Head of Strategy & Business Operations, Work Management

As the Director of Revenue Operations & Strategy at Talkiatry, you will sit at the intersection of finance, commercial strategy, and data — serving as the analytical and strategic engine behind how we grow and monetize our business. You will own the revenue growth strategy, shape our go-to-market approach across payers and markets, and build the data infrastructure that drives decision-making at the executive and board level.

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.

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. 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.

Identify the highest-leverage opportunities, build the business case, and own execution against them.

Build the analytical foundation for GTM decisions — market sizing, payer mix optimization, pricing strategy, patient / payor reimbursement performance, network expansion modeling, and referral channel performance. Turn data into clear recommendations that shape commercial strategy.

Work closely with the Product team to define data and tooling requirements that support revenue growth. Translate strategic priorities into clear product requirements and hold the roadmap accountable to commercial outcomes.

Drive Commercial partnership. Serve as a strategic partner to the Chief Growth Officer on contract renewal and payer strategy, including rate negotiations, reimbursement optimization, and payer mix management.

Lead financial modeling, market analysis, and diligence support for JV structures, payer partnerships, and market expansion decisions. Provide strategic and financial insights to inform investment decisions.

Own revenue forecasting and financial modeling. Build and maintain the revenue model — bottoms-up and tops-down — with investment-banking-level rigor. Own the revenue line in the operating plan and provide scenario analyses that support board and investor reporting.

Lead revenue performance reviews, quarterly business reviews, board reporting, and investor updates — ensuring leadership always has a clear, accurate picture of where we stand and where we’re going.

Strategic Thinking: You define the path, not just the analysis. Technical Rigor: You have expert financial modeling abilities — three-statement models, unit economics, scenario planning — and can build and own a SQL-based analytics layer end to end.

Commercial Acumen: You understand how healthcare businesses generate revenue — payer contracting, patient & payor reimbursement dynamics, network economics, and the levers that drive net revenue per encounter.

You’ve partnered with product and engineering teams to build infrastructure that drives commercial outcomes.

Executive Presence: You communicate with board-level polish. High Energy & Ownership: You thrive in a fast-paced startup environment, balance long-term strategy with urgent ad hoc requests, and measure yourself by outcomes — not outputs.

You can lead complex, cross-functional initiatives, influence stakeholders across teams, and drive measurable operational improvements tied to revenue performance.

8+ years of experience in investment banking, private equity, strategic finance, FP&A, or a mix - healthcare experience strongly preferred.

Expert SQL skills you write complex queries fluently and have built reporting infrastructure that executives rely on.

Proven track record partnering with senior stakeholders and driving measurable commercial outcomes.

Familiarity with healthcare revenue dynamics — payer contracting, revenue cycle management (RCM), healthcare regulatory and data privacy requirements, reimbursement, network economics, preferred but not required.

Able to work in NYC office 3-4 days/week.

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!

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.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.