--- title: 'Strategy and Operations Lead at Big Leap Health' canonical: 'https://feeny.ai/job/strategy-and-operations-lead-big-leap-health-new-york-vrzxsppt9hvr' type: 'job' last_seen: '2026-09-11' --- # Strategy and Operations Lead at Big Leap Health - **Company:** Big Leap Health - **Location:** New York, NY - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2026-08-26 - **Last confirmed live:** 2026-09-11 - **Apply:** https://jobs.ashbyhq.com/big-leap-health/458967f1-a4b0-4e83-aae7-bcfaa8d3e346 ## Job description ## About Big Leap Health 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. These aren't just treatments; they're gateways to resilience, empathy, hope, and strength. 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. We've raised $10M+ from top VCs and angels, have dozens of customers across the country and are rapidly growing. ## The Role We're starting a Strategy & Ops function, and this is the person who gets to define it. You'll report to the CEO and work on whatever matters most that month. Some weeks that means running our planning cadence and getting the leadership team aligned on the quarter; other weeks you're on the phone with a payer's network team, recruiting clinicians onto our medical advisory board, rebuilding how we run outbound, or picking up a project nobody else has time to own. The through-line is judgment, not a functional specialty. You'll get problems with no playbook and be expected to come back with a recommendation, the reasoning behind it, and a plan you can run yourself. As the function grows, this seat may pick up direct reports; we'd want whoever's in it to build that team. Good fit if you'd rather own an outcome than a workstream, and if you want to see up close how a healthcare technology company actually scales. Example Projects - Run the offsite that sets next quarter's OKRs, then own the weekly and monthly rhythm that keeps them from quietly dying six weeks later, including a company-wide update people actually read - Take the medical advisory board from idea to first meeting. Identify the interventional psychiatry KOLs worth having, get them to say yes - Rebuild the financial model against what our operations actually taught us, then tell us where our unit economics and pricing are wrong - Evaluate our GTM motion and improve our sales process to drive better velocity and outcomes ## About You - 6–10 years of full-time experience, including real time at a fast-growing, VC-backed early-stage startup - Analytical by instinct. You can build a model in Sheets from ugly source data and defend every assumption in it. You don't need to be a data scientist; you do need to be the person who checks a number before repeating it - You turn ambiguity into a plan quickly, and then execute the plan - Comfortable in outside conversations, whether that's a payer's network director, a skeptical psychiatrist, or a clinic owner who is frustrated with the system - Writes and presents well: a board memo in the morning, a payer pitch that afternoon - Ownership mentality, entrepreneurial instincts, and a real sense of urgency - 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) - Digital health experience, or a track record of learning an unfamiliar sector in weeks - Genuinely interested in where breakthrough mental healthcare treatment 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) Preferred: - Digital healthcare startup experience - Consulting, banking, or investing background paired with at least one operating role - Exposure to payer contracting, reimbursement, or revenue cycle management - Has managed or mentored junior teammates ## Why Join Us - Transform Mental Health in the US: We are at the forefront of democratizing access to breakthrough mental healthcare treatments in this country, and you'll have a front row seat. - Culture of Excellence: Our leadership team has decades of experience at successful VC backed startups with several exits, and we're devoted to applying lessons learned to transforming mental health treatment for those most in need. - Strong Apprenticeship & Coaching: We expect all our early hires to grow into leaders in our company and the industry, and we are committed to helping you get there. - Joining the Ground Floor: This is an opportunity to join the next stage of growth for a company that is democratizing access to a rapidly evolving field of healthcare that is transforming mental health across the country. You'll also enjoy the following benefits: - Industry-leading cash compensation for a startup of our stage - Generous equity - Health, dental, and vision benefits - New Macbook + modern software stack (Airtable, Notion, Slack, etc.) $140,000 - $190,000 a year + bonus Compensation range for this position is $140,000 to $190,000 + discretionary bonus, depending on experience; actual compensation will be dependent upon the specific role, location, as