Two Chairs is building a new kind of mental health system based on the idea that the status quo isn’t good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we’ll raise the bar for the entire industry. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work and 2025 Fortune's Best Workplaces in Healthcare.

One of our company values is "Embrace Differences" and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply even if they don't think they meet some expectations of the role.

Why Two Chairs is consistently a Great Place to Work 

• Consistent Pay: Earn an hourly rate of $62-$96 with semi-monthly pay. This is based on clinical experience, place of residence, and overall qualifications. Guaranteed base rate with incentive potential after initial ramp period.
• Truly Flexible Work: Work remotely with a schedule that fits your life: no nights, no weekends, no on-call responsibilities. We also provide paid administrative time so documentation doesn’t follow you home.
• Mission-Driven, Clinician-Led: We’re dedicated to creating a world where everyone has access to exceptional mental healthcare. Clinical decisions are made by clinicians for clinicians, ensuring you’re supported by a team that is focused on centering the client and enabling clinicians to deliver exceptional care.
• Clinical Excellence Comes First: You’ll join a deeply collaborative environment, with access to physician partners, therapists, and crisis support services. Our integrated platform provides tools that enable measurement-based care, clinical decision support, and seamless information sharing.
  
  

What You’ll Do

• Conduct 60-minute psychiatry assessments and 30-minute follow-up sessions remotely.
• Prescribe and manage psychiatric medications in accordance with state and federal regulations.
• Integrate brief psychotherapy when clinically appropriate to support your clients in reaching their goals efficiently and sustainably.
• Collaborate with physicians and clinical leadership for support, escalation, and continued learning.
• Partner with therapists and other providers through integrated care plans, shared treatment insights, and team consultation spaces.
• Use data-informed tools and measurement-based care to tailor treatment plans and improve outcomes.
• Contribute to a growing, diverse community of clinicians committed to redefining mental health care.
  
  

What success looks like

In your first 90 days

You will become comfortable with Two Chairs systems, processes, and teams, supported by an onboarding team and clinical leadership. You will gradually build a caseload and deliver exceptional mental health care. You will collaborate with team members and help refine workflows and care protocols. 

By the end of your first year

You will have established a robust caseload of clients and delivered exceptional care, as evidenced by clinical outcomes. You will have made contributions to our program and to a world where everyone has access to exceptional mental health care.

What We Offer

• Compensation you can count on:
• Competitive Pay: Hourly rate of $62-$96 based on clinical experience, place of residence, and overall qualifications
• Guaranteed Onboarding Support: 100% of hourly rate during your initial 90-day ramp period while you build your caseload
• Sustainable Base + Incentive: Following the ramp period, you’ll receive a guaranteed base (80% of your hourly rate) plus an incentive structure that rewards clinical productivity and the integration of psychotherapy.
• Comprehensive Coverage: we pay for administrative time, clinical consultations, trainings, and no-shows.
• Long-term Growth: Eligibility for annual performance-based merit increases
  
  
• Comprehensive Benefits:
• Sick leave
• Access to 401(k) retirement plan options
• Credentialing and cross-licensing support
• License renewal fee reimbursement
• Free Continuing Medical Education (CME) access
• Technology package including laptop, EHR system, HIPAA compliant video platform, and more
• Malpractice Insurance provided
• Supervising Psychiatrist fees covered
  
  
• Flexible Schedule:
• Part-time, W2 position (up to 8 hours per week) with opportunity for increased hours over time. 
• Expect to spend ~75% of time on direct client care and ~25%  focused on admin/ supervisory work. The balance may vary based on team needs. 
• Build a schedule that works for you within our operating hours of M-F,  8am-8pm.
• Start date: mid-August 2026
  
  
• Clinical Coverage: 
• Backup coverage, so your clients are supported when you’re away
• Dedicated 24/7 crisis line available for immediate risk assessments and arrangement of in-person interventions if needed
  
  

Compensation Ranges

• Zone 1 / New York City and San Francisco | $80-108/hour
• New hires can reasonably expect an offer between $80 and $96/hour

• Zone 2 / Portland, Boston, Chicago, Washington DC, New Jersey, Washington,
  all other CA locations | $70-95/hour
• New hires can reasonably expect an offer between $70 and $86/hour

