Talkiatry

Director, AI Strategy & Operations

Talkiatry$130K — $180K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years in strategy & operations, product management, or AI/automation with live deployment experience.
  • Demonstrated success in defining and executing AI strategies.
  • Familiarity with conversational AI platforms and enterprise system connections (APIs, telephony).
  • Strong analytical skills for building performance frameworks and validating results.
  • Expert project and vendor management capabilities for complex programs.
  • Effective communicator able to engage with both engineers and operational teams.
  • Commitment to ethical AI practices and data integrity in healthcare.

Responsibilities

  • Define impactful AI deployment across patient and clinician journeys and build a strategic roadmap.
  • Translate AI strategy into concrete roadmaps and business cases, aligning various teams.
  • Promote responsible AI governance tailored to the healthcare context.
  • Manage the end-to-end AI product roadmap, ensuring seamless system integration.
  • Translate patient needs and operational workflows into balanced product requirements.
  • Collaborate with Engineering and Data on architectural decisions and technological readiness.
  • Own performance metrics for deployed AI agents and troubleshoot operational issues as they arise.
  • Create feedback loops for frontline teams to address issues proactively.
  • Oversee vendor strategy, negotiate terms, and ensure accountability for outcomes.
  • Handle a portfolio of AI initiatives from scoping to scaling, establishing internal enablement.

Benefits

  • Diverse and experienced team focused on enhancing mental health care.
  • Collaborative, fast-paced startup environment for building innovative solutions.
  • Comprehensive medical, dental, and vision plans effective from day 1.
  • 401K with matching contributions for future financial stability.
  • Generous PTO along with paid holidays and paid parental leave.
  • Opportunities for skill development and career growth through dedicated Learning team support.
  • Focus on employee well-being, reinforcing the company's commitment to mental health.
Full Job Description
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.

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

About Talkiatry

Talkiatry is a mental healthcare company that provides online therapy services. The company's platform allows patients to connect with licensed therapists through video conferencing and messaging. Talkiatry's services are designed to be convenient and accessible, with appointments available on demand and no long-term commitments required. The company was founded in 2018 and is headquartered in New York City.
Learn more about Talkiatry
Size
50 employees
Industry
Founded
2018

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