Vice President Operations

Vice President of Operations — TrekwiseDenver metro · Hybrid, with travel to launch marketsOne in five children has a diagnosable behavioral health need. About half never get care.Trekwise closes that gap by putting behavioral health teams directly inside pediatric primary care practices — so a pediatrician can hand a family to a trusted team in the same visit, and know they’ll be seen. Around 90% of families come out meaningfully improved.We’re growing fast and opening new markets. We’re looking for the operator who makes that growth work.The roleYou own delivery across every partner practice — the numbers, the clinical standard, and the margin. The founders hold product, clinical supervision and partner strategy. You run the operation.This is a builder’s job, not a caretaker’s. Early on you’ll be in the weekly leads meeting yourself, running 1:1s, taking escalations, and on site at practices. As the leadership layer beneath you fills in, you’ll shift to building the managers and systems that run without you. We need someone who can do both and knows when to switch.What you’ll solveMake referral and enrollment volume predictable at established practices, not episodicComplete our shift from one central coaching team to small practice-based pods, with retention and quality intactBuild a staffing forecast so hiring follows demand instead of chasing itLaunch each new practice on a repeatable playbook that gets tighter every timePrioritize the technology roadmap by what actually unlocks growth and marginWhat we’re looking for8+ years in healthcare operations, 3+ leading a multi-site or distributed clinical delivery organization through managersA real track record of running an operation to metrics — you picked the numbers, built the dashboards, and moved themExperience scaling a clinical workforce through rapid growth or a model changeExperience standing up new sites or markets on a repeatable playbookComfort with the economics of care delivery. Collaborative Care experience is a strong plusFluency with EHRs; able to partner with engineers on dashboards and automationAn excellent communicator and relationship builder — warm and direct, able to hold a hard conversation with a lead on Monday and win over a skeptical pediatrician on TuesdayWho this isn’t forSomeone who wants to build an org chart before a single practice is performing. Someone who’s only operated at scale with a team already in place. Someone who needs an existing process to execute inside of.CompensationBase commensurate with experience, performance bonus tied to practice-level volume, retention and margin, plus equity. Salary base starting from 150K - with room to go up depending on experience and fit.Trekwise is an equal opportunity employer.