Strategy and Operations Associate — Founding Generalist (Open to Manager, Director for right fit)

Location: Remote (must be based in NM, CO, OR, or WA) or hybrid in Santa Fe, NM

ABOUT SESHIO

We are a public-benefit mental health practice community and training institute for the next generation of mental health providers of all levels, dedicated to progressing how mental health care is delivered, taught, and shared. We provide care and help therapists get better at helping people.

We're early in our roadmap, actively laying foundations and preparing to launch a number of promising initiatives. We bring mission-driven domain expertise focused on solutions that are novel or underused in practice.

Questions that obsess us:
What factors of treatment, training, and service delivery actually move the needle for client outcomes and provider performance? How can a community of mental health providers collaborate to create social impact at scale? How do you make effective care less resource-intensive and more accessible without hollowing out the careers of the people who deliver it? And how can emerging technology be developed and applied safely in training, administrative support, and client care, with clinicians and clients at the table and in the loop?

We aim to further alternatives to what venture capital and private equity are doing in the mental health field: projects that are public-benefit, non-profit, commons-based, and community-supported rather than investor-owned. Built for impact, not exit. We're eager to support and partner with anyone pragmatically moving the needle of public mental and behavioral health. Ultimately, we believe no one should have privileged "real estate" when it comes to mental health, that it should be treated as a public good, and that more systems should be built to reflect that.

Small, heart-centered team. Big, challenging mission. Lean, bootstrapped resources. Early days.

ABOUT THE ROLE

We're looking for a skilled, tech-savvy generalist, someone who can independently manage and execute across a wide range of domains. You'll work directly with the founder as a thought partner and co-builder, sharing in everything from granular operational tasks to big-picture strategy. The work is agile and emergent. We work on different projects and learn new things each week. You'll have significant ownership over your work and influence over how things take shape.

This role is intended to grow with your interests, capacity, and skills. Ideally, into a leadership position. Together, we'll build a more diversified team and the systems, SOPs, and resources for it to operate smoothly. You'll be managing and coordinating with others as we go.

Over time, you’ll develop familiarity and working knowledge across every major system in the organization, with increasing oversight as you do. The balance shifts over time: learning and supporting > owning and delegating > leading. These include:

Clinical operations and practice management

Care coordination and client support

• Managing inboxes, triaging and routing inquiries, coordinating between clients and providers, scheduling, referrals, continuity of care

Electronic health record and practice management systems

• Configuration, workflows, permissions, troubleshooting, training, and the broader operational tech stack for clinicians and staff

Revenue cycle and billing

• Insurance credentialing, contracting, payer relations, claims, reimbursement, sliding scale and income-adjusted fee structures, out-of-network billing, compliance

Clinical model and service delivery

• Intake design, clinical workflows, how services are structured and delivered across the practice

People operations

• Hiring, recruitment, onboarding, training, offboarding, engagement, team development, ongoing support and retention

Administrative systems, technology, and infrastructure

Documentation and knowledge management

• SOPs, internal processes, institutional knowledge capture, maintaining and evolving documentation as systems change

Workflow and automation

• Identifying inefficiencies, building integrations and automations (n8n, AppScript, agent orchestration), evaluating and implementing new tools

Tool and technology development

• Building custom tools, resources, internal applications, and technology solutions as needs emerge

Project management

• Task and project tracking, cross-functional coordination, managing operational initiatives across teams

Communications, outreach, community building, and growth

Marketing, content, and social media

• Content creation and scheduling, newsletters, social media, community engagement, provider- and client-facing communications

Website and digital presence

• WordPress development and management, content updates, SEO, accessibility

Partnerships and external relations

• Partner and stakeholder outreach, partnership development, program and initiative proposals, graduate program partnerships, practicum and internship coordination, cross-institutional collaboration

CRM and relationship management

• Outreach, follow-up, engagement tracking, relationship management across all stakeholders

Finance, strategy, and organizational development

Financial management and accounting

• Budgeting, revenue and expense tracking, revenue modeling, financial reporting, bookkeeping, accounts payable and receivable, payroll, tax compliance, investment decisions

Strategy and organizational development

• KPIs, data analysis, metrics, strategic planning, program design

Organizational governance

• Governance structures, organizational policies, compensation design, benefit and profit sharing models

Education, training, and resource development

Provider training

• Curriculum and course design and development, didactic and experiential training, clinical supervision resources and infrastructure, consultation group development, continuing education, provider toolkits and reference materials, training cohort management, licensure and certification pathway support

Client and public resource development

• Psychoeducational materials, self-help and guided resources, curated resource libraries, interactive tools and guides, community-facing workshops and events

Applied research

• Surveys and studies with providers and clients, outcomes measurement, program evaluation, quality improvement, assessment of training effectiveness and satisfaction, applied clinical research, knowledge dissemination

WHO WE'RE LOOKING FOR

Rather than any specific credentials, we’re looking for a transdisciplinary thinker and doer who’s not satisfied with a one domain role. Someone with the demonstrated capacity to learn fields, build systems, and teach as they go. This role crosses health administration, clinical operations, organizational management, technology and software development, education, communications, project management, and applied research. You don’t need deep experience in every domain. But you do need to move between them without losing your footing.

