Product Manager

The role

Our patients feel every broken handoff. A referral comes in, gets entered in one system, checked against insurance in another, and scheduled in a third. Somewhere in between, someone with severe depression waits. This PM's job is to find those places and remove them.

You'll sit closer to the work than anyone else on the product team. That could mean working the front desk during the Monday-morning call rush, shadowing a technician through a day of accelerated TMS sessions, or sitting beside a biller as they chase a Spravato prior authorization across three payer portals. Then you'll go back and fix what you saw.

The scope is wide and the autonomy is real. The distance between seeing a problem at a front desk and shipping the fix is short, and we want to keep it that way.

What you'll do

• Map how work actually happens across our clinics and operations teams, including the workarounds nobody wrote down.
• Find where time, revenue, and patients fall out of the process, and size each problem so we know which to fix first.
• Decide what to build, buy, or automate, then ship it with engineering, design, and clinical leaders.
• Prototype with AI yourself so ideas get tested in days, not quarters.
• Write PRFAQs and short specs that make the decision obvious.
• Roll changes out across 27 clinics, train the people who'll use them, and measure whether they worked.
• Own outcomes like time to first appointment, prior authorization turnaround, clinician admin time, and patient experience.

Backgrounds we think could thrive here

• Former health-tech founders who want high ownership and direct contact with users
• Engineers moving into product who still like building the first prototype themselves
• Health-tech PMs who want to be in the room where their product gets used
• Clinic or practice operators who taught themselves to build with AI and want to do it full time
• Builders who care deeply about data models and it impacts front-end workflows

This list isn't a checklist. If you see yourself in one of these, we'd like to talk. If you don't but the role still sounds like you, we'd like to talk too.

You may be a great fit if you

• Have watched someone use something you built and changed the plan because of what you saw.
• Build a rough version the same afternoon when the tool you need doesn't exist.
• Can explain the same tradeoff to a clinician, an engineer, and an executive, and each one trusts you.
• Narrow ambiguity instead of waiting for someone to resolve it for you.
• Earn trust fast with frontline teams, because you show up, listen, and come back with something that helps.
• Reach for AI first. You build your own tools and agents and have opinions about where AI helps and where it doesn't.

We're open on seniority. Strong candidates may have three years of product experience or ten, and we'll level and pay for what you bring.

Nice to have

• A technical background: engineering, data, or enough SQL and code to get your own answers
• Familiarity with healthcare software such as EHRs, practice management, billing and clearinghouse tools, and payer portals
• Experience in behavioral health or multi-site care delivery

How we work

Work backwards from the patient. We start with what a patient experiences and build back from there. Sometimes that means launching later, or killing something that looks great on a dashboard but doesn't help anyone get treated.

Urgency with care. Many of our patients arrive after years of treatments that didn't work, and every week of delay costs them. We move fast. We also work with people at their most vulnerable, so we never trade safety or dignity for speed.

Write it down. We decide in writing. Meetings start with silent reading of a PRFAQ or short doc, so the best argument wins instead of the loudest voice. It's slower to write and faster to decide.

Conviction with an open mind. Bring a point of view and argue for it. Change your mind when someone shows you something better, not when they push harder. Once the call is made, back it as if it were yours.

Own the problem, not the lane. Go to where the work happens and learn the details until you understand them better than anyone. If a patient is waiting because of a broken handoff two teams away, it's yours until it's fixed or clearly in someone else's hands. Clinical decisions stay with our clinicians: your job is to raise the issue, not make the call.

Our commitment

Our patients come from every background, and we design for the ones the system has served worst. We build teams the same way. Radial is an equal opportunity employer. We don't discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic.

Plenty of great candidates rule themselves out too early. If you care about this problem but don't check every box, apply and let us make that call after we've talked.

Why we exist

Most people with treatment-resistant depression, PTSD, or OCD spend years cycling through medications before anyone mentions there are other options. Treatments like accelerated TMS, SAINT, Spravato, and IV ketamine can work when nothing else has. They're also hard to find, hard to get covered, and hard to deliver well. That gap is why Radial exists.

We support the country's largest network of brain medicine clinics: 27 clinics and more than 100 clinicians across seven states, caring for patients with some of the most serious mental health conditions there are. RadialOS, our AI-native operating system, matches patients to the right treatment, coordinates their care, and takes administrative work off clinicians' plates. We're backed by General Catalyst, and in 2026 we acquired the MSO behind Mindful Health Solutions, one of the pioneers of interventional psychiatry.

Every role here supports our mission of getting patients access to the care they need as quickly as possible.