Strategy and Operations Associate

Big Leap Health•New York, NY

3d•$100,000 - $130,000•Hybrid

About The Position

Big Leap Health is transforming how interventional psychiatry practices deliver care. We partner with clinics across the country to power TMS and Spravato® services — combining clinical expertise, technology, and payer integration to make high-quality mental healthcare more accessible. We're building the infrastructure layer for the next generation of in-person behavioral health, replacing administrative chaos with a connected, data-driven operating system that helps practices focus on what matters: patients. The Role: You'll report to the CEO and work day to day alongside our Strategy & Ops Lead. Most weeks you're doing the analysis behind a decision someone is about to make, running an outbound or campaign experiment, researching payers and prospects, or keeping the planning rhythm on track. Then there are the things that land on a Tuesday and need to ship by Friday, and you'll own plenty of those.

Requirements

3–5 years of full-time experience, including at least one stretch somewhere fast and demanding (startup ops or strategy, consulting, banking, private equity, growth or BizOps)
Good with numbers. Messy data in, clean analysis out, explained without a walkthrough.
Precise, and you close loops without being chased
Writes clearly enough to put a recommendation in front of the CEO and have it hold up
Fine working before the process exists, and inclined to write the process down afterward
Fluent in the modern AI stack (you know the difference between an MCP and a Claude Skill, or you can show us what you've built with something else)
Ownership mentality and a real sense of urgency
Curious about digital health, and interested in where interventional psychiatry is heading
Thrives in a fast-paced, high-performance culture
Excited to work in a hybrid work environment in the NYC area (3+ days in-person required)

Nice To Haves

Digital healthcare startup experience
Exposure to sales, marketing, or revenue operations
Builds comfortably in modern tooling (Airtable, Notion, CRM, BI, light scripting or AI tools)

Responsibilities

Own the weekly metrics pack and the dashboards under it, plus the exhibits that go into board and investor reporting
Own the mechanics of our operating cadence: OKR tracking, agendas and prep for leadership meetings, company updates, and making sure last week's commitments actually happened
Execution on growth: prospect and target research, list building, outbound sequences, campaign setup, CRM hygiene, and the pipeline reporting that tells us whether any of it worked
Research and legwork behind payer outreach and our medical advisory board, from sourcing and first-touch through scheduling and materials
Perform analysis behind real decisions: clinic ramp and retention, funnel conversion, unit economics, pricing scenarios