• Zone 3 / Miami, Philadelphia, Denver, Austin, Dallas, Houston | $67-91/hour
• New hires can reasonably expect an offer between $67 and $81/hour

• Zone 4 / All other locations | $62-87/hour
• New hires can reasonably expect an offer between $62 and $76/hour
  
  

Who You Are

• A board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
• 2+ years of experience providing mental health services as a PMHNP
• Licensed to practice in Texas as a PMHNP (additional licensure a plus!)
• Open to obtaining additional state licenses to support company expansion. Two Chairs covers all costs and provides full administrative support for the cross-licensing process.
• Experienced in delivering remote telepsychiatry services
• Passionate about high-quality, measurement-based, collaborative care
• Eager to join a community of clinicians who are driven by purpose and help us build upon our psychiatry program to improve our services and systems continually
• Able to start in mid-August 2026

Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html 

#LI-REMOTE 

Two Chairs is building a new kind of mental health system based on the idea that the status quo isn’t good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we’ll raise the bar for the entire industry. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work and 2025 Fortune's Best Workplaces in Healthcare.

One of our company values is "Embrace Differences" and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply even if they don't think they meet some expectations of the role.

Why Two Chairs is consistently a Great Place to Work 

• Consistent Pay: Earn an hourly rate of $62-$96 with semi-monthly pay. This is based on clinical experience, place of residence, and overall qualifications. Guaranteed base rate with incentive potential after initial ramp period.
• Truly Flexible Work: Work remotely with a schedule that fits your life: no nights, no weekends, no on-call responsibilities. We also provide paid administrative time so documentation doesn’t follow you home.
• Mission-Driven, Clinician-Led: We’re dedicated to creating a world where everyone has access to exceptional mental healthcare. Clinical decisions are made by clinicians for clinicians, ensuring you’re supported by a team that is focused on centering the client and enabling clinicians to deliver exceptional care.
• Clinical Excellence Comes First: You’ll join a deeply collaborative environment, with access to physician partners, therapists, and crisis support services. Our integrated platform provides tools that enable measurement-based care, clinical decision support, and seamless information sharing.
  
  

What You’ll Do

• Conduct 60-minute psychiatry assessments and 30-minute follow-up sessions remotely.
• Prescribe and manage psychiatric medications in accordance with state and federal regulations.
• Integrate brief psychotherapy when clinically appropriate to support your clients in reaching their goals efficiently and sustainably.
• Collaborate with physicians and clinical leadership for support, escalation, and continued learning.
• Partner with therapists and other providers through integrated care plans, shared treatment insights, and team consultation spaces.
• Use data-informed tools and measurement-based care to tailor treatment plans and improve outcomes.
• Contribute to a growing, diverse community of clinicians committed to redefining mental health care.
  
  

What success looks like

In your first 90 days

You will become comfortable with Two Chairs systems, processes, and teams, supported by an onboarding team and clinical leadership. You will gradually build a caseload and deliver exceptional mental health care. You will collaborate with team members and help refine workflows and care protocols. 

By the end of your first year

You will have established a robust caseload of clients and delivered exceptional care, as evidenced by clinical outcomes. You will have made contributions to our program and to a world where everyone has access to exceptional mental health care.

What We Offer

• Compensation you can count on:
• Competitive Pay: Hourly rate of $62-$96 based on clinical experience, place of residence, and overall qualifications
• Guaranteed Onboarding Support: 100% of hourly rate during your initial 90-day ramp period while you build your caseload
• Sustainable Base + Incentive: Following the ramp period, you’ll receive a guaranteed base (80% of your hourly rate) plus an incentive structure that rewards clinical productivity and the integration of psychotherapy.
• Comprehensive Coverage: we pay for administrative time, clinical consultations, trainings, and no-shows.
• Long-term Growth: Eligibility for annual performance-based merit increases
  
  
• Comprehensive Benefits:
• Sick leave
• Access to 401(k) retirement plan options
• Credentialing and cross-licensing support
• License renewal fee reimbursement
• Free Continuing Medical Education (CME) access
• Technology package including laptop, EHR system, HIPAA compliant video platform, and more
• Malpractice Insurance provided
• Supervising Psychiatrist fees covered
  
  
• Flexible Schedule:
• Part-time, W2 position (up to 8 hours per week) with opportunity for increased hours over time. 
• Expect to spend ~75% of time on direct client care and ~25%  focused on admin/ supervisory work. The balance may vary based on team needs. 
• Build a schedule that works for you within our operating hours of M-F,  8am-8pm.
• Start date: mid-August 2026
  
