Head of Operations

Somethings•New York, NY

1d•$200,000 - $250,000•Hybrid

About The Position

Somethings is building the first social wellness platform for teens — a place where a teen can form a real relationship with a mentor who gets them, sticks with them, and helps them get better. 25 million teens in the U.S. are struggling with their mental health. Every one of the thousands of teens who downloads Somethings is struggling. Our job is to make sure they don't just show up — they stay, connect with real humans who care deeply about them, and get the support that they need to thrive. We're backed by General Catalyst, Catalio and world-class healthcare + consumer investors, and we're growing like crazy — in 2025 we grew 1100%, raised our $19.2M Series A, and are on track to 5x in 2026. If you want to be a part of the generationally defining company in mental health, welcome home. We're looking for a Head of Operations who will own the engine that delivers Somethings' care: our mentor workforce and the systems, processes, and quality controls that let it scale across states and partners without breaking. The work is high agency, high craft, and high impact: You will run the day-to-day delivery operation that connects thousands of struggling teens to certified peer mentors and build the operational backbone that lets us do it for many more, in more states, at a higher bar, every quarter. When Sales closes a new health plan or state, your operation is what turns that contract into real support reaching real teens. You're walking into a role with real momentum — we're already live with the nation's largest payers and delivering care at scale today. Your job is to make our operation world-class and able to replicable nationwide for the payers that are knocking down our door. This is a foundational leadership role with a clear path to scale with our organization.

Requirements

10+ years of operations experience in healthcare or digital health, including owning and running a provider / care-delivery operation that has scaled — not just being at a company that scaled, and not a purely corporate or G&A ops function.
Has built and scaled a distributed clinical or peer workforce end to end (onboarding, training, performance, retention), ideally in virtual care, teletherapy, or a care marketplace.
Deep, hands-on understanding of credentialing — both organizational / payer enrollment and individual provider credentialing — across multiple states. (Direct Medicaid experience is a plus, not a requirement.)
Incredibly organized and detail-oriented; brings operational rigor to ambiguity and builds process where none exists.
Product-oriented: partners naturally with product and engineering, treats operational problems as product problems, and builds with data, automation, and tooling rather than headcount alone.
Comfortable owning the numbers — operational KPIs, cost-to-serve, utilization, and gross margin — and using them to drive decisions.
A safety- and quality-first operator who has worked in high-stakes, regulated care environments.
Strong people leader who can hire, build, and scale a team — and is equally comfortable rolling up their sleeves in a small, fast-moving company.
Strategic and financially fluent, with the breadth and ambition to scale into a COO role as the company grows.
Thrives in a fast-paced, mission-driven startup environment.
Motivated by improving youth mental health and expanding access to care through an innovative, peer-based model.

Responsibilities

Work alongside our Head of Clinical Ops to ensure smooth running of the day-to-day delivery operation: mentor capacity, caseload management, matching, utilization, and the service-level standards that define a healthy mentor–teen relationship at scale.
Build and scale the operations for our distributed mentor workforce end to end — onboarding, training, certification, performance management, and retention.
Design the team and pod structure (e.g., timezone-based regional pods) that lets the workforce grow without degrading quality or response times.
Partner with clinical leadership to operationalize supervision models, safety and escalation protocols, and incident response — teen safety comes first, always.
Build the quality monitoring and continuous-improvement systems that keep the bar high as volume grows.
Own the operational readiness to pass clinical, partner, and regulatory audits.
Own organizational and payer credentialing and enrollment, as well as individual provider credentialing for our mentor workforce.
Build multi-state licensure and credentialing tracking that scales as we enter new states and partnerships.
Translate complex, varying regulatory and partner requirements into clean, repeatable operational processes.
Treat operations as a product: partner closely with product and engineering to build the tooling, automation, and data infrastructure that powers delivery.
Design processes and systems that scale ahead of growth, replacing manual effort with leverage (including AI-enabled tooling) wherever possible.
Build the operational dashboards and reporting that give the company visibility into the health of the delivery engine.
Own the operational metrics that matter: utilization, cost-to-serve, gross margin, capacity planning, and forecasting.
Identify and execute the levers that improve unit economics while protecting care quality.
Contribute to company-level planning, goal setting, and the path to durable, profitable scale.
Stand up new health plan and state partnerships operationally — building repeatable launch playbooks that turn a signed contract into live, compliant delivery quickly.
Meet partner reporting, SLA, and data requirements as a trusted, long-term operational partner.
Hire, develop, and lead a high-caliber operations team as the function grows.