Director of Mental Health Operations

DialogueMontreal, QC
Hybrid

About The Position

Reporting to Christophe Rutyna, Vice President of Mental Health Operations, you will lead a department of clinical mental health professionals and their leadership team. This is a high-impact role at the intersection of clinical operations, people management, and business strategy. You are responsible for the day-to-day performance of our Mental Health+ and Employee Assistance Program lines — translating strategy into the operating rigour, people, and processes that deliver it. You will do it in one of the most connected, cross-functional seats in the company. Your mandate has four dimensions to be held in balance: Manage — the operation meets its targets every day, every week, every quarter, on every core KPI. Optimize — continuous improvement is a daily discipline, not an annual project. Scale — you grow the department and deliver the operational execution behind new service launches, without compromising clinical quality. Advise & Innovate — you are the go-to operational expert on our mental health service offerings, giving the VP and senior leadership updates and recommendations to innovate and improve our services.

Requirements

  • 10–15 years of progressive experience in operations, healthcare, or technology-enabled industries, including at least 5+ years in senior leadership roles
  • Proven success leading and developing high-performing teams, ideally in clinical or regulated environments
  • Strong track record in talent leadership, including hiring, coaching, and retaining top performers
  • Excellent communication and executive presence, with the ability to influence, align, and build trust across all levels of an organization
  • Strong cross-functional leadership experience, working effectively with teams such as Product, Technology, Go-to-Market, Finance, and HR
  • Highly data-driven and analytical, with strong problem-solving and decision-making skills
  • Experience in fast-paced, high-growth environments, with the ability to navigate ambiguity and execute with urgency and ownership
  • Strong interest in the mental health space, with a desire to deepen expertise and act as a thought leader within the organization
  • Ability to work 3 days per week in our Montreal office
  • Bilingualism is essential for this position. You may be required to communicate in French and English.

Responsibilities

  • Lead a team of 15+ managers and team leads overseeing several hundred clinicians and mental health professionals (psychologists, social workers, psychotherapists, psychoeducators, etc.)
  • Build and sustain a high-performance culture grounded in clinical excellence, accountability, and member-centred care
  • Own the full performance management cycle and develop managers into strong operational leaders
  • Partner with HR on workforce planning, engagement, and retention strategies for clinical talent
  • Own core KPIs and delivery against targets, including: Time-to-first-appointment, Session availability, Clinician utilization, Member Experience Score, Cancellation and no-show rates, Cost per episode
  • Run the operational cadence (dashboards, reviews, escalation paths, root-cause analysis) to identify and resolve issues quickly
  • Ensure operational stability under load, including staffing, queue health, incident response, and service recovery
  • Lead capacity planning across modality, specialty, language, and province, translating demand into hiring and scheduling decisions (including employee vs contractor mix)
  • Oversee hiring, onboarding, and ongoing training to ensure clinicians are prepared to deliver safe, high-quality care from day one
  • Partner with Clinical Leadership to ensure all service changes meet regulatory and clinical quality requirements
  • Drive a continuous improvement culture focused on making services faster, better, and more cost-efficient
  • Improve key outcomes each quarter across access to care, quality, productivity, member experience, and cost-to-serve
  • Use data, frontline insights, and structured problem-solving to identify inefficiencies and optimize end-to-end operations
  • Scale workforce capacity in line with growth and evolving demand across programs and regions
  • Translate member, clinician, and client insights into opportunities for service innovation and improvement
  • Co-design, launch, and scale new mental health programs and services
  • Lead change management and ensure successful adoption across clinical and operational teams
  • Track, measure, and communicate the impact of operational and service improvements
  • Workforce Management : forecasting, scheduling, and capacity planning to ensure timely access to care
  • Clinical Quality : patient safety, clinical standards, and evidence-based care
  • Finance : cost-to-serve, margin improvement, budgeting, and forecasting
  • Product & Technology : identifying operational friction, co-designing solutions, and validating impact post-launch
  • People & Culture (HR) : talent acquisition, onboarding, retention, and leadership development
  • Sales : supporting solution design and identifying client-driven opportunities
  • Customer Success : managing escalations and protecting client retention through operational excellence
  • Become the internal expert on Mental Health+ and EAP programs, including structure, scope, and delivery model
  • Provide clear, structured operational updates and performance scorecards to senior leadership
  • Build business cases and strategic recommendations to support executive decision-making
  • Own annual budgeting and financial performance tracking (cost-to-serve, margin, productivity)
  • Develop and execute quarterly operating plans aligned with company priorities
  • Contribute to executive-level planning and long-term strategy for Dialogue’s mental health offerings
  • Maintain a strong point of view on mental health trends (clinical, regulatory, technological, competitive) and proactively bring insights to leadership

Benefits

  • Access to the Dialogue app and virtual mental health support for you and your family
  • Fully funded insurance
  • A health spending account
  • Dental coverage
  • Fitness reimbursement
  • 4 weeks vacation
  • 9 wellness days
  • 1 volunteer day
  • Hybrid work: 3 days/week in our Montreal office
  • Work abroad up to 4 weeks/year
  • Incentive plans
  • Referral bonuses
  • RRSP matching
  • Learning via Coursera
  • External training budget
  • Mentorship
  • Optional parental leave top-up
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