Strategy & Ops Lead, New Markets

Marble Health•New York, NY

1d•$140,000 - $165,000•Hybrid

About The Position

Marble is building the new operating system for youth mental health by connecting schools, therapists, and health plans on a single platform to unlock access to care today and raise the standard of care for tomorrow. Marble is rapidly growing and expanding beyond our initial markets, and we need someone to own the strategy and the execution that make that possible. You'll take primary ownership of figuring out where we go next, diagnosing what stands in our way, and then doing the hands-on work to stand up each new market once we decide. This is a build role, not just a thinking role. On the strategy side, you'll develop our approach to new market selection: building prioritization frameworks, leading market testing and research, and diagnosing key risks. On the execution side, you'll personally stand up each market: setting up corporate infrastructure, running insurance and Medicaid enrollments, managing contracts and vendors, and driving cross-functional readiness. Much of this work is unglamorous and detail-critical, where a missed licensing deadline or a rejected Medicaid application can cost us months. You'll move fluidly between the two, working directly with our Head of Commercial. The goal: build the foundation that lets Marble launch new markets faster and more successfully as we scale. This role is hybrid, with three days per week in our SoHo, New York City office.

Requirements

4-7 years of experience spanning management consulting, banking or investing, and/or an early operating role (BizOps, Strategy & Ops, Chief of Staff) at a high-growth startup
A strategic generalist with a track record of rigorous analysis and ambiguous problem-solving; you know how to build a framework from scratch and make a call with incomplete data
Equally comfortable at both ends of the job: ability to think strategically about the business as a whole, but also able to dive in to the nitty gritty to execute on the strategies you propose
Healthcare experience is a must
Radically honest. You'll quickly acknowledge when new information might force a pivot, even when it's not the answer anyone wants
High autonomy, low ego. Comfortable taking a fuzzy mandate ("go figure out what's in our way in this market") and running with it with little oversight
Sharp attention to detail. The execution side of this role has real consequences when done sloppily; requires strong organization and detail orientation skills

Nice To Haves

Medicaid or payor experience is a nice to have

Responsibilities

Lead the data collection and analysis for reimbursement rates, payor dynamics, regulatory research, market testing that informs which states we expand into next
Assess the commercial viability of prospective markets, building detailed gross margin projections and diagnosing the biggest risks and blockers in each one
Build a repeatable market-entry playbook(s)
Own new-market operational setup: stand up legal entities, insurance contracts, and operational infrastructure
Identify, engage, and manage outside experts, advisors, and vendors to accelerate market entry and fill knowledge gaps
Once we prioritize a market, drive execution against the risks and blockers we've identified, partnering with leadership to focus on the highest-stakes pieces
Flex between operational, analytical and sales work as the team's priorities evolve