General Manager, Therapy and New Business Lines

Talkiatry•New York, NY

3d•Remote

About The Position

Talkiatry has built the largest dedicated psychiatry practice in the U.S. by doing one thing exceptionally well: delivering high-quality, in-network psychiatric care through a technology- powered platform. We’ve scaled to 750+ psychiatrists, 250+ therapists, and over two million patient visits. Now we’re ready to do it again — in a category where the need is just as urgent and the system is just as broken. As General Manager, Therapy and New Business Lines, you will own the strategy, launch, scale-up and management of our new lines of business and related partnership — and over time, grow into leading Talkiatry's entire therapy line of business. The near-term mandate is to create a coherent strategy on how we engage with patients across the acuity spectrum, from partnering with others to building our own service lines from scratch. The longer-term trajectory is owning the full therapy P&L as these programs mature and integrate into the broader platform. This is a true GM role with end-to-end P&L responsibility spanning business model design, care model development, operating infrastructure, payer strategy, market entry, and financial performance. You'll have the full resources of Talkiatry's platform behind you — our technology, provider network, payer relationships, and patient volume — and you'll work cross-functionally across the company to bring this to life. But the strategy and execution will be yours to own. This role is ideal for someone with deep healthcare experience who thrives in 0→1 environments, wants real ownership, and is motivated to build a new care model inside a high-growth company.

Requirements

Builder DNA: You've taken something from concept to operating reality — a new business line, a clinical program, a product, a market entry. You know what 0→1 actually feels like: the ambiguity, the sequencing decisions, the unglamorous work of standing things up before there's a playbook.
Systems Thinking & Strategic Range: You naturally see how the pieces connect — clinical model, operations, payer dynamics, technology, go-to-market. You can develop a market entry strategy and present it to a board, then sit in the next meeting designing an admissions workflow. You're credible at altitude and effective in the details.
Analytical Depth: You're deeply analytical — you think in frameworks, pressure-test assumptions, use data to make decisions, and can structure a messy problem into something actionable. You don't need a perfect model to move — but you also don't wing it.
Structured Execution: You bring rigor to how work gets done. You know how to scope a project, sequence dependencies, run a cadence, and hold people (including yourself) accountable to timelines and outcomes. When things are undefined, you create the structure.
Cross-Functional Leadership: You've worked across clinical, product, engineering, finance, and commercial teams and earned trust in each room — not through title, but through preparation, follow-through, and genuine respect for what each function brings.
13+ years in healthcare, with meaningful exposure to complex care delivery environments.
Low Ego, High Standards: You do the work, not just the strategy deck. You're close to the details, fast to act, and the first person to own a miss. People want to work with you because you make the team better, not because you need to be the smartest person in the room.

Nice To Haves

Behavioral health, digital health, or value-based care experience is strongly preferred.
Direct experience with IOP, SUD/MAT, group-based care, utilization review, or higher-acuity programs is a real advantage — but we'll prioritize the right operator over the perfect domain match.

Responsibilities

Define the strategy, business model, and expansion roadmap for Talkiatry's new lines of business.
Own the P&L from launch — revenue targets, unit economics, pricing, margin, and resource allocation.
Partner with clinical leadership to design evidence-based programs that deliver strong patient outcomes and can scale operationally — including group structure, caseload management, patient matching, and step-up/step-down pathways.
Facilitate workflow, system, and reporting development to run the business across admissions, scheduling, utilization review, care coordination, quality measurement, and discharge planning.
Establish the operating cadence and analytical infrastructure to support data-driven decisions.
Lead launch planning in partnership with Talkiatry's payor relations and partnerships team, including contracting priorities, reimbursement design, and referral pipeline from hospitals, ERs, primary care, and Talkiatry's own practices.
Drive alignment across Clinical, Operations, Product, Engineering, Finance, Marketing, and Executive Leadership.
Hire and lead the core team.
Represent the business to Talkiatry's executive team and board.