Director of People Operations
Seven Starling
People & HR, Operations
Remote
USD 150k-150k / year + Equity
Posted on Feb 14, 2026
About Seven Starling
Seven Starling is revolutionizing women's behavioral health through our clinically-validated virtual care platform. As a venture-backed, rapidly scaling startup at the forefront of maternal healthcare innovation, we've developed a groundbreaking clinical model that combines specialized therapy, peer support, and medication management to effectively treat perinatal mood disorders. Our approach delivers exceptional results— 90% of patients experience clinically significant symptom improvement.
We've established strategic partnerships with leading health plans including UnitedHealthcare, Cigna, Blue Cross Blue Shield, and Aetna, plus a growing network of OBGYN clinics nationwide, positioning us for accelerated growth in the $50B+ women's behavioral health market.
About the Role
As our first Director of People Operations, you will build and scale the People function from the ground up, owning everything from compensation strategy to multi-state compliance to employee experience. You'll manage both our corporate workforce (> 50 FTEs) and clinical workforce (>250 FTE, PTE & 1099 providers), designing tools and systems to support our entire organization.
The ideal candidate has 7-10 years in people operations with 3+ years in a managerial capacity, including 2-3 years at a Series A/B digital health company with large PTE/FTE and contracted teams. You're a builder-operator who's equally comfortable designing leveling frameworks to building automation workflows in HR systems, with particular expertise in blended workforce models and multi-state compliance.
What you'll do
- Own multi-state HR compliance and entity management across 25+ states, including state registrations, foreign qualifications, and ongoing compliance monitoring
- Partner with leadership on headcount planning, organizational design, and infrastructure development to support our scaling corporate and clinical workforces (W-2 and 1099)
- Design and implement compensation strategy, leveling guides, performance frameworks, and total rewards programs across corporate and clinical workforces (FTE and PTE)
- Manage payroll operations including reviewing bi-weekly payrolls, troubleshooting issues, processing corrections, managing complex off-cycle scenarios (leaves, terminations), and ensuring accuracy across all pay cycles
- Oversee all HR systems, tools, and vendor relationships including Rippling, Lever, Checkr, 401k, and others
- Manage benefits administration including enrollment, COBRA setup, carrier coordination, and benefits broker management
- Oversee recruiting and onboarding processes for corporate teams, building scalable systems for hiring and new hire integration
- Manage employee relations, performance issues, and workplace challenges with empathy and sound judgment; build culture and engagement initiatives including surveys and retention strategies
- Own people ops budget and headcount planning; build analytics dashboards and partner with CEO, finance, legal, and clinical leadership on people strategy
Who you are
- You're a builder-operator who rolls up sleeves to resolve operational problems and build systems with an eye toward scalability
- You're scrappy with strong bias toward action and good judgment on when to escalate vs. make decisions yourself
- You have deep expertise navigating complex vendor relationships and can quickly diagnose and resolve system issues (payroll issues, benefits enrollment problems, HRIS glitches)
- You bring empathy and emotional intelligence to support our employees & staff
- You love to get into the numbers - comfortable building dashboards, analyzing retention data, and conducting compensation benchmarking
- You're highly collaborative and enjoy problem solving with other leaders across operations, clinical, and finance teams
- You're proactive about spotting issues before they become fires and have strong process improvement instincts
- You default to transparency and bring problems forward early with solutions
Must Haves
- 7+ years in people operations with 3+ years in leadership roles
- 2-3 years at a high growth Series A/B company
- Digital health experience managing large PTE/FTE and contracted clinical teams
- Familiarity with MSO/PC models and blended workforce compliance
- Hands-on experience managing complex payroll operations, benefits administration, and multi-vendor HR ecosystems
- Experience designing compensation and benefits across corporate and clinical workforces
- Proven ability leading HR & compliance, handling employee relations, and building systems and tools from the ground up
Details
- Full-time; remote
- The salary for this position is $150,000
- Meaningful equity package with significant upside potential
Perks & Benefits
- Competitive paid time off
- Competitive parental leave policy
- One-time stipend to enhance your work from home experience
- Medical, dental, and vision insurance
- 401K
- Bereavement leave, including for miscarriage and pregnancy loss
- Annual stipend for your choice of wellness benefits
- Annual professional development stipend
- Virtual team events
Seven Starling is an equal opportunity employer, passionately committed to equitable hiring and boldly dedicated to diversity in our teams. We do not discriminate in employment opportunities or practices based on actual or perceived race, color, religion, national origin, sex (including pregnancy, childbirth, or related conditions), age, marital status, sexual orientation, gender identity or expression, veteran status, uniformed service member status, disability, or any other characteristic protected by law.
We strongly encourage individuals from all backgrounds to apply. Even if you don’t meet every single requirement, you might be the right candidate for this or other roles.
Please do not call our public clinical admissions line in regard to this or any other job posting.
We will be accepting applications on a rolling basis and will close this once a candidate has been identified.
150000 - 150000 USD a year