About the Role

At Marble, we believe every child deserves access to quality, affordable mental healthcare, and we’re building the system to make that real. One of the most important pieces of that system is making sure families can actually use their insurance, including Medicaid, without stress or confusion. That’s where this role comes in.

We’re looking for a founding leader to build and scale our Revenue Cycle Management (RCM) function. You’ll lay the foundation for a system that makes insurance work for families, and ensures Marble can sustainably scale care delivery by getting paid and keep doing what we do best.

This is a rare opportunity to build a mission-critical function from scratch, at the heart of our model. You’ll operate across strategy, product, and execution — and directly impact thousands of families’ ability to access mental health care.

What You’ll Do

• Own an ambiguous problem at the heart of the business. You’ll take charge of the full insurance payment flow, from eligibility to claims to payout. This function is the engine room of our revenue. You’ll partner closely with the CEO, co-founder, and senior ops leaders to uncover what’s working, what’s broken, and what to fix first — then make it happen. That might mean diving into a messy spreadsheet, reimagining a broken workflow, or picking up the phone to get answers from a payer.
• Build the systems that help us scale. You’ll design the processes, tools, and partnerships we need to grow, including internal workflows, product ideas for our engineers, and external vendors or BPOs. You’ll help us move fast now, and set us up to grow even faster later.
• Make insurance seamless for families. You'll play a key role in making sure billing is clear, accurate, and frustration-free for the families we serve. You'll partner with our customer experience and growth teams to turn one of the most confusing parts of healthcare into something that feels simple, transparent, and trustworthy.

Qualifications

Must have

• You have 5+ years of experience in strategy and operations. You’ve worked in environments where you had to figure things out, not just follow a playbook.
• You’re based in New York and can work from our SoHo office at least two days a week.

Nice to have

• You’ve worked at a startup or in a high-growth environment.
• You’ve worked in healthcare or with insurance systems.
• You’ve worked closely with product or engineering teams to build tools or processes.

Ideal traits

• ⚒️ Process thinker who likes to build — You know how to get from 0→1 with scrappy, simple solutions, and then 1→100 by spotting patterns and building systems that scale.
• 🏃‍♀️Relentless drive — No task is too small for you. You’re just as willing to call a payer or follow up on a denial as you are to design a long-term solution.