COO

Location: Hybrid or On-site

About the Role

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

Operational Leadership

• 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.

Clinical Quality & Compliance

• 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.

Staff Leadership & Culture

• 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.

Financial & Business Operations

• 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.

Family Experience & Growth

• 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.

Qualifications

Required

• 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

• 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.

What We Offer

• Competitive executive compensation

• Bonus structure tied to performance and organizational growth

• 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

Ideal For

• Directors of Operations ready to step into an executive role

• ABA clinical leaders transitioning into operational leadership

• Healthcare executives experienced in high-growth companies