Chief of Staff

ReKlame Health•New York, NY

31d•$150,000 - $170,000•Hybrid

About The Position

As Chief of Staff, you will serve as a force multiplier for the CEO, reducing operational friction, driving strategic initiatives, and expanding executive bandwidth to focus on the highest-leverage problems in the business. This means identifying complex, high-stakes issues before they're fully defined, shaping them into clear decisions, and seeing them through to completion whether that involves building the framework, running the analysis, or owning work that hasn't yet found a home. This is not a role for someone who steps away once the presentation is finished. It demands the judgment to know when to delegate, when to escalate, and when the fastest path forward is simply to execute it yourself. The seat beside the founder and CEO of a fast-scaling, multi-state behavioral health company where strategy either becomes execution, or it doesn't.

Requirements

7+ years of experience in management consulting, investment banking, or private equity; operations experience in high-growth health care startups; or a prior chief of staff role. (experience in health care is required)
A demonstrated record of owning cross-functional work end-to-end not just analyzing or advising, but shipping and owning if you have to.
Strong analytical and financial fluency. You are comfortable building a model, interrogating a dashboard, and distinguishing a real signal from noise.
Exceptional written communication. You can condense a complicated situation into a single page that an executive leader or a board member can act on.
The judgment and presence to hold senior people accountable or influence people without formal authority, and the discretion to handle sensitive information about people, finances, and strategy.
Genuine comfort with ambiguity. You are energized rather than stalled by a problem nobody has scoped yet.
Alignment with our mission. You care about equitable access to mental health and addiction care, and you can work credibly with clinicians and operators.

Responsibilities

Design and run the company's meeting and planning system, including the weekly leadership meeting, monthly business review, and quarterly planning. Set the agenda, drive decisions to a conclusion, capture owners and deadlines, and chase them until they're closed.
Build and maintain the company's OKR and KPI infrastructure. Define the small number of metrics that matter (patient access and wait times, clinician utilization and capacity, retention, collections, growth), ensure they are reported reliably, and surface variance early rather than at quarter-end.
Track every open commitment across the leadership team. Escalate what is stuck, unblock what you can yourself, and make sure nothing important dies quietly.
Turn messy questions into decision-ready analysis — memos, models, options with trade-offs and a recommendation. Examples: should we enter a fourth state; what does our clinician hiring plan need to look like to hit next year's growth; what is at risk?
Prepare board materials, investor updates, and internal all-hands content. Own the narrative quality and the accuracy of the numbers behind it.
Take on whatever is currently the biggest constraint on growth — a payer contracting push, a clinician onboarding redesign, a new partnership, a systems migration — and run it end-to-end until it can be handed off to a permanent owner.
Protect the CEO's time and attention. Prioritize ruthlessly, prepare him for what matters, represent him where appropriate, and give him honest counsel in private.