Chief of Staff

About us

Josi Health delivers precision neurodivergent care: comprehensive autism and ADHD evaluations for children and adults, followed by neurodiversity-affirming therapy. In traditional settings, people wait months for a diagnosis. We deliver it in weeks, fully in-network with commercial payers in 40+ states.

We’re seed funded, approaching profitability, and scaling fast. Our founder-led leadership team and growing clinician network are committed to building something that combines clinical rigor, operational excellence, and genuine compassion. Powered by novel care pathways and AI/technology innovation, we are redefining what neurodivergent care can look like.

The role

You’ll be the person who turns leadership decisions into projects that actually finish. As we grow, the work that falls between functions (tool selection, cross-team initiatives, our leadership operating rhythm) needs a dedicated owner. That’s you.

This is not a calendar-and-inbox role. Your value is judgment, structure, and follow-through.

What you’ll own

• Operating rhythm and strategic initiatives. Run weekly priorities and quarterly planning, and drive cross-functional projects from scoping to launch with clear owners, dates, and risks flagged early.
• Systems and tooling. Automate repetitive bottlenecks using approved tech and AI tools. Run buy-vs-build evaluations through implementation.
• Build the playbook. Identify gaps, build workflows, and document standards.
• KPI reporting we trust. Define the measures that tell us whether we’re on track across evaluations and therapy, check the data behind them, and explain what the numbers mean.

You’re a great fit if you

• Are startup-ready: You take initiative, wear multiple hats, and do not need a fully developed process before you can contribute.
• Take ownership: You manage your work from beginning to end, close the loop, and follow through without repeated prompting.
• Think and execute: You can step back to understand a problem, recommend a solution, and then do the detailed work to implement it.
• Communicate exceptionally well: You communicate confidently and professionally with leadership and team members.
• Are organized and detail-oriented: You can manage competing priorities without losing track of commitments or overlooking important details.
• Are comfortable with data: You can use Excel or Google Sheets to organize information, track KPIs, and support business decisions.
• Exercise good judgment: You know when to act independently, when to ask questions, and when to escalate a decision or concern.
• Learn quickly: You are comfortable learning new systems and working within healthcare privacy and compliance requirements.

Startup, healthcare, telehealth, and U.S.-team experience are helpful, but a strong track record of ownership, judgment, and results matters more than checking every industry box.

Why this is an opportunity for the right candidate

• Own meaningful work: Take responsibility for projects and improvements, rather than only completing a queue of assigned tasks.
• Shape how we operate: Bring ideas, question inefficient processes constructively, and help build systems the team will use. You will have direct access to the decision–makers to move quickly on your priorities.
• Grow with the company: Develop broader business experience, with the opportunity to take on more responsibility as you demonstrate results.

Our interview process

• Our process will include one-on-one conversations with three executive team-members, followed by a take-home assignment to demonstrate your skills.
• Please apply only if you are comfortable participating in both stages.

Pay: $90,000.00 - $130,000.00 per year

Benefits

• 401(k)
• 401(k) matching
• Flexible schedule

Work Location: Remote