Clinical Operations Lead

Marble is building the new operating system for youth mental health by connecting schools, therapists, and health plans on a single platform. 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. The role owns the clinical program for a network of licensed clinicians across New York, New Jersey, and Arizona. The hire will be the first clinical operations hire and the senior clinical voice inside Marble's operating team, working closely with co-founders, the medical director, the head of operations, and the care quality product engineering team. The role includes a small caseload on the platform.

Responsibilities

Hold the quality bar as the network scales, including decisions on who joins the network and who stays; Run a regular cadence with clinicians and supervisors, including coaching, course correction, and difficult conversations; Review and act on clinical quality concerns and complaints; Design the process for how concerns are raised, reviewed, and resolved; Own crisis response and safety protocols, including SI, higher level of care, mandated reporting, and incident intake and investigation; Handle escalations from supervisors and clinicians and write protocols where none exist; Own protocols governing day-to-day care, including discharge and disengagement, documentation standards and chart audits, measurement-based care, and treatment planning support for key conditions; Bring working knowledge of HIPAA, FERPA, minor consent, and clinical documentation requirements to operations, including when a payer or auditor asks

Requirements

Active, unrestricted independent clinical license in New York (LCSW, LMHC, LMFT, or equivalent); 5+ years building and leading clinical operations or tech-enabled service delivery; Direct experience owning clinical quality management, including managing teams, setting the standard, and installing operating rhythms; Experience with a distributed clinician network spanning credential types and states; Willing to carry a small caseload on the platform; Comfortable operating with incomplete information

Nice to have

Licensure in New Jersey or Arizona, or willingness to obtain it; Telehealth experience; Adolescent or school-based behavioral health background

Benefits

Competitive compensation; Full benefits; Meaningful equity; Base salary; Leadership support and a clear growth path; Direct impact on kids' mental health access