Government Affairs Lead

Responsibilities

• New State and City Expansion and Procurement
• Identify and advance new state and city opportunities aligned with Something's growth strategy
• Build relationships with legislators, agencies, and budget offices to introduce and fund Something's model
• Advance Rural Health Transformation (RHT) initiatives to expand access in rural communities and new states
• Lead states from concept through RFP, procurement, contracting, and go-live
• Existing State Partnerships and Program Expansion
• Collaborate with VP of Client Success to manage existing state partnerships
• Identify opportunities inside the state to expand scope, populations served, or funding
• Support renewals, amendments, and program scaling in collaboration with state stakeholders and legislatures. Ensure long-term funding sustainability by working with state legislatures.
• Policy, Legislation, and Lobbying
• Track and analyze local, state and federal legislation related to peer support, mental health services, AI, and age-of-consent laws
• Manage and coordinate external lobbying firms
• Draft letters of support and testimony for legislation of interest
• Medicaid Strategy and Reimbursement
• Lead efforts to establish peer support as a Medicaid-reimbursable service across states
• Support SPA (State Plan Amendment) and/or waiver strategies to e

Requirements

• You have owned end-to-end procurement processes, either within a state agency or from the vendor side, spanning budgeting through contracting.
• You thrive in ambiguity and high-ownership environments. You are motivated by mission, not as a slogan, but as a personal conviction. You want your work to matter, and you want to see its impact on real people's lives.

Benefits

Additional Information

About Somethings Somethings is building the first social wellness platform for teens - a place where a teen can form a real relationship with a mentor who gets them, sticks with them, and helps them get better. 25 Million teens in the U.S. are struggling with their mental health. Every one of the thousands of teens who download Somethings is struggling. Our job is to make sure they don't just show up - they stay, connect with real humans who care deeply about them, and get the support that they need to thrive. We're backed by General Catalyst and world-class healthcare + consumer investors, and we're growing like crazy - in 2025 we grew 1100%, raised our $15M Series A, and are on track to 5x in 2026. If you want to be a part of the generationally defining company in mental health, welcome home. Role Overview We're looking for a Government Affairs Lead to lead Somethings into its next chapter of national expansion. This is a builder role, not a traditional government affairs position. We are not looking for a passive lobbyist or a policy memo specialist. We are looking for someone who understands state government as a living system-where policy, people, budgets, and timing intersect-and who knows how to move that system forward. Your north star is ambitious and concrete: expand Somethings into new states by building early relationships, shaping policy and program design, and converting those opportunities into meaningful Medicaid and state partnerships. You will be responsible for creating access before RFPs exist, helping states understand how Somethings fits into their priorities, and guiding opportunities from first conversation through procurement and contracting. This role sits at the intersection of policy, relationships, and execution. You need to be comfortable discussing Medicaid strategy with a state director in the morning, aligning internal clinical and product teams in the afternoon, and traveling to a state capital or conference the next day to continue building trust. Travel is not incidental to this role-it is core to it. Building real relationships with state leaders requires showing up, and you should expect to spend a significant portion of your time in person with agency leadership, partners, and stakeholders across the country. Note: We expect this role to be 50-75% travel. You will report to the Chief Commercial Officer and be embedded within the Sales squadron, while working closely with Clinical Operations, Product, and Operations. You will have significant autonomy, strong executive support, and a front-row seat to shaping how youth mental health care is delivered at a systems level.

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