Strategy and Operations Lead

Big Leap Health is transforming how interventional psychiatry practices deliver care. We partner with clinics across the country to power TMS and Spravato services — combining clinical expertise, technology, and payer integration to make high-quality mental healthcare more accessible. These aren't just treatments; they're gateways to resilience, empathy, hope, and strength.

We're building the infrastructure layer for the next generation of in-person behavioral health, replacing administrative chaos with a connected, data-driven operating system that helps practices focus on what matters: patients.

We've raised $10M+ from top VCs and angels, have dozens of customers across the country and are rapidly growing.

We're starting a Strategy & Ops function, and this is the person who gets to define it.

You'll report to the CEO and work on whatever matters most that month. Some weeks that means running our planning cadence and getting the leadership team aligned on the quarter; other weeks you're on the phone with a payer's network team, recruiting clinicians onto our medical advisory board, rebuilding how we run outbound, or picking up a project nobody else has time to own. The through-line is judgment, not a functional specialty.

You'll get problems with no playbook and be expected to come back with a recommendation, the reasoning behind it, and a plan you can run yourself. As the function grows, this seat may pick up direct reports; we'd want whoever's in it to build that team.

Good fit if you'd rather own an outcome than a workstream, and if you want to see up close how a healthcare technology company actually scales.

• Run the offsite that sets next quarter's OKRs, then own the weekly and monthly rhythm that keeps them from quietly dying six weeks later, including a company-wide update people actually read

• Take the medical advisory board from idea to first meeting. Identify the interventional psychiatry KOLs worth having, get them to say yes

• Rebuild the financial model against what our operations actually taught us, then tell us where our unit economics and pricing are wrong

• Evaluate our GTM motion and improve our sales process to drive better velocity and outcomes

• 6–10 years of full-time experience, including real time at a fast-growing, VC-backed early-stage startup

• Analytical by instinct. You can build a model in Sheets from ugly source data and defend every assumption in it. You don't need to be a data scientist; you do need to be the person who checks a number before repeating it

• You turn ambiguity into a plan quickly, and then execute the plan

• Comfortable in outside conversations, whether that's a payer's network director, a skeptical psychiatrist, or a clinic owner who is frustrated with the system

• Writes and presents well: a board memo in the morning, a payer pitch that afternoon

• Ownership mentality, entrepreneurial instincts, and a real sense of urgency

• Fluent in the modern AI stack (you know the difference between an MCP and a Claude Skill, or you can show us what you've built with something else)

• Digital health experience, or a track record of learning an unfamiliar sector in weeks

• Genuinely interested in where breakthrough mental healthcare treatment is heading

• Thrives in a fast-paced, high-performance culture

• Excited to work in a hybrid work environment in the NYC area (3+ days in-person required)

Preferred:

• Digital healthcare startup experience

• Consulting, banking, or investing background paired with at least one operating role

• Exposure to payer contracting, reimbursement, or revenue cycle management

• Has managed or mentored junior teammates

• Transform Mental Health in the US: We are at the forefront of democratizing access to breakthrough mental healthcare treatments in this country, and you'll have a front row seat.

• Culture of Excellence: Our leadership team has decades of experience at successful VC backed startups with several exits, and we're devoted to applying lessons learned to transforming mental health treatment for those most in need.

• Strong Apprenticeship & Coaching: We expect all our early hires to grow into leaders in our company and the industry, and we are committed to helping you get there.

• Joining the Ground Floor: This is an opportunity to join the next stage of growth for a company that is democratizing access to a rapidly evolving field of healthcare that is transforming mental health across the country.

You'll also enjoy the following benefits:

• Industry-leading cash compensation for a startup of our stage

• Generous equity

• Health, dental, and vision benefits

• New Macbook + modern software stack (Airtable, Notion, Slack, etc.)

$140,000 - $190,000 a year + bonus

Compensation range for this position is $140,000 to $190,000 + discretionary bonus, depending on experience; actual compensation will be dependent upon the specific role, location, as well as the individual's qualifications, experience, skills and certifications.

At Big Leap Health, 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.