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.
Last year, 1 in 10 teens attempted suicide. At the heart of this crisis is a severe lack of access to quality, affordable care. When kids can't get help, problems compound and preventable tragedies follow. Marble partners directly with school counselors to get students into care quickly by connecting them to licensed therapists through the insurance coverage they already have, with no waitlists.
We're an early-stage, fast-moving team. The people who join now will shape how we build and what we build.
About the RoleMarble 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.
What You'll DoLead 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
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; Medicaid or payor experience is a nice to have
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
Demonstrated willingness to adopt and leverage AI tools to work smarter and drive greater efficiency
Direct impact on kids' mental health access — this work is meaningful
Opportunity to own the selection and building of new markets from the ground up, with leadership support and a clear growth path
Small, experienced team that moves fast and takes the work seriously
Competitive compensation, benefits, and equity
Marble offers competitive compensation for this role. Compensation includes a base salary, equity grant, and full benefits.
Skills Required
- 4-7 years experience in management consulting, banking/investing, or early operating role (BizOps, Strategy & Ops, Chief of Staff) at a high-growth startup
- Healthcare experience
- Medicaid or payor experience
- Experience leading market selection, reimbursement rate analysis, payor dynamics, and regulatory research
- Experience standing up legal entities, insurance contracts, Medicaid enrollments, and operational infrastructure for new markets
- Ability to build prioritization frameworks, perform rigorous analysis, and make decisions with incomplete data
- Strong organization, attention to detail, and ability to execute on detail-critical operational tasks
- Experience identifying, engaging, and managing outside experts, advisors, and vendors
- High autonomy, low ego, and radical honesty in communication and decision-making
- Willingness to work hybrid in SoHo, New York City (three days per week)
Marble Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Marble Health and has not been reviewed or approved by Marble Health.
-
Healthcare Strength — Medical, dental, and vision insurance are listed alongside mental-health benefits. The breadth of core health coverage appears strong for a small, early-stage employer.
-
Leave & Time Off Breadth — Unlimited PTO, paid holidays, and periodic company-wide vacation breaks are reported. This structure signals flexible time off and institutionalized rest.
-
Equity Value & Accessibility — Equity is described as a standard part of compensation in current job materials, reflecting an ownership mindset. Grants appear broadly available rather than confined to senior roles.
Marble Health Insights
What We Do
Marble Health is building the operating system for youth mental health. A platform that connects schools, therapists, health plans, and families - who all have incentives to provide truly effective care to kids struggling with their mental health. Our mission is simple but ambitious: make it dramatically easier for young people to get the mental health care they need, and provide the products that make that care truly effective - ultimately enabling a happier & healthier generation of young people. We’re reimagining how care can work when all the people who want to help are truly connected. Families, who are being devastated by this crisis; Schools, whose budgets are being affecting; Therapists, who want to help but struggle with the complexities of our healthcare system; and Insurance payers, who are paying the price when kids don't receive care. They all have incentives to fix this problem, but historically have been completely siloed. We're changing that. And we're not stopping there. We're also defining the new era of behavioral healthcare with AI at the center. We’re creating what we think of as a “therapist Ironman suite” — a set of AI-powered tools, support systems, coaching, and resources that make clinicians better at their work. We’re building AI capabilities to elevate care quality at scale, from assisting with documentation to providing real-time guidance during sessions. We’re exploring how AI can act as a therapy copilot for students themselves, giving them resources and support between sessions. By pairing a connected care network with cutting-edge AI, we’re aiming to set a new standard for how mental health care is delivered.
Why Work With Us
Our founders built unicorn behavioral health startup Headway, and our team shares a relentless drive, operational excellence, and a team-first mindset. We work closely with therapists, students, families, and schools — and are uniquely positioned to lead AI innovation in youth mental health care at scale.
Gallery
.png){kind=logo}