  
• Clinical Coverage: 
• Backup coverage, so your clients are supported when you’re away
• Dedicated 24/7 crisis line available for immediate risk assessments and arrangement of in-person interventions if needed
  
  

Compensation Ranges

• Zone 1 / New York City and San Francisco | $80-108/hour
• New hires can reasonably expect an offer between $80 and $96/hour

• Zone 2 / Portland, Boston, Chicago, Washington DC, New Jersey, Washington,
  all other CA locations | $70-95/hour
• New hires can reasonably expect an offer between $70 and $86/hour

• Zone 3 / Miami, Philadelphia, Denver, Austin, Dallas, Houston | $67-91/hour
• New hires can reasonably expect an offer between $67 and $81/hour

• Zone 4 / All other locations | $62-87/hour
• New hires can reasonably expect an offer between $62 and $76/hour
  
  

Who You Are

• A board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
• 2+ years of experience providing mental health services as a PMHNP
• Licensed to practice in Texas as a PMHNP (additional licensure a plus!)
• Open to obtaining additional state licenses to support company expansion. Two Chairs covers all costs and provides full administrative support for the cross-licensing process.
• Experienced in delivering remote telepsychiatry services
• Passionate about high-quality, measurement-based, collaborative care
• Eager to join a community of clinicians who are driven by purpose and help us build upon our psychiatry program to improve our services and systems continually
• Able to start in mid-August 2026

Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html 

#LI-REMOTE 

The Senior Accountant is responsible for supporting accounting operations and financial reporting for assigned markets and corporate cost centers, ensuring accuracy, compliance, and timeliness across payroll, commissions, billings, cash activity, and month-end close. This role will be in office for 6 months and then move to a a hybrid schedule.

Essential Duties

Technical & Accounting Responsibilities

• Execute day-to-day accounting activities across markets and corporate functions, including billing, cash activity, payroll, allocations, and month-end close support.
• Review, update, and maintain allocations, including posting entries and calculating retroactive adjustments.
• Coordinate and post cost center and HQ allocations across corporate departments.
• When applicable, coordinate and record earnest money deposit entries for pursuits.
• Prepare and complete balance sheet reconciliations, including accruals, prepaids, and other assigned accounts.
• When applicable, perform bank reconciliations for accounts within scope.
• When applicable, review expenditures for appropriate fixed asset classification and prepare depreciation and intangible amortization entries.
• Review and post intercompany related adjustments to ensure accurate reporting between market and HQ accounts.
• Reconcile intercompany balances and resolve discrepancies.
• Review and post trial balance uploads for entities that are not integrated into the core ERP system.
• Perform consolidation and ensure intercompany balances are properly eliminated.
• Support the review of monthly financial statements and analyze significant month-over-month, year-over-year, and budget-to-actual variances.
• Perform other duties as assigned.

Collaboration & Business Partnership

• Partner with Admin Finance and FP&A to support variance analysis and financial reporting.
• Respond to financial and operational data requests from Finance and FP&A.

Qualifications

• Bachelor’s degree in Accounting, Finance, or a related field; CPA or progress toward CPA preferred.
• 4–6+ years of accounting experience, preferably in real estate services, brokerage, or professional services environments.
• Strong knowledge of GAAP, revenue recognition, and accrual accounting.
• Experience with ERP systems (Oracle preferred).
• Strong Excel and analytical skills.

Key Competencies

• High attention to detail and financial accuracy
• Strong organizational and deadline management skills
• Ability to interpret financial data and identify variances
• Proactive, solution-oriented mindset with strong ownership mentality
• Effective communication and collaboration skills

About Diana Health 

Diana Health is a high-growth network of modern women's health practices. We are on a mission to set a new standard of care that inspires, empowers, and supports women to live healthier, more fulfilling lives. We partner directly with hospitals and align incentives across stakeholders using integrated care teams, smart technology, and a designed care experience that is good for patients and good for providers. The result is an individualized, comprehensive care program that puts women in the driver’s seat of their own health and provides them with the information and compassionate care they need to reach their health goals.  

We are an interdisciplinary team joined together by our shared commitment to transform women’s health. Come join us!

