WHY CHARLIE HEALTH? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you. About the Role Charlie Health is looking for a Principal Technical Program Manager to join the Office of the CTO and help drive the next phase of our technology organization. This person will operate at the intersection of engineering, product, design, data, security, and operations, partnering directly with the CTO to turn complex, ambiguous company priorities into clear plans, operating rhythms, and shipped systems. You’ll help orchestrate some of Charlie Health’s most important technical initiatives: rebuilding core platforms, scaling AI-native workflows, improving clinical and operational systems, and ensuring our technology can support life-saving behavioral healthcare at national scale. This is a high-leverage role for someone who can zoom from executive strategy to implementation details; who understands how modern software systems get built; and who can bring structure, urgency, and clarity to complex, regulated environments. What Success Looks Like * The CTO and technology leadership team have clearer visibility into priorities, tradeoffs, risks, and execution health. * Cross-functional technical programs move faster because ownership, sequencing, and dependencies are explicit. * Engineering, Product, Design, Data, Security, IT, Clinical, and Operations teams are better aligned on what matters most and why. * AI-native ways of working become more consistent, practical, and embedded across the organization. * Critical platform and systems initiatives are delivered with more rigor, less chaos, and stronger connection to client, clinician, and business outcomes. We’re a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you’re inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities * Partner directly with the CTO to define, operationalize, and track the highest-priority initiatives across Engineering, Product, Design, Data, Security, and IT. * Drive execution of complex system builds from strategy through delivery, including platform rebuilds, workflow orchestration, internal tooling, AI-native products, data systems, and cross-functional infrastructure initiatives. * Create and manage operating cadences across the technology organization, including planning cycles, roadmap reviews, program reviews, dependency tracking, executive updates, and decision forums. * Translate ambiguous business and clinical needs into clear technical workstreams, owners, milestones, risks, and tradeoffs. * Serve as a connective layer between technology and business teams, ensuring Engineering, Product, Clinical, Operations, Compliance, Legal, and Go-to-Market teams are aligned on priorities and sequencing. * Identify and resolve cross-team blockers, especially where technical dependencies, operational process, compliance requirements, or change management could slow execution. * Support AI-native transformation across the organization, helping teams adopt AI tools, agentic workflows, automation, and new product development patterns responsibly and effectively. * Build lightweight but durable systems for visibility and accountability, including dashboards, planning artifacts, technical program documentation, and executive-ready reporting. * Help mature the technology organization’s planning, communication, and decision-making practices as Charlie Health continues to scale. * Operate with urgency, judgment, and care in a mission-critical healthcare environment where system quality, reliability, privacy, and clinical impact matter. Requirements * 8+ years of experience in technical program management, product operations, engineering operations, chief of staff, strategy & operations, product management, or a similar highly cross-functional role. * Experience working directly with senior technical executives, ideally a CTO, VP Engineering, Head of Product, or equivalent. * Demonstrated ability to orchestrate complex system builds involving multiple engineering teams, product stakeholders, data dependencies, operational workflows, and executive stakeholders. * Strong technical fluency across modern software architecture, data systems, APIs, workflow automation, cloud infrastructure, AI/ML systems, and/or internal platform development. * Experience working in a regulated industry such as healthcare, fintech, insurance, education, government, or another environment with meaningful privacy, security, compliance, or operational risk. * Strong understanding of how AI-native teams work, including practical experience with LLMs, AI-enabled product development, automation, agentic workflows, or AI-assisted engineering/productivity tools. * Exceptional written and verbal communication skills, with the ability to synthesize technical complexity into crisp narratives, decisions, and executive updates. * Highly organized and systems-oriented, with a track record of creating clarity in ambiguous, fast-moving environments. * Strong analytical orientation; comfortable using data to inspect progress, identify bottlenecks, and drive better decisions. * Low-ego, high-ownership operator who can influence without authority and build trust across technical and non-technical teams. * Please note that this is an in-office position in Charlie Health’s New York City office four days per week Monday through Thursday  BENEFITS Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. The total target base compensation for this role will be between $190,000 and $260,000 per year at the commencement of employment. In addition to base compensation, this role also offers a performance bonus. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. OUR VALUES * Connection: Care deeply & inspire hope. * Congruence: Stay curious & heed the evidence. * Commitment: Act with urgency & don’t give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.