities simultaneously in a fast-paced environment while innovating using

technology.

Responsibilities

• Help people with OCD get better and stay better by providing top-notch care through diagnoses, assessments, and evidence-based psychotherapy via the NOCD video platform
• Manage your caseload and schedule
• Maintain complete and timely clinical documentation using the NOCD EHR system
• Participate in NOCD clinical consultation, training, and advance your knowledge and practice of evidence-supported treatments for OCD
• Collaborate with our network of providers to help develop and reinforce treatment decisions

Requirements

Business Performance & KPI Management

• Support Clinical Operations Managers in achieving operational goals and key performance metrics across assigned teams by augmenting clinical performance in the network.

• Monitor and analyze key performance indicators including, but not limited to:
• • Unadjusted % to committed hours
  • Therapist Retention
  • Therapist utilization
  • Scheduling accuracy to protocol
  • Seen at clinically recommended frequency
  • Capacity management
• Identify trends, performance gaps, and operational opportunities through data analysis.
• Build recurring reports, dashboards, and operational summaries to drive action and decision-making.

Operational Execution

• Partner with Clinical Operations Managers to implement initiatives that improve business performance.
• Coordinate follow-up activities and action plans with therapists and operational teams.
• Track and monitor completion of key activities and interventions.
• Escalate risks, barriers, and operational concerns as appropriate.
• Support workflow improvements and process standardization efforts.

Cross-Functional Coordination

• Partner with teams including Clinical Operations, Network Growth, Product, Revenue Cycle, and other operational stakeholders.
• Assist with operational projects and initiatives aimed at improving member experience and therapist effectiveness.
• Serve as an operational liaison to ensure timely execution of priorities.

Qualifications

• Bachelor's degree in Business, Operations, Analytics, Healthcare Administration, or related field preferred; MBA or Master's a plus
• 1-5 years of experience in business operations, healthcare operations, workforce management, analytics, or a similar role.
• Exceptional critical thinking and problem-solving skills, with the ability to move beyond surface-level symptoms to identify root causes and implement sustainable solutions.
• Strong analytical skills with demonstrated experience using data to identify trends and drive decisions.

• Advanced proficiency in spreadsheets and data tools (Excel, Google Sheets, SQL, Tableau, Looker, or similar).

• Highly organized with exceptional attention to detail.
• Strong ability to manage multiple priorities simultaneously.
• Demonstrated ability to drive follow-through and hold teams accountable to action items.
• Strong written and verbal communication skills.
• Comfortable working in a fast-paced and rapidly changing environment.

Success Characteristics

• Highly proactive and action-oriented
• Strong problem solver
• Data-driven decision maker
• Excellent follow-up and ownership mentality
• Comfortable navigating ambiguity
• Collaborative partner with strong relationship-building skills

Why Work with NOCD

We're committed to supporting your growth, both professionally and personally. With an inclusive culture and ongoing learning opportunities, we are here to help you thrive and do the best work of your life. At NOCD, you will:

• Help scale one of the fastest-growing specialty behavioral health organizations in the world.
• Work directly with operational, clinical, product, and business leaders to solve meaningful challenges at scale.
• Use data, technology, and critical thinking to drive measurable improvements in member outcomes and business performance.
• Contribute to a mission that helps people reclaim their lives from one of the world's most disabling mental health conditions.
• Build your career in a high-growth environment where ownership, innovation, and execution are valued and rewarded.
• Play a role in shaping the future of Noto as we expand beyond OCD into additional behavioral health specialties.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, NOCD is the place for you.

What We Offer

• Competitive salary and benefits package, including Medical, Dental, Vision, and a 401K plan with a Company Match.
• Employee Assistance Programs, including Mental Health, Wellness, Financial, Legal, and Pet Insurance
• Generous PTO policy with 11 observed company holidays
• 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees.
• Compensation : The expected pay range for this position is $85,000-$120,000 per year. Actual pay will be based on the individual's qualifications and experience.