Vice President of OperationsReports to: CEOPosition Overview Base salary starting at $130,000+ plus bonus
The Vice President of Operations will be responsible for designing, scaling, and leading the operational infrastructure of a growing ABA therapy organization
This leader will own the performance, consistency, and scalability of clinic operations, ensuring high-quality clinical care, strong client outcomes, and an exceptional experience for both families and staff.
The role requires a balance of strategic thinking and hands-on execution, with a strong emphasis on building systems that enable sustainable growth.
Compensation Starting at $130,000 + Bonus
Key Responsibilities 1) Multi-Site Operations & Scaling - Develop and implement an operating model to support scalable growth
- Standardize processes, workflows, and performance expectations across all locations
- Lead new clinic openings, including operational readiness, staffing models, and ramp plans
- Ensure consistency in execution while allowing for local flexibility where appropriate
2) Clinic Performance Management - Own and manage key operational metrics, including:
- Clinic revenue and EBITDA performance
- Authorized hour utilization and dosage delivery
- Staff productivity and labor efficiency
- Client retention and attendance
- Intake conversion and speed-to-services
- Recruiting funnel conversion and staffing capacity
- Clinic ramp performance for new locations
- Establish a regular operating cadence (weekly/monthly reviews) with Operation Manager(s), Recruitment Managers, Clinic Directors and the Senior Leadership team
- Identify performance gaps and implement corrective actions
3) Client Journey Ownership - Optimize the end-to-end client experience:
- Assessment and treatment initiation
- Reduce time from inquiry to first therapy session
- Improve client engagement, retention, and outcomes
- Partner with clinical leadership to ensure care quality aligns with operational efficiency
- Driving new lead generation: Developing new referral channels, accelerating growth of leads
- New business / revenue development e.g. home-based services
4) Staff Journey & Workforce Management - Build scalable systems for hiring, onboarding, performance management, leadership development, and retention across clinic and corporate teams.
- Develop Operations Managers & Recruitment Managers into high-performing leaders capable of scaling new locations and developing future leaders.
- Support team with staff performance management process
5) Clinical Quality & Compliance Partnership - Partner closely with clinical leadership to ensure:
- High-quality therapy services
- Adherence to clinical standards and best practices
- Compliance with payer and regulatory requirements
- Support implementation of quality assurance processes and audits
6) Clinic-Level Leadership Model Optimization - Work with the Senior Leadership team to refine the clinic & operations leadership structure
- Clarify roles, responsibilities, and decision rights
- Create a culture of accountability and delivering clinical and operational results
- Ensure effective collaboration between clinical and administrative leadership
7) Process Improvement & Infrastructure - Identify operational inefficiencies and implement process improvements
- Introduce systems, tools, and technology to support scale
- Build playbooks and SOPs for all core operational functions
- Represent company at ABA events to help build a strong reputation in the industry
Qualifications Required - 8-15+ years of operations leadership experience, preferably in healthcare or multi-site service environments
- Proven track record of scaling operations across multiple locations
- Strong experience managing KPIs and driving performance improvement in fast-paced, high-accountability environments. Comfortable operating both strategically and tactically.
- Demonstrated ability to build systems, processes, and teams from early-stage growth to scale
- Experience leading and developing managers
- Minimum 2 days a week onsite, full time onsite preferred
Preferred - Experience in ABA therapy, behavioral health, or pediatric healthcare
- Familiarity with payer-driven environments (authorization, billing, compliance)
- Experience working alongside clinical leadership (e.g., BCBAs, therapists)
Key Competencies - Operator-builder mindset (can create structure where none exists)
- Data-driven decision making
- People leadership and coaching
- Ability to balance growth with quality
- Cross-functional collaboration (especially clinical partnership)
Leadership expectations - Lead with high accountability and low ego
- Operate with urgency and ownership
- Build strong partnerships across clinical and operational teams
- Develop leaders, not just manage outcomes
- Create clarity, structure, and consistency in ambiguous environments
- Protect clinical quality while driving operational excellence
Success Metrics (First 12-24 Months) - Successful scaling from 3 to 8+ clinics with consistent performance
- Achieve company revenue and EBITDA targets
- Improve dosage delivery and utilization metrics across all clinics
- Reduce time from inquiry to service start
- Improve staff retention and leadership bench strength
- Implement standardized operating playbooks across all locations within 12 months
