Chief Operating Officer - COO

Job Title:
Chief Operating Officer (COO) – Behavioral Health Clinics

Role Summary:
An outstanding opportunity is available for a strategic and mission-driven Chief Operating Officer to lead the expansion and operational excellence of a high-impact mental health care organization. This role is ideal for a visionary leader who thrives in scaling innovative healthcare models and is passionate about transforming lives through evidence-based, patient-centered care.

As COO, you will be responsible for evolving a successful single-site clinic into a thriving, multi-location enterprise. You will lead operations with a clear focus on growth, quality, and regulatory integrity, building teams, systems, and processes that deliver compassionate, effective care at scale. You’ll work closely with founders and cross-functional teams to ensure sustainable expansion while maintaining a culture rooted in empathy, accountability, and performance.

Key Responsibilities:

• Lead the development and execution of a multi-year expansion strategy, scaling operations from one clinic to 5–10 locations.

• Identify and evaluate new markets, partnerships, and growth opportunities.

• Design and implement scalable systems, processes, and technologies to support rapid growth.

• Oversee daily clinic operations, ensuring efficiency, clinical quality, patient experience, and compliance.

• Build performance metrics and reporting infrastructure to measure and drive operational success.

• Optimize resource allocation, manage budgets, and improve cost-efficiency to support profitability.

• Partner with founders on marketing, branding, and patient acquisition strategies.

• Ensure compliance with healthcare regulations, licensing requirements, and clinical best practices.

• Develop and execute risk management protocols to protect patients, staff, and the business.

• Collaborate across clinical, administrative, billing, and marketing functions to create operational alignment.

• Lead the recruitment, training, and development of compassionate, high-performing teams.

• Other duties as assigned.

Required Qualifications:

• 10+ years of leadership experience in healthcare or behavioral health operations.

• Proven success in scaling multi-site clinical operations or healthcare startups.

• Strong financial literacy, including understanding of EBITDA, cash flow, and key operational KPIs.

• Expertise in healthcare payer contracting, compliance standards, and process optimization.

• Demonstrated ability to lead organizational growth while maintaining operational discipline and quality.

Desired Qualifications:

• Experience in behavioral health, SPRAVATO® administration, or integrative psychiatry models.

• Track record of launching new clinic locations, including site buildout, licensing, staffing, and workflow design.

• Systems thinker with a builder’s mindset—able to design, implement, and iterate for scale.

Personal Attributes:

• Entrepreneurial, purpose-driven, and resilient in dynamic environments.

• Strategic mindset with strong operational execution capabilities.

• Collaborative leader with high emotional intelligence and effective communication skills.

• Committed to balancing compassion and accountability in team leadership.

• Passionate about improving mental health care access, quality, and outcomes.

Key Performance Metrics:

• Successful expansion from 1 to 10+ clinics within established timeframes and budgets.

• Execution of the second clinic launch as a scalable blueprint for future sites.

• Revenue and profitability growth in alignment with organizational goals.

• Scalable systems and process implementation across all locations.

• High employee engagement, strong team retention, and positive performance indicators.

• Positive patient experience outcomes, including satisfaction, retention, and referrals.

• Operational efficiency gains are measured by cost per session, throughput, and utilization.

• Full regulatory compliance and strong payer relationship management.

Pay:

• Compensation & Incentive Structure

• Base Salary: Starting at $150,000 in Year 1

• Performance Bonuses: Eligibility for annual bonuses

• Equity: Participation in the company equity program

• Total First-Year Earning Potential: $220,000 – $240,000

Location & Work Type:
This is a full-time, on-site position based in New York, with travel to future clinic locations as part of expansion efforts.