Fractional Chief Operating Officer

Job title: Chief Operating Officer (Fractional or Full-Time) – Virtual Behavioral Health

Location: Remote (U.S.)

Job type: Fractional/part-time contract, with a path to full-time

The role

You’ll be our operations partner: building the systems, workflows and team structure that let us grow state by state. This role suits someone who has scaled a behavioral health program before and wants real ownership in an early-stage company.

What you’ll do

• Build and streamline day-to-day operations across intake, scheduling, clinical delivery, documentation and discharge
• Lead multi-state expansion: state licensing, accreditation (Joint Commission/CARF) and a repeatable launch playbook for each new market
• Oversee payer contracting, credentialing and revenue cycle in partnership with our billing vendor
• Optimize our EMR and technology stack for a fully virtual care model
• Build KPIs and reporting for census, admissions, utilization, collections and outcomes
• Own compliance operations, including HIPAA, 42 CFR Part 2 and state regulations
• Support hiring, onboarding and staffing models as the clinical team grows
• Manage budgets and partner with the founder on strategy and growth

What we’re looking for

• 7+ years of operations leadership in behavioral health, ideally substance use and mental health
• Experience with IOP and outpatient levels of care
• Hands-on experience with state licensing, accreditation surveys and payer contracting
• Virtual or telehealth behavioral health experience is a big plus
• Multi-state or multi-site growth experience
• A builder’s mindset: comfortable in a startup, hands-on, organized and data-driven

Nice to have

• Experience with gambling or process addiction programs
• Medicaid contracting experience
• Clinical licensure or a clinical background

Compensation and work arrangement

Pay: $60,000.00 - $120,000.00 per year

Benefits:

• Flexible schedule

Work Location: Remote