Senior Manager, Business Operations

We’re hiring a Senior Manager, Business Operations to help shape the future of patient care at Talkiatry. Sitting within Core Operations - the strategic engine and operational backbone that powers Talkiatry’s growth and impact, the role is dedicated to one of the most meaningful levers in mental healthcare: patient retention. Your work will directly influence how patients stay engaged in treatment, adhere to care plans, and ultimately achieve better outcomes. By improving retention and reducing leakage, you’ll not only enhance patient lives but also drive one of the most powerful multipliers of Talkiatry’s long-term performance and mission impact: patient lifetime value (“LTV”) . This is a highly analytical, strategic, and cross-functional role that blends data-driven insight with hands-on execution. You’ll partner closely with Product, Clinical, and Marketing teams to design experiments, optimize the patient journey, and scale programs that improve continuity of care and patient satisfaction. The ideal candidate thrives on turning complexity into clarity - leveraging data to diagnose friction, collaborating across teams to implement solutions, and ensuring that every improvement in experience translates into measurable business and clinical outcomes. If you’re energized by solving ambiguous problems, blending data and empathy, and helping shape the future of mental health delivery, this is the right role for you.

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:

• Patient Retention & Journey Optimization
• Map and continuously improve the end-to-end patient journey – from onboarding and first appointment through ongoing care and re-engagement.
• Identify and address drop-off points using both quantitative and qualitative insights (patient interviews, feedback, NPS trends).
• Partner with Marketing to design lifecycle campaigns and retention programs that strengthen patient adherence, satisfaction, and repeat visits.
• Create and test interventions that improve continuity of care (e.g., proactive follow-up reminders, personalized rebooking flows, treatment-adherence nudges).
• Collaborate with Clinical and Care Operations to ensure every process supports long-term therapeutic success and care outcomes.
• Strategy Execution & Operational Implementation
• Serve as the right hand to the Head of Business Operations on core retention and experience initiatives.
• Lead structured problem-solving, project management, and cross-functional coordination from design through rollout and measurement.
• Build alignment across Product, Clinical, Marketing, and Operations to ensure initiatives are executed consistently and at scale.
• Support long-term planning and P&L optimization related to patient retention, automation, and care-delivery efficiency.
• Develop and communicate clear updates, learnings, and progress to executive stakeholders.
• Product Alignment & Delivery
• Partner with Product and Engineering to translate patient and operational insights into scalable, technology-enabled solutions.
• Define business requirements and success metrics for retention-driving product features (e.g., scheduling tools, notifications, care-plan tracking).
• Collaborate on roadmap prioritization by linking patient experience improvements to measurable performance outcomes.
• Monitor implementation and feedback loops to ensure that new features deliver against patient and business goals.
• Analytics & Insights
• Own the analytics engine behind patient retention, leakage, and engagement – translating data into actionable insights.
• Build and maintain performance dashboards and analytical frameworks to track KPIs such as Follow-Up Visit Retention, 2nd-Visit Conversion, Net Churn, and NPS.
• Conduct deep-dive analyses to uncover friction, inefficiencies, and missed opportunities across the patient lifecycle.
• Quantify the business impact of retention initiatives and communicate clear ROI narratives for leadership.
• Design and evaluate experiments or pilots using rigorous measurement frameworks (A/B testing, cohort analysis, statistical validation).

You have:

• 4-7 years of experience in top-tier consulting, investment banking, or high-growth operations roles.
• Exposure to healthcare or tech-enabled services is a plus.
• Proven ability to thrive in fast-paced, ambiguous environments.
• Strong analytical skills (Excel, SQL a minimum) with the ability to translate data into actionable insights and strategic recommendations.
• Experience running pilots or experiments end-to-end, from hypothesis to implementation and measurement, through iterations.
• Proven skill in developing executive-level presentations and communicating insights clearly.
• Excellent written and verbal communication skills.
• Bachelor’s degree required.

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

Compensation range for this position is $130,000 to $160,000, and up to a 10% performance 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.

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.

*The results in this advertisement are based on a survey with a scale of 0-10 conducted by Talkiatry from June to July 2025 with 124 psychiatrists. Of these, 111 rated Talkiatry seven or higher on this scale, indicating they recommend Talkiatry as an employer. Note that this survey reflects the opinions of the respondents during the specified period and does not guarantee that all psychiatrists will recommend Talkiatry in the future. The methodology and results are provided for informational purposes only and should not be solely relied upon for employment decisions.