Chief Operating and Financial Officer

This is a fully remote position, open to applicants in Illinois, +3 more states.

📋 Description

• Oversee the company's portfolio of initiatives, ensuring clear ownership, defined milestones, budget management, and status tracking.

• Utilize Lean Six Sigma methodologies to streamline processes, eliminate waste, and minimize variability.

• Direct the creation of standard operating procedures (SOPs), operational policy documentation, version control, and launch checklists.

• Enhance performance throughout the patient journey, from referrals to revenue generation.

• Manage business operations and the Project Management Office (PMO), collaborating with care coordination, credentialing, and scheduling teams.

• Establish and evaluate key performance indicators (KPIs) while addressing system-wide bottlenecks.

• Develop scalable processes across multiple states.

• Supervise operating budgets and monitor cost per session, clinician utilization, and contribution margins.

• Collaborate with the CEO on yearly budgets, reforecasts, and profitability strategies.

• Construct business cases for operational investments.

• Create capacity and workforce models that align demand with hiring, credentialing, and session management.

• Promote clinician utilization and optimize schedule fill rates.

• Ensure adherence to Medicaid requirements, state regulations, accreditation standards, and HIPAA compliance.

• Execute direct contracts and monitor performance against anticipated financial outcomes.

• Enhance operational inputs to the revenue cycle, including clean claims, denials, accounts receivable, and cash collections.

• Provide executive oversight for HR, talent acquisition, compensation, benefits, and workforce planning.

• Manage relationships with vendors and oversee contract negotiations.

• Collaborate with the Technology team on prioritizing roadmaps, achieving delivery milestones, managing ticket intake, and launching operational systems.

• Present operational plans and results to leadership teams, boards, and investors.

⛳️ Requirements

• A minimum of 10 years of progressive operations leadership experience, with at least 5 years in the healthcare sector.

• Strongly preferred experience in behavioral health, Medicaid, or managed care.

• Proven track record in managing an operating budget or P&L, with a history of enhancing margins.

• Practical experience in credentialing, scheduling, care coordination, or operational inputs to the revenue cycle.

• Experience in multistate healthcare operations, including the launch of new markets or programs.

• Demonstrated success in guiding a growth-stage or venture-backed organization toward profitability.

• History of redesigning processes comprehensively, with measurable improvements in cycle time, cost, quality, or cash, and documenting these in SOPs and policies.

• Experience presenting to boards and investors alongside a CEO.

• A genuine commitment to increasing access to behavioral healthcare for underserved children and families.

• Bachelor’s degree in Business Administration, Operations Management, Industrial or Systems Engineering, Healthcare Administration, Finance, or a related discipline.

• An advanced degree is highly preferred, such as an MBA, MHA, MPH with a management focus, or MS in Operations Management, Industrial Engineering, or Engineering Management.

• Formal training in project management and process improvement is strongly preferred.

• Lean Six Sigma Black Belt preferred; at least a Green Belt is required.

• Proficiency or experience with PMP, PgMP, PMI ACP, CSM, SAFe, Lean, ASQ CMQ/OE, CPHQ, FACHE, HFMA CHFP, or CRCR certifications is preferred.

• Experience in SOP development and policy writing within a regulated healthcare environment.

• Expertise in workflow and process design, including value stream mapping, process mapping, root cause analysis, control charts, and standard work.

• Financial modeling and unit economics proficiency using Excel or Google Sheets.

• Knowledge of SQL and business intelligence tools such as Tableau, Power BI, or Looker.

• Familiarity with project and portfolio management tools like Asana, Jira, Smartsheet, or Monday.com.

• Working knowledge of EHR, practice management, and billing systems in a multistate Medicaid context.

🏝️ Benefits

• Performance bonuses linked to measurable KPI outcomes.

• Exceptional equity package.

• Comprehensive medical, dental, and vision coverage.

• 401(k) retirement plan.

• Opportunity to significantly influence the growth and direction of a venture-backed healthcare company.

• Chance to contribute to expanding access to behavioral healthcare for children and families.

• Equal Opportunity Employer dedicated to fostering team diversity and wellbeing.