Founding Strategy & Operations Lead

Sailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet receive the least mental health care. By 2030, over 65 million seniors will make up nearly a quarter of the U.S. population, creating one of the largest and most urgent challenges in healthcare.

Sailor is building the platform for senior mental health, connecting older adults, therapists, healthcare professionals, and insurance plans. Our AI-native operating system powers seamless care coordination, real-time clinical insights, and insurance billing - enabling therapists to spend more time delivering compassionate care.

We are growing quickly and have partnered with Medicare to offer affordable and exceptional psychotherapy to hundreds of patients. We are honored to have the support and backing of world-class founders from Ramp, Nourish, Headway, Charlie Health, and Spring Health.

Location: New York City, in office, 5 days a week.

We’re hiring a Founding Strategy & Operations Lead to join our core team at Sailor Health and work side-by-side with the founders to build the backbone of care delivery. This role is a unique opportunity to architect Sailor’s growth infrastructure across operations, clinical delivery, and product. You’ll design workflows, lead complex cross-functional projects, and drive operational excellence at scale. If you thrive in zero-to-one environments and want to make an outsized impact, we’d love to meet you.

• Scale care delivery 10x: Build and optimize the workflows that ensure every patient and therapist has a 10/10 experience. You’ll be building the foundation for improving clinical outcomes and ensuring patients receive timely, consistent, and compassionate care.

• Own key operational levers: You'll be responsible for key operational metrics such as retention, NPS, and clinical outcomes.

• Launch our operations system: Develop KPIs and reporting to track program adoption, retention, and impact.

• Collaborate on product roadmap: Work with engineering and design to turn frontline insights into product features that power care coordination, therapist tooling, and patient engagement.

• You’re an A+ player: You have a hunger to win and a proven track record of being a top performer in fast-paced environments. You want to be the best and help your team win.

• 2-6 years of experience: You’ve led high-ownership roles in fast-paced environments, whether in startups, healthcare, or finance. You've owned KPIs and moved them materially.

• First-principles thinker: You break down complex problems clearly, and know when to zoom into the details or step back to see the system.

• You’re relentlessly resourceful: new challenges don’t scare you. You move fast, leverage your network, and solve problems without needing a playbook.

• Analytical and decisive: You know how to set KPIs, find root causes, and make bold decisions. You value outcomes over optics.

• Collaborative & mission-aligned: You’re excited to work directly with founders, clinicians, and engineers. You care deeply about helping older adults access care.