COO

Position Overview

Location: Hybrid or On-site

The Chief Operating Officer (COO) is a senior executive responsible for overseeing and optimizing the daily operations of an ABA organization. This leader drives operational excellence, ensures clinical quality, and supports scalable growth across clinics, home-based programs, schools, and telehealth services. The ideal candidate is a strategic, people-focused operator with deep experience in healthcare, behavioral health, or ABA, with the ability to manage a rapidly growing team while maintaining compliance, quality care, and financial performance.

Key Responsibilities

• Oversee daily operations across all service lines (home, clinic, school, telehealth).
• Build, refine, and implement efficient operating systems, policies, workflows, and KPIs.
• Ensure scheduling, staffing, and service delivery run smoothly and efficiently.
• Drive expansion initiatives such as opening new clinics, adding programs, or launching new markets.
• Maintain oversight of clinical processes in partnership with the Clinical Director/BCBA leadership.
• Ensure all operations align with ethical ABA standards and state regulations.
• Develop quality assurance systems, audits, and outcome metrics.
• Support payer compliance, documentation standards, and authorization management.
• Lead and mentor managers, directors, and department heads.
• Oversee recruiting, onboarding, training, and performance management for clinical and administrative teams.
• Build a high-performing, mission-driven culture that attracts and retains top talent.
• Partner with the CEO and finance team on budgeting, forecasting, and revenue cycle performance.
• Optimize billable hours, caseload management, and productivity across teams.
• Monitor financial KPIs and implement strategies to reduce cancellations, streamline utilization, and maximize revenue.
• Improve the client journey from intake to graduation.
• Reduce waitlists, increase satisfaction, and support family-centered service models.
• Help scale programs while maintaining individualized, high-quality care.

Required Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Psychology, Education, or related field.
• 5+ years of leadership experience in ABA, behavioral health, healthcare operations, or a similar field.
• Proven experience managing large teams, multi-site operations, or clinical programs.
• Strong understanding of ABA service delivery models, scheduling logistics, and payer requirements.
• Excellent strategic planning, communication, and problem-solving abilities.

Preferred Qualifications

• Master’s degree (MBA, MHA, MA Behavioral Health, or related).
• Experience scaling an ABA organization (clinic-based, home-based, or hybrid).
• Familiarity with systems like: CentralReach, Catalyst, AccuPoint, Kyo, or similar EMRs.
• Experience integrating data, KPIs, and dashboards.
• Knowledge of insurance contracts, authorizations, and revenue cycle.

Benefits & Perks

• Compensation: Competitive executive compensation
• Bonus structure tied to performance and organizational growth
• Benefits: Benefits package (PTO, health insurance, retirement options)
• Opportunity to shape the future of a fast-growing ABA organization
• Mission-driven culture focused on high-quality, ethical care