Founder's Office

In-office, New York Full-time $130,000-$160,000 + equity Promote within a year

Jot Psych makes software for behavioral health clinicians. Our scribe has drafted more than 3.1 million patient notes and cuts administrative time by about 90%, and we are expanding from the note into the whole practice: billing, audit, prior authorization, e-prescribing. We are a small team in New York, and every non-engineering hire starts as Chief of Staff.

You take on whatever the company needs most, week to week: a sales problem, an operations problem, a product problem, the work that sits between the founders and everything that is not getting done. Nothing is off the table .

Now the tooling makes it possible. With real agency and a sharp command of the tools (Claude now, maybe something else in three months), one person can reach across nearly every domain: marketing, sales, analytics, product, strategy, partnerships, operations, etc. You not only get to do everything; you can. It is the rare mid-career role where you take it all on, find the part you are best at, and grow into the executive seat that fits .

We hand you an open-ended problem and you return it solved. Not analyzed, not framed as a deck, not handed back as a list of options. Solved. Don't tell us the answer, do the answer. That one line is most of the job.

The work is whatever the company needs most that week, and it is always high-trust and high-stakes . You get into every corner of a process, you talk to the people involved, you research with AI and with your own judgment, and you find the shortest path that actually works. You build systems that we then scale, so we have to trust them, which means we have to trust you.

You use AI heavily, and you never ship its output unread. You reach for the tools on instinct, and you have the taste to catch the slop before it reaches a customer. We care a great deal about the difference. Craft, not sheer output, is our core value .

Real examples of the shape of the work:

"Tens of thousands of potential customers visit  every week. We need to develop a best-in-class approach to attribution, tracking, and customer journey mapping."

You map how visitors actually move through the site, get the tracking and attribution right end to end, and turn the pile of clicks into a reliable picture of which journeys lead to a booked demo.

"New clinics sign up, and we want more of them reaching everyday use in their first two weeks. Find where they stall, and design the change that would move that number most."

You look at the data and sit in on a few onboardings, find the point where clinics fall away, and come back with the one change most likely to fix it, specified well enough to build.

"Prescribers are our fastest-growing, highest-value users, and we want the funnel from onboarding to first prescription to be as smooth as possible. Figure out the constraint, and design the next backlog item."

You map the steps from signup to first prescription, find the one that loses the most people, and write up the next backlog item, scoped tightly enough for engineering to pick up.

"Clinicians recommend Jot Psych to each other. We want a repeatable way to turn that into signups. Pick one channel, run a real experiment, and tell us what is worth doing more of."

You choose the most promising channel, design and run the experiment end to end, measure it honestly, and bring back a clear read on whether it is worth scaling.

• A systems thinker. You reason in flow diagrams and clean frameworks, and you break a messy problem into parts that do not overlap and do not leave gaps.
• Technically adventurous. You are not an engineer, and you do not need to be, but you build things: scripts,…