We're building the next chapter of Talkiatry – one where AI reimagines how patients access care and how our teams support them through treatment with greater ease, speed, and personalization.

As Director of AI Strategy & Operations, you'll own how that happens. You'll define where AI gets deployed across the patient journey – intake, scheduling, engagement, follow-up – and you'll make sure it actually works: performing well, improving over time, and earning the trust of the teams that rely on it.

This role is about taking AI from concept to operating reality – building the roadmap, managing the vendors, running the performance systems, and closing the loop when something breaks. You'll sit at the intersection of Operations, Product, and Engineering, translating business needs into deployable solutions and holding the system accountable to outcomes.

If you've deployed AI into a live operations environment, know the difference between a pilot and an operating model, and can move between strategic roadmap and AI agent-level QA without losing altitude – this is the role.

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:

Key Responsibilities:

AI Vision & Strategy

Define where AI creates durable impact across the patient and clinician journey, and build the multi-year strategy to get there.
Translate strategy into concrete roadmaps, success metrics, and business cases that align Product, Engineering, and Operations around shared priorities.
Champion responsible AI governance standards, especially important in a healthcare context where trust is everything.

AI Product Management

Own the AI product roadmap end-to-end, ensuring systems talk to each other across Genesys, ServiceNow, Snowflake, the native Talkiatry app, and LLM infrastructure.
Turn patient needs and operational workflows into product requirements that balance automation, safety, and empathy.
Partner with Engineering and Data on architecture decisions – you don't need to build it, but you need to understand how it connects.
Stay close to emerging technologies and know when something is ready to move from interesting to investable.

AI Agent Operations & Quality

Own the performance of deployed AI agents – containment rate, response accuracy, resolution efficiency, patient and clinician satisfaction.
When something breaks or drifts, find the root cause and fix it: prompt updates, workflow changes, model retraining, knowledge base gaps.
Build feedback loops from frontline teams so issues surface before they compound.
Maintain the knowledge infrastructure (taxonomy, content ingestion, source-of-truth integrations) and set governance processes that keep agents accurate and current.

Vendor Strategy & Program Delivery

Lead vendor strategy: find the right partners, negotiate the terms, and hold them accountable for outcomes, not just delivery.
Oversee a portfolio of concurrent AI initiatives from scoping through UAT, launch, optimization, and scale.
Build internal AI enablement so teams across the org know how to work alongside the tools you're deploying.

You must have:

10+ years in strategy & operations, product management, or AI/automation, with real experience deploying AI into live operational environments.
A track record of defining and executing AI strategy.
Strong grasp of conversational AI platforms, LLM infrastructure, and how enterprise systems connect (APIs, telephony, CRM, data platforms) – preferred but not required if the operational instincts are strong.
Analytical enough to build performance frameworks and pressure-test results. You don't need a perfect model to move, but you don't wing it.
Strong project and vendor management – you can run a complex multi-workstream program and keep external partners honest.
A communicator who can hold a room with engineers and operators alike.
Committed to ethical AI and data integrity – in healthcare, that's not a checkbox.

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.

Director, AI Strategy & Operations