Chief Operating Officer - COO

Job Description Job Description 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.