Role Description: 

Our Practice Managers are passionate about helping women get the high quality, loving care they need and deserve and supporting interdisciplinary teams of providers and staff in fast growing practices. 

You will be a practice leader, ensuring smooth and efficient day-to-day operations and a supportive, servient culture that simultaneously serves our team and our clients. You will report directly to the Regional Director in the practice’s associated Diana Health region.

What you’ll do: 

• Provide day-to-day, onsite team leadership, ensuring all practice-level team members are set up for success in their respective roles and trouble-shooting situations as needed
• Directly manage all practice-level clinical and administrative staff
• With support from Regional Director and Central HR, oversee team administration and development, including hiring, onboarding and corrective actions as needed
• With support from the VP of Clinical Operations (for HR), oversee the practice’s providers’ day-to-day needs
• Serve as the practice’s Diana Health culture setter, modeling our values and serving as the face of Diana Health to the practice team and patients 
• Ensure the delivery of the Diana Health vision and Diana Difference – day in and day out – across our entire practice-based team and our clients
• Oversee execution and continuous improvement of practice workflows, including but not limited to:
• Scheduling:
• Support all aspects related to patient scheduling 
• Develop and oversee the schedules for admin and clinical team members
• Manage provider schedules and clinic schedule structure to ensure a seamless experience for clients, and providers
• Client Experience:
• Ensure DH client experience is implemented as designed, promoting an overall positive client experience
• Support efficient and comprehensive clinic appointment flow
• Lead our Service Recovery Process when issues arise; supporting unusual event reporting, as needed
• Solicit and review feedback from clients and review key performance indicators
• Provide oversight to ensure client calls, voicemails and messages are returned or addressed within the appropriate time frame
• Support and manage execution of Diana Health SLAs
• Billing and Insurance
• Provide oversight of all billing and insurance questions (e.g., verification of benefits and personal financial plans) including team education and training and client educational tools, as needed
• Oversee hospital and clinic procedure authorization process, including hospital superbills
• Inventory management
• Partner with Central Team partners on inventory management
• Procure designated practice-specific items (e.g., clinical supplies, office supplies, team uniforms, etc.) and maintain accurate, updated logs
• Identify any operational workflow issues that interfere with client care and the team’s ability to properly execute on their responsibilities 
• Provide a solution-focused summary of the issue / barrier to appropriate stakeholders; work through the issue and come up with an agreed upon solution (e.g., new/updated process)
• Act as practice link to Diana Health training, product and process improvement:
• Supporting training and development of impacted team members on agreed upon solution, ensuring new/updated processes are implemented
• Partnering with the Product team to update playbooks and tools
• Identifying practice-specific needs and develop processes/process improvement along with Regional Director and Product Team
• Lead the practice to meet its performance metrics
• Review dashboards to identify leading indicators of team and practice operations related issues
• Develop and test hypotheses, pulling in appropriate stakeholders and additional data, as needed
• Develop improvement plans, test the plans, measure the impact and iterate as needed
• Ensure closed loop communications across affected team members, external parties etc.
• Maintain a strong pulse on the health of the team and the metrics of the practice at all times, being able to report out real-time, as needed
• Lead frequent, clear, concise, closed loop communication across the many dimensions of the practice team:

Lead daily morning huddles and provide daily schedule communications and real-time updates as needed

• Lead monthly all-team meetings
• Provide ongoing training and development as needed 
• Orchestrate other team meetings (e.g., Lunch & Learns)
• Other duties as assigned

Experience:

• Bachelor’s Degree in business, education, or healthcare administration required or equivalent experience
• At least five years of experience in outpatient practice management – women’s health experience is preferred
• Demonstrated program development capabilities and ability to make critical decisions without all of the answers, using sound judgement
• Excellent communication skills – written and oral
• Demonstrated ability to represent an organization’s values and to carry out these job responsibilities effectively and professionally
• Proven ability to build and lead strong, diverse teams and meet practice-level performance metrics

Benefits

• Competitive compensation
• Medical, dental, and vision insurance, with an HSA/FSA option
• 401(k) with employer match
• Paid time off
• Paid parental leave 

Diana Health Culture

• Having a growth mindset and striving for continuous learning and improvement
• Positive, can do / how can I help attitude
• Empathy for our team and our clients
• Taking ownership and driving to results
• Being scrappy and resourceful