Autodidact and teacher.

You learn fields rapidly on your own, and you apply what you learn, improve it, and convert it to shared capability. When you encounter a new system, you learn how it works, why it was designed that way, and how it could work better.

Builder of systems, not just a user of them.

You design processes so problems don't recur and systems can continue to improve. You'd rather build durable, agile architecture than fix things forever.

You navigate institutions without losing yourself in them.

You see organizations, bureaucracies, and institutions as technologies with unique affordances, constraints, and leverage points. Not as obstacles but as terrain. You're energized by that complexity and understand how to engage with them skillfully.

Strong internal motivation, agency, and ownership.

You thrive in ambiguity. You're the organizer in the room. When something is uncertain, you research until you understand the answer. You see the big picture, triage competing priorities, set clear goals, move on them, and repeat.

Deeply caring, practically minded.

Genuine empathy and a deep orientation toward service. But you're not content with good intentions. You harness that care pragmatically, building systems that deliver on the values behind them.

Technically curious and capable.

You may not identify as a developer, but you're comfortable with technical systems. You've used a terminal, can navigate an IDE and GitHub, and know how to interface with developers and technical teams. You're fluent in leveraging AI to accelerate your work, and you've moved beyond prompt engineering into multi-agent workflows, orchestration, RAG, knowledge graphs, MCPs/APIs, and agent skills and memory.

Rigorous decision-maker.

You understand that good decisions come from perspiration, not flashes of insight: building accurate maps of messy territory, clear heuristics that cut through noise, and comprehensive frameworks. You like doing that groundwork, so when you need to decide with incomplete information, you're ready.

Mental health nerd.

You have a genuine, sustained interest in how psychotherapy works, how people change from the inside out, and how that knowledge can reach more people. Talk therapy, clinical work, psychology, philosophy, experiential methodologies. Some meaningful subset of these lights you up. You want to understand this field deeply, not just work adjacent to it.

Prosocial collaborator.

You aim for shared wins, relate to others as peers, focus on strengths, and try to bring out the best in others, especially when dynamics are contentious or challenging.

Design-minded.

You care about good design, aesthetically and functionally, and you notice when something is well-made: a tool, an interface, a process, a room. It bothers you when something is functional but ugly, or beautiful but unusable.

Strong candidates won't check every box. We're looking for strengths and specialization in some areas, a willingness to grow in others. We care more about the right mindset and a pattern of rising to challenges than perfectly meeting every requirement. If you think you might be a good fit, we strongly encourage you to apply.

Why This Role

You want to build a social impact organization and learn everything it takes along the way. You're drawn to social entrepreneurship, not as a buzzword but as a life path: building solutions to societal crises, and getting better at it as you go. You're looking to rapidly advance across a wide set of skills and domains, and stay ahead of emerging competencies as the nature of work changes out from under us.

Flexibility and autonomy.

You need a role in which you can structure your own day, systems, and approach. High accountability, yes, but you’re the expert in how, when, and where you work best.Growth and advancement.

This role is a rare opportunity to gain cross-cutting experience that most career paths either can’t offer or take many years to accumulate. We want to help you fulfill your own goals while accomplishing more together than any of us could alone.Voice and visibility.

This is a core, mission-critical role. You'll collaborate directly with leadership, and your input will shape how we operate. You'll be a visible, recognized part of the team, not a back-office role.

Partnership and leadership.

Develop as a leader. Become an expert and authority at what you do, mentor others, and grow with the organization.

Meaningful impact.

What you do directly enables people to access care that changes their lives. We're after ripple effects: building models others can learn from, emulate, and pass on.

Authenticity.

We’re a quirky team. Bring your full self to work.

We can’t promise it’s always easy. A small, entrepreneurial team means stretching, wearing multiple hats, learning as we go, and supporting each other when needed. That’s not for everyone. But for some, it’s exactly right. You’ll have more say, more visibility, and more room to grow than you’d find at a larger organization.

HOW TO APPLY

Send an email to careers@seshio.org with:

• Your resume or CV
• A brief message about why this role interests you and why you’d be a good fit

Optional: Include anything else that helps us get to know you — LinkedIn, portfolio, GitHub, publications, a note about your aspirations, website, whatever else feels right.

No formal cover letter needed.

We’re reviewing applications on a rolling basis until filled. We’d love to hear from you.

Pay: $60,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Flexible schedule
• Health insurance
• Paid time off

Work Location: Remote