Fractional Integrator – Operational Accountability, Business Strategy

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Facilitate structured weekly accountability meetings with assigned department leaders across program operations, clinical services, administration, human resources, and other designated functions.

• Assess weekly commitments, measurable outcomes, deadlines, staffing performance, and unresolved issues; document responsible parties and next steps.

• Monitor the completion of agreed-upon actions and follow up on overdue or incomplete commitments.

• Analyze missed expectations, recurring errors, and ineffective management practices, differentiating individual concerns from systemic barriers.

• Review departmental dashboards, operational trackers, quality indicators, and performance reports for accuracy, trends, and exceptions.

• Propose improvement plans, reassignment, additional training, or formal performance actions based on documented findings.

• Collaborate with managers and HR on corrective action processes while adhering to policies and approval authority.

• Escalate significant operational, compliance, client-service, or personnel risks to the CEO and designated leaders.

• Identify gaps in workflow, ownership, communication, and standard operating procedures.

• Suggest practical solutions and ensure that approved improvements are implemented and sustained.

• Ensure department leaders uphold accountability trackers, measurable deliverables, and documented follow-ups.

• Advise the CEO on organizational design, operational efficiency, staffing capacity, leadership performance, and readiness for growth.

• Provide a weekly executive briefing on departmental performance, emerging risks, overdue commitments, and decisions requiring CEO input.

• Evaluate the operational implications of new programs, partnerships, and expansion initiatives.

• Offer independent, evidence-based insights and constructively challenge assumptions.

⛳️ Requirements

• A minimum of 10 years of progressive experience in business operations, executive management, or organizational leadership.

• Direct responsibility for accountability, performance management, and cross-functional execution.

• Previous experience as a COO, Fractional COO, Vice President of Operations, Executive Director, Chief Administrative Officer, Director of Operations, General Manager, Chief of Staff with operational authority, or as a senior business/operations consultant with documented accountability leadership.

• Proven success in managing or evaluating department heads, setting performance expectations, implementing corrective plans, and enhancing operational results.

• Strong financial and business acumen, including the ability to interpret budgets, staffing models, productivity metrics, and operational trade-offs.

• Excellent executive communication skills, sound judgment, discretion with sensitive employee information, and the ability to provide candid recommendations.

• Capability to work independently, maintain consistent weekly availability, and deliver clear written accountability reports.

• Availability during agreed-upon Eastern Time business hours.

• Preferred: experience supporting a founder-led, multi-department, growth-stage organization.

• Preferred: background in healthcare, behavioral health, professional services, education services, or another regulated service environment.

• Preferred: experience with fractional executive engagements, operational turnarounds, scaling organizations, and leadership coaching.

• Preferred: familiarity with HR performance-management processes and cross-functional KPI reporting.

🏝️ Benefits

• Flexible fractional structure with a weekly commitment of 12–15 hours.

• Meaningful executive impact in a mission-driven mental health organization.

• Direct strategic partnership with the CEO.

• Potential growth path toward expanded fractional operations leadership, including a future FCOO role, based on organizational need and performance.