Talkiatry is seeking a strategic, data-driven builder to lead some of our most important growth initiatives across the Mindshare Referrals program. As the Director of Strategic Initiatives, you’ll take on high-priority opportunities that expand our referral ecosystem, strengthen how providers connect patients to care, and unlock new ways for Talkiatry to partner with health systems and medical groups at scale. Your work will range from scoping new services to launching new technologies to exploring new markets.
This role blends strategy, operational execution, and the commercialization of new capabilities. You’ll work hand-in-hand with cross-functional leaders to translate opportunity into impact — shaping go-to-market strategy, designing and testing new models, and building the frameworks and processes that allow successful pilots to scale nationally. One day you may be structuring a new business line or workflow from 0 to 1; the next, you may be aligning stakeholders across clinical, product, and operations to bring that solution to life.
You’re the ideal candidate if you thrive in ambiguity, think in systems, and bring a test-and-learn mindset to solving tough problems. You’re equally comfortable going deep on the analysis, distilling insights into clear recommendations, and rolling up your sleeves to drive execution on the ground. Most importantly, you bring sound judgment, a strong motor, and an instinct for building solutions that work in the real world.
This is a high-visibility, high-leverage opportunity to shape how Talkiatry grows — designing and scaling the next generation of partnerships and capabilities that help more patients access high-quality mental health care through the providers they trust.
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
Identify, evaluate, and prioritize new services, technologies, and market opportunities for Talkiatry to pursue
Develop business cases and forecasting models for new initiatives, defining success metrics and tracking performance
Structure, launch, and manage 0-to-1 pilots that validate strategic opportunities and inform scaling decisions
Drive go-to-market execution, translating strategy into actionable plans and ensuring initiatives deliver measurable results
Partner cross-functionally, pivoting between executive alignment and operational execution to bring new capabilities to market.
Define success metrics, monitor performance, and drive iteration across early-stage initiatives.
Evaluate program performance and ROI to determine where to optimize, expand, or pivot
Build frameworks, tools, and playbooks to help drive growth at scale for the Mindshare program
Align stakeholders around strategic direction, tradeoffs, and resource needs
Distill insights into clear recommendations for executive leadership and influence decision-making
Roll up your sleeves to solve operational bottlenecks, impact our highest leverage opportunities, and make real world impact
You are:
Strategic operator who can translate ideas into impact
A systems thinker who brings structure, clarity, and focus to complex, cross-functional challenges
Analytical and rigorous, able to break down problems, size opportunities, and create strong recommendations
Skilled communicator and storyteller who simplifies complexity and builds alignment across stakeholders
Entrepreneurial and ambitious—you thrive in ambiguity, move with urgency, and take ownership from idea to outcome
Comfortable working cross-functionally and influencing without direct authority
Adept at shifting between high-level strategy and hands-on operational execution
Detail-oriented and highly accountable; you attack challenges and are committed to seeing initiatives through from idea to outcome
Motivated by purpose and progress—you care about expanding access to care through smart, scalable growth
You have:
7-10+ years of experience in strategy, business operations, growth, consulting, or similar roles
Proven track record of launching and scaling new programs or markets from 0 to 1
Strong analytical and financial modeling skills; proficiency in Excel (or Sheets) required, SQL experience strongly preferred
Experience with dashboarding or analytics tools (Looker, Tableau, Power BI, etc.)
Exceptional written and verbal communication skills, including presenting to leadership and executives
Experience in healthcare, tech-enabled services, or high-growth environments preferred
Bachelor’s degree required; advanced degree a plus
What We Offer
Competitive compensation with performance-based bonus
Hybrid NYC role with regular in-office collaboration
High-impact position with direct visibility to Talkiatry’s executive leadership
Opportunity to launch and shape new initiatives within a top strategic growth program
A mission-driven culture focused on purpose, accountability, and innovation
Clear pathways for advancement and leadership development
The chance to operate like a builder—taking ideas from 0 to 1 and scaling what works
You won’t be just a strategist—you’ll be a builder, an operator, and a key architect of how Talkiatry grows.
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.