well as the individual's qualifications, experience, skills and certifications. At Big Leap Health, 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. ## About Big Leap Health ## Company Overview - **One-liner**: Big Leap Health enables interventional psychiatry clinics to treat more patients by managing insurance, scheduling, and patient access for TMS, Spravato, and ketamine therapies. - **Entity Type**: Private (Seed VC) - **Headquarters**: New Castle, Delaware, United States - **Founded**: Not publicly available (likely around 2023–2024 based on funding date) - **Founders**: Not publicly available ## Core Business - **Primary industry**: Mental Health Care (Interventional Psychiatry) - **Target customers**: B2B – clinics and providers offering TMS, Spravato (esketamine), and ketamine treatments; B2C – patients seeking depression and anxiety care covered by insurance - **Mission or purpose**: Empower clinics that offer interventional psychiatry services to see more patients, expanding access to evidence-based mental health treatments. ## Products & Services - **Clinic Enablement Platform**: A technology and operational platform that helps interventional psychiatry clinics manage insurance billing, patient scheduling, and referrals, allowing them to scale their patient volume. - **Patient Access Services**: Direct-to-patient support including benefits navigation and payer enrollment, ensuring patients can access TMS, Spravato, and ketamine therapies with in-network insurance coverage. ## Market Standing - **Valuation**: Not disclosed - **Key Metric**: Total Funding – Seed round closed in 2024 (exact amount not specified) - **Notable Investors/Partners**: Tabula Rasa Ventures, Everywhere Ventures, Digital Health Venture Partners [cbinsights.com](https://www.cbinsights.com/company/big-leap-health) - **Growth Signals**: Headcount grew 1000% YoY (to 8 employees); active job postings (8 open roles as of mid-2025); monthly job posting growth of +100% [linkedin.com](https://www.linkedin.com/company/big-leap-health) ## Competitive Advantages - **Niche focus**: Specifically targets the underserved interventional psychiatry segment (TMS, Spravato, ketamine) rather than general mental health. - **Insurance integration**: Handles complex payer enrollment and benefits navigation, a major barrier for clinics and patients. - **Early mover**: Seed-stage company with strong investor backing (healthcare-focused VCs) and rapid hiring, suggesting product-market fit. ## Strategic Focus - Scaling the platform to more clinics across the United States. - Building out the engineering and product team (currently hiring a Full-Stack Engineer and Chief of Staff). - Expanding payer network and specialty benefits navigation capabilities. ## Why Work Here - **Culture highlights**: Fast-growing startup (8 employees, 1000% YoY headcount growth) with a mission to improve access to advanced depression/anxiety treatments. - **Remote/hybrid/office**: Some roles (e.g., Spravato & TMS Psychiatrist) are in New York; other roles (e.g., Senior Specialty Benefits Navigator) list New York City. Likely hybrid or in-person for clinical roles, possibly remote for engineering (Full-Stack Engineer location not specified). - **Notable perks/engineering culture**: Tech stack includes TypeScript, React, Docker, PostgreSQL, Firebase, Python, Google Cloud; early-stage startup gives engineers significant ownership. Roles offer competitive hourly rates (e.g., Psychiatrist $300–800/hr). ## Sources 1. [bigleaphealth.com](https://bigleaphealth.com) – Company homepage 2. [linkedin.com](https://www.linkedin.com/company/big-leap-health) – LinkedIn company page (employees, growth, open roles) 3. [cbinsights.com](https://www.cbinsights.com/company/big-leap-health) – CB Insights profile (funding, investors, headquarters) 4. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/big-leap-health) – Active job postings 5. [big-leap-health.breezy.hr](https://big-leap-health.breezy.hr/) – Additional careers page (psychiatrist role) ## Other roles at Big Leap Health - [Strategy and Operations Associate](https://feeny.ai/job/strategy-and-operations-associate-big-leap-health-new-york-z5s2y3ajqv6e) — New York, NY - [Coding Specialist](https://feeny.ai/job/coding-specialist-big-leap-health-united-states-bafmtgbn0zk7) — United States - [Payer Fee Schedule Specialist](https://feeny.ai/job/payer-fee-schedule-specialist-big-leap-health-united-states-3xpxdny9ss9x) — United States - [Payer Enrollment Specialist - Full Time](https://feeny.ai/job/payer-enrollment-specialist-full-time-big-leap-health-united-states-cgbj2f7vnree) — United States - [Full-Stack Engineer](https://feeny.ai/job/full-stack-engineer-big-leap-health-new-york-yarkqfzw1zec) — New York, NY - [Strategy and Operations Lead](https://feeny.ai/job/strategy-and-operations-lead-prodigal-bengaluru-sys8hnddp34f) — Bengaluru, India