General Manager, Director of Clinical Operations

We are seeking a General Manager (GM) / Director of Operations to oversee and optimize the day-to-day clinical operations of our telehealth psychotherapy services. This role requires a strategic leader with strong organizational and communication skills who can manage and scale a large team of therapists across various states while ensuring high-quality care, compliance with regulatory requirements, and operational efficiency. A highly cross-functional and collaborative role, you will be working with providers as your main internal clients but will partner with Product and Tech, Clinical Support, and other centralized operational functions. You will be frequently finding yourself strategizing on long term goals, problem solving day-to-day inefficiencies of our operations, interpreting performance and quantitative data, and running projects into improve our experience and care quality. If you are passionate about running a business and supporting clinicians to be successful in serving mental health needs, we encourage you to apply for this exciting opportunity. This role is one of the most integral parts of Talkiatry’s next chapter!

About Talkiatry

Talkiatry is transforming mental health care by making high-quality psychiatry more accessible, human, and sustainable for both patients and clinicians. Co-founded by a patient and a triple-board-certified psychiatrist, we were built to solve one of healthcare’s most urgent challenges: millions of people struggle to access mental health care, while clinicians face growing administrative burden and burnout. Through our technology-powered, in-network platform, we’re changing that, creating a better experience for patients and empowering clinicians to focus on delivering exceptional care.

Today, Talkiatry is the largest dedicated psychiatry practice in the U.S., with 750+ psychiatrists, 250+ therapists, and more than two million patient visits delivered nationwide. At our scale, every innovation has real impact. Every workflow we improve, every technology solution we build, and every patient experience we redesign helps thousands of clinicians provide better care to hundreds of thousands of patients. We’re not just growing quickly — we’re redefining how behavioral healthcare is delivered in America.

Joining Talkiatry means joining a mission-driven team that is solving complex problems at scale, driving meaningful change in healthcare, and building the future of mental health care with compassion, innovation, and purpose.

You will

• Support a team of therapists to ensure high standards of care and productivity.
• Deploy clinical policies and procedures that align with our mission and ensure consistency in service delivery.
• Collaborate with the Senior Director and National Psychotherapy Director to develop strategic plans for clinical growth and expansion.
• Foster a positive, collaborative, and inclusive work environment that promotes professional development and reduces turnover.
• Collaborate with the core operations team to ensure the daily clinical operations, including therapist scheduling, caseload management, and service delivery.
• Ensure compliance with state and federal regulations, licensing requirements, and professional standards of practice.
• Monitor and evaluate clinical performance metrics to ensure quality care, high patient satisfaction, and efficient use of resources. Analyze and report on monthly metrics to drive excellence in high quality patient care, productivity and financial stewardship.
• Develop and implement systems to streamline clinical workflows and enhance service delivery.
• Work with clinical leadership to implement and monitor clinical protocols, policies, and procedures to ensure consistent, evidence-based care across the practice.
• Collaborate with the HR team to recruit, onboard, and retain highly qualified therapists and clinical staff.
• Work with the senior leadership and the strategic finance department to manage the clinical operations budget, ensuring financial sustainability and cost-effectiveness.
• Support and monitor revenue streams, identify opportunities for financial growth, and implement strategies to optimize billing and reimbursement processes.
• Serve as the liaison between clinical teams, administrative staff, and executive leadership, ensuring effective communication and collaboration across all levels of the organization.
• Represent the organization at external meetings, conferences, and events, promoting the practice’s services and advocating for mental health care.

You have

• 5-10 years of experience in operations, driving results across diverse business sectors and/or at high growth healthcare companies.
• Bachelor’s degree, preferably Master of Business Administration or Healthcare Management.
• Background in banking or consulting, experience honing strong analytical skills paired with the ability to execute operational tactics and measure impact in an unbiased way.
• Exceptional presentation and communication skills with the ability to motivate and inspire diverse audiences, both clinical and non-clinical.
• Willingness to travel occasionally for in-office work, conferences, and regional events.
• Passion for mental health care delivery and the desire to use your talents to help the hands that heal, supporting our clinicians professionally in an ever-changing environment

Why Talkiatry

• Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care
• Collaborative environment: be part of building something from the ground up at a fast-paced startup
• Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more!
• Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands
• It all comes back to care: we’re a mental health company, and we put our team’s well-being first

Talkiatry participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For more information on E-Verify, please visit the following: EVerify Participation & IER Right to Work .

At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.

